FA7-27780-64568

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 985 / WA
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Good · Headache

Free text: Weird taste in mouth just after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea, Erythema, Eye irritation, Fatigue, Flushing, Pain, Pain in extremity, Peripheral swelling — Feeling: Good · Site: Pain · Joint pains · Be unable to work

Free text: 6-8 hrs post injection woke up with burning eyes, arm pain to hand, diarrhea, flush feeling. Fatigue off and on. 24hrs post injection swollen, red, painful right index finger joint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-25
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Arthritis — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea

Free text: Inflammation in right index finger joint gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2020-12-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-12
Survey response — day 0, dose 2
MedDRA: Ear discomfort, Ear inflammation — Feeling: Good · Headache

Free text: Mild inflammation/fluid feeling in ear on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 2
MedDRA: Heart rate increased, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tachycardia episodes with HR in 120's, 130's

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — 3 months, dose 2
MedDRA: Sinus tachycardia — Feeling: Good

Free text: Sinus tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Call 1 — Left Voicemail
2022-01-12
Survey response — 12 months, dose 2
MedDRA: Brain fog, Ectopic pregnancy, Headache, Pre-existing disease, Sensory disturbance, Surgery, Tachycardia, Uterine leiomyoma — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Zapping headaches in left temple,zapping sensation left hand, under left lower ribs. Tachycardia for 5-6 months post 2nd vaccine.Intermittent brain fog.Substantial growth in existing fibroids causing an ectopic pregnancy requiring surgical interventi

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-01-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-25	priority 2/3
2021-01-13	priority 2/3
2021-02-02	Successful	Participant prefers to complete VAERS report online
2022-01-12	Successful 2022-01-14	Participant prefers to complete VAERS report online

Free text

Release 1 — day 0, dose 1

2020-12-22

Systemic reaction (other): Weird taste in mouth just after vaccine

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): 6-8 hrs post injection woke up with burning eyes, arm pain to hand, diarrhea, flush feeling. Fatigue off and on. 24hrs post injection swollen, red, painful right index finger joint

2020-12-26

Systemic reaction (other): Inflammation in right index finger joint gone

Release 1 — day 0, dose 2

2021-01-12

Systemic reaction (other): Mild inflammation/fluid feeling in ear on side of injection

Release 3 — day 21, dose 2

2021-02-02

Symptoms: Tachycardia episodes with HR in 120's, 130's

Release 7 — 3 months, dose 2

2021-04-13

Symptoms: Sinus tachycardia

Release 10 — 12 months, dose 2

2022-01-12

Symptoms: Zapping headaches in left temple,zapping sensation left hand, under left lower ribs. Tachycardia for 5-6 months post 2nd vaccine.Intermittent brain fog.Substantial growth in existing fibroids causing an ectopic pregnancy requiring surgical interventi cut off by CDC

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
SD	Brain fog	·	·	✓
SD	Ectopic pregnancy	·	·	✓
SD	Headache	·	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Sensory disturbance	·	·	✓
SD	Sinus tachycardia	✓	✓	✓
SD	Surgery	·	·	✓
SD	Tachycardia	✓	✓	✓
SD	Uterine leiomyoma	·	·	✓
SRO	Arthritis	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear inflammation	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Injection site erythema	○	○	○
SRO	Injection site pain	○	○	○
SRO	Injection site swelling	○	○	○
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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