F5C-30273-23755

3 vaccinations 15 coded responses 36 check-ins 14 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 155 / PA
Registered: 2021-04-24

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

2021-04-24
Registered in v-safe
2021-04-24
Dose 1 — Pfizer-BioNTech
2021-04-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Short of breath, rapid heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-21
Dose 2 — Pfizer-BioNTech
2021-05-21
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: INSOMNIA!!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Still having difficulty sleeping at night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — day 7, dose 2
MedDRA: Insomnia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Survey response — day 28, dose 2
MedDRA: Impaired gastric emptying — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Gastroparesis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 28, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Survey response — day 35, dose 2
MedDRA: Arthralgia, Dyspnoea, Myalgia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Short of breath on exertion, severe joint and muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Call 2 — Left Voicemail
2021-08-22
Survey response — 3 months, dose 2
MedDRA: Ageusia, Cough, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath, fatigue, loss of taste, cough

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call 3 — Left Voicemail
2022-02-02
Dose 3 — Pfizer-BioNTech
2022-02-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-02-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-09
Health check-in — day 7, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-02-16
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-23
Survey response — day 21, dose 3
MedDRA: Ataxia, Headache, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Yesterday I had loss of muscle control/weakness. I'll be checking in with my doctor, but cannot before next week as I am currently out of town/state.

MedDRA releases: 2024-11 · check-in free text available
2022-03-04
Survey response — day 28, dose 3
MedDRA: Ataxia, Fatigue, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: Last week I had a day where I experienced loss of muscle control and fatigue, extreme tiredness. The next day I started having irregular heartbeat, and have been having them sense. I had a 12 lead EKG done today and I'm wearing a Holter monitor for f

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — day 35, dose 3
MedDRA: Diarrhoea, Heart rate irregular, Nausea, Office visit, SARS-CoV-2 test negative, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stomach flu? Nauseaous vomiting diarrhea. Heart still beating irregularly. At home covid test negative. · Healthcare visit (other): Primary Care Physician

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-03-16
Survey response — day 42, dose 3
MedDRA: Extrasystoles, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activities

Free text: Still having ectopic heart beats and irregular rhythms. Seeing a cardiologist on 3/24

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Survey response — 3 months, dose 3
MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Left shoulder pain. Joints ache constantly.

MedDRA releases: 2024-11 · check-in free text available
2022-05-05
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-05
Call 1 — Could Not Reach Participant
2022-05-11
Call 1 — Could Not Reach Participant
2022-05-11
Call 1 — Could Not Reach Participant
2022-05-11
Call 2 — Could Not Reach Participant
2022-05-11
Call 2 — Could Not Reach Participant
2022-08-05
Survey response — 6 months, dose 3
MedDRA: Abdominal rigidity, Asthenia, COVID-19, Chills, Decreased appetite, Diarrhoea, Dyspnoea exertional, Fatigue, Nausea, Nervous system disorder, Night sweats, Pruritus, Pyrexia, Vomiting, Weight decreased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Covid+ nausea/vomiting, severe stomach spasms,diarrhea lost 10lbs,no appetite. Fever (normal now but still can't regulate temp) itching, nerve endings sensitive, weakness,fatigue,night sweats, chills, RX Paxlovid. Still short of breath on exertion

MedDRA releases: 2024-11 · check-in free text available
2022-08-05
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-08-09
Call 3 — Left Voicemail
2022-08-09
Call 2 — Left Voicemail
2022-08-09
Call 3 — Left Voicemail
2022-08-09
Call 3 — Left Voicemail
2022-08-09
Call 1 — Left Voicemail
2023-02-06
Survey response — 12 months, dose 3
MedDRA: Cough, Respiratory tract congestion, Wheezing — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-24	Pfizer-BioNTech
2	2021-05-21	Pfizer-BioNTech
3	2022-02-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-18	Unsuccessful
2021-08-22	Unsuccessful
2022-03-09	Unsuccessful
2022-05-05	Unsuccessful
2022-08-05	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-26

Systemic reaction (other): Short of breath, rapid heart rate

Release 8 — days 1–6 daily, dose 2

2021-05-24

Systemic reaction (other): INSOMNIA!!!!

2021-05-26

Systemic reaction (other): Insomnia

2021-05-27

Systemic reaction (other): Still having difficulty sleeping at night

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): Insomnia

Release 9 — day 28, dose 2

2021-06-18

Symptoms: Gastroparesis

Release 9 — day 35, dose 2

2021-06-25

Symptoms: Short of breath on exertion, severe joint and muscle pain

Release 9 — 3 months, dose 2

2021-08-22

Symptoms: Shortness of breath, fatigue, loss of taste, cough

Release 11 — day 21, dose 3

2022-02-23

Symptoms: Yesterday I had loss of muscle control/weakness. I'll be checking in with my doctor, but cannot before next week as I am currently out of town/state.

Release 11 — day 28, dose 3

2022-03-04

Symptoms: Last week I had a day where I experienced loss of muscle control and fatigue, extreme tiredness. The next day I started having irregular heartbeat, and have been having them sense. I had a 12 lead EKG done today and I'm wearing a Holter monitor for f cut off by CDC

Release 11 — day 35, dose 3

2022-03-09

Symptoms: Stomach flu? Nauseaous vomiting diarrhea. Heart still beating irregularly. At home covid test negative.

Healthcare visit (other): Primary Care Physician

Release 11 — day 42, dose 3

2022-03-16

Symptoms: Still having ectopic heart beats and irregular rhythms. Seeing a cardiologist on 3/24

Release 11 — 3 months, dose 3

2022-05-05

Symptoms: Left shoulder pain. Joints ache constantly.

Release 12 — 6 months, dose 3

2022-08-05

Symptoms: Covid+ nausea/vomiting, severe stomach spasms,diarrhea lost 10lbs,no appetite. Fever (normal now but still can't regulate temp) itching, nerve endings sensitive, weakness,fatigue,night sweats, chills, RX Paxlovid. Still short of breath on exertion

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	Office visit	·	·	✓
SD	Abdominal rigidity	·	·	✓
SD	Ageusia	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Ataxia	·	·	✓
SD	Chills	·	·	✓
SD	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	·	·	✓
SD	Extrasystoles	·	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Impaired gastric emptying	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	·	·	✓
SD	Nervous system disorder	·	·	✓
SD	Night sweats	·	·	✓
SD	Pruritus	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Vomiting	·	·	✓
SD	Weight decreased	·	·	✓
SD	Wheezing	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Insomnia	✓	✓	✓

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