6T8-34771-18730

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 300 / GA
Registered: 2021-01-18

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-18
Registered in v-safe
2021-01-18
Dose 1 — Pfizer-BioNTech
2021-01-18
Survey response — day 0, dose 1
MedDRA: Paraesthesia oral — Feeling: Good · Headache, Fatigue or tiredness, Nausea

Free text: Tingling tongue lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Paraesthesia oral — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Tingling if lips and mouth - almost gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Pfizer-BioNTech
2021-02-08
Survey response — day 0, dose 2
MedDRA: Cerebrovascular accident, Paraesthesia oral, Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Minimal tingling around mouth, tongue - are that was affected by stroke

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-15
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have auto immune disease- antiphospholipid - requires warfarin, my pro-times started to be out of range within amonth of last vaccination Increase doses of warfarin still required - prior to vac had good control of pro-times · Healthcare visit (other): Labs

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call 1 — Left Voicemail
2021-08-16
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 42, dose 3
MedDRA: Electrocardiogram abnormal, Myocardial infarction, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Evidence of Heart attack on EKG · Healthcare visit (other): Family physician

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-06
Call successful
Participant prefers to complete VAERS report online
2022-02-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-08-18
Survey response — 12 months, dose 3
MedDRA: Electrocardiogram abnormal, Feeling abnormal, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I had reaction to first booster, heart valve leakage i have an autoimmune disease anti-phospholipid, both hematologist and neurologist advised to not have anymore boosters · Healthcare visit (other): no rmrrgrncy jidt knrw geeling poorly/ ekg changes from prior to booster

MedDRA releases: 2024-11 · check-in free text available
2022-08-18
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-19
Call 2 — Left Voicemail
2022-08-19
Call 1 — Left Voicemail
2022-08-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Pfizer-BioNTech
2	2021-02-08	Pfizer-BioNTech
3	2021-08-16	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-18

Systemic reaction (other): Tingling tongue lips

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Tingling if lips and mouth - almost gone

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Minimal tingling around mouth, tongue - are that was affected by stroke

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: I have auto immune disease- antiphospholipid - requires warfarin, my pro-times started to be out of range within amonth of last vaccination Increase doses of warfarin still required - prior to vac had good control of pro-times

Healthcare visit (other): Labs

Release 9 — day 42, dose 3

2021-09-30

Symptoms: Evidence of Heart attack on EKG

Healthcare visit (other): Family physician

Release 12 — 12 months, dose 3

2022-08-18

Symptoms: I had reaction to first booster, heart valve leakage i have an autoimmune disease anti-phospholipid, both hematologist and neurologist advised to not have anymore boosters

Healthcare visit (other): no rmrrgrncy jidt knrw geeling poorly/ ekg changes from prior to booster

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Electrocardiogram abnormal	·	·	✓
HCVO	Feeling abnormal	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	✓	·	✓
SD	Condition aggravated	✓	·	✓
SD	Electrocardiogram abnormal	·	·	✓
SD	Myocardial infarction	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Cerebrovascular accident	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release