R83-14404-83363

5 vaccinations 29 coded responses 56 check-ins 28 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 018 / MA
Registered: 2021-01-31

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

Registered dependents

F2Q-68874-39651 Child or adolescent in my care · Male · 2021-11-07

RUN-20979-37697 Child or adolescent in my care · Male · 2021-11-07

Timeline

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-01-31
Registered in v-safe
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Rhinorrhoea — Feeling: Good · Site: Pain · Joint pains, Abdominal pain

Free text: Stiff neck, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Rhinorrhoea — Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Runny nose, stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Neck pain, Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Runny nose, stiff and sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Fatigue or tiredness

Free text: Stiff sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Runny nose - Im wondering if the vaccination triggered a prolonged MCAS episode

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-02-07
Survey response — day 7, dose 1
MedDRA: Injection site discomfort, Rhinorrhoea — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Runny nose, injection site decreased sensation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-20
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Musculoskeletal stiffness, Myalgia, Neck pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Very stiff, sore neck and back muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Site: Pain

Free text: Residual stiff, sore neck that is much improved from prior days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Myalgia, Pain — Feeling: Good · Site: Pain · Headache

Free text: Stiff, sore neck muscles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Site: Pain

Free text: Decreasingly but still stiff, sore neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-13
Survey response — day 21, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: POTS (Postural Orthostatic Tachycardia Syndrome) / ME/CFS flare ... not sure if related, had been feeling okay in weeks following 2nd vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — day 28, dose 2
MedDRA: Arthralgia, Injection site inflammation, Insomnia — Feeling: Fair

Free text: Insomnia, one instance of soreness and aching in upper deltoids where each shot was received (one in each arm) when I was having an inflammatory flare - it was VERY noticeable at each injection site and lasted about 12 hours, no injury or other cause

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 35, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My POTS (postural orthostatic tachycardia syndrome) and small fiber neuropathy are getting worse, but it could just be progression. Most notable are how shaky I am when engaging my large muscle groups.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Nausea, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nausea from POTS that has worsened these past few weeks, but doubtful that its related to the vaccinations. Neuropathy from small fiber neuropathy (diagnosed with biopsy) is also worse this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Haemorrhage, Menstruation irregular, Ovulation pain, Pain — Feeling: Fair

Free text: My period has changed since the second shot- its not as regular as it used to be, and it seems to come later. Its also more painful, and I now am bleeding and experiencing significantly more pain during ovulation (last two times).

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Chills, Condition aggravated, Hypersomnia, Influenza, Myalgia, Oropharyngeal pain, Pre-existing disease, Pyrexia — 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

Free text: ME/CFS flare that I havent experienced in over 10yrs: led by a sore throat & feeling flu-ish (chills, heavy achy muscles, felt like had a low-grade fever with prodromal sx)followed by wks (6-8) of needing upwards of 16 hrs/day of sleep;debilita

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 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

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2021-09-03
Dose 3 — Pfizer-BioNTech
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-06
Survey response — days 1–6 daily, dose 3
MedDRA: Abnormal dreams, Injection site pain, Injection site swelling, Insomnia, Menstruation irregular — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Free text: Insomnia, vivid dreams; early menstrual bleeding (+ small clots) days 19/20 of 28-day cycle; missed 9/5 check-in, felt good; moderate site pain/swelling; no other symptoms 9/5

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-07
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Heart rate increased, Insomnia, Pre-existing disease — Feeling: Fair · Muscle or body aches, Nausea, Diarrhea

Free text: Continued insomnia last night. I have POTS and also I am noticing today that my heart rate is about 10-15 bpm higher than usual with all same meds on board. Today feels more like my bodys mounting a response, with a side flare of POTS.

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-18
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-09-25
Survey response — day 21, dose 3
MedDRA: Exposure to communicable disease, Influenza virus test negative, Malaise, Nasopharyngitis, Nausea, Postural orthostatic tachycardia syndrome, Rhinorrhoea, SARS-CoV-2 test negative, Tachycardia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Common cold - runny nose, malaise. Tested negative for strep, flu, & COVID. Kiddo brought it home from school. Todays the first day post-cold that Im feeling better. POTS, tachycardia, nausea, post-exertional malaise have been very bad during c

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-09
Survey response — day 35, dose 3
MedDRA: Hypomenorrhoea, Menstruation irregular — Feeling: Fair

Free text: My period came early by a week, and it's usually pretty regular. It's come a week early in the two cycles I've had since I had the 3rd vaccination, and it came a week early after my second dose in February, too. And it's a LOT lighter those times.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — day 42, dose 3
MedDRA: Condition aggravated, Dysphagia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Increasing difficulty swallowing / under a neurogastroenterologist's care for this as part of POTS / small fiber neuropathy. I think it's unrelated to covid vaccinations and specific to my other health issues.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2021-12-03
Survey response — 3 months, dose 3
MedDRA: Unevaluable event — Feeling: Good · 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

Free text: chronic diarrhea but most likely an unusual response to a new medication, provigil

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — 3 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2022-02-03
Dose 4 — Pfizer-BioNTech
2022-02-04
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-02-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-02-10
Survey response — day 7, dose 4
MedDRA: Insomnia, Poor quality sleep — Feeling: Good · Fatigue or tiredness

Free text: Three days of insomnia and poor sleep, which is more unusual for me

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — day 14, dose 4
MedDRA: Dysmenorrhoea — Feeling: Good

Free text: Unusually painful period that came slightly early

MedDRA releases: 2024-11 · check-in free text available
2022-02-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-03-03
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-03-10
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-03-17
Survey response — day 42, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I've been changing around my meds a lot recently in an attempt at better treatment, so it's hard to say what's causing what, but my POTS and ME/CFS are worse lately.

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-08-04
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-11-11
Dose 5 — Pfizer-BioNTech
2022-11-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-11-19
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-11-25
Survey response — day 14, dose 5
MedDRA: Postural orthostatic tachycardia syndrome — Feeling: Fair

Free text: POTS (postural orthostatic tachycardia syndrome) symptoms seem to be worse

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — day 21, dose 5
MedDRA: Nephrolithiasis, Office visit, Postural orthostatic tachycardia syndrome, Pre-existing disease, Pregnancy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: 1. Recurrence of calcium phosphate kidney stones 2. ME/CFS and POTS, but this is very complicated by being 27 weeks pregnant and off of the meds that were helping manage these conditions · Healthcare visit (other): Outpatient office visit and outpatient diagnostic radiology

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Report sent to call center — day 21, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-05
Call 1 — Left Voicemail
2022-12-09
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-12-16
Survey response — day 35, dose 5
MedDRA: Pregnancy, Vertigo positional, Visual impairment — Feeling: Good

Free text: I had an episode of benign paroxysmal positional vertigo yesterday with visual disturbances lasting about 6 hours, currently 29 weeks weeks pregnant with normal blood pressure.

MedDRA releases: 2024-11 · check-in free text available
2022-12-24
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-02-11
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-05-13
Survey response — 6 months, dose 5
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech
3	2021-09-03	Pfizer-BioNTech	No
4	2022-02-03	Pfizer-BioNTech	No
5	2022-11-11	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Stiff neck, runny nose

2021-02-01

Systemic reaction (other): Runny nose, stiff neck

2021-02-02

Systemic reaction (other): Runny nose, stiff and sore neck

2021-02-03

Systemic reaction (other): Stiff sore neck

2021-02-04

Systemic reaction (other): Runny nose - Im wondering if the vaccination triggered a prolonged MCAS episode

Release 3 — day 7, dose 1

2021-02-07

Systemic reaction (other): Runny nose, injection site decreased sensation

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Very stiff, sore neck and back muscles

2021-02-22

Systemic reaction (other): Residual stiff, sore neck that is much improved from prior days

2021-02-23

Systemic reaction (other): Stiff, sore neck muscles

2021-02-24

Systemic reaction (other): Decreasingly but still stiff, sore neck

Release 5 — day 21, dose 2

2021-03-13

Symptoms: POTS (Postural Orthostatic Tachycardia Syndrome) / ME/CFS flare ... not sure if related, had been feeling okay in weeks following 2nd vaccination

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Insomnia, one instance of soreness and aching in upper deltoids where each shot was received (one in each arm) when I was having an inflammatory flare - it was VERY noticeable at each injection site and lasted about 12 hours, no injury or other cause cut off by CDC

Release 6 — day 35, dose 2

2021-03-27

Symptoms: My POTS (postural orthostatic tachycardia syndrome) and small fiber neuropathy are getting worse, but it could just be progression. Most notable are how shaky I am when engaging my large muscle groups.

Release 6 — day 42, dose 2

2021-04-03

Symptoms: Nausea from POTS that has worsened these past few weeks, but doubtful that its related to the vaccinations. Neuropathy from small fiber neuropathy (diagnosed with biopsy) is also worse this week.

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: My period has changed since the second shot- its not as regular as it used to be, and it seems to come later. Its also more painful, and I now am bleeding and experiencing significantly more pain during ovulation (last two times).

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: ME/CFS flare that I havent experienced in over 10yrs: led by a sore throat & feeling flu-ish (chills, heavy achy muscles, felt like had a low-grade fever with prodromal sx)followed by wks (6-8) of needing upwards of 16 hrs/day of sleep;debilita

Release 9 — days 1–6 daily, dose 3

2021-09-06

Systemic reaction (other): Insomnia, vivid dreams; early menstrual bleeding (+ small clots) days 19/20 of 28-day cycle; missed 9/5 check-in, felt good; moderate site pain/swelling; no other symptoms 9/5

2021-09-07

Systemic reaction (other): Continued insomnia last night. I have POTS and also I am noticing today that my heart rate is about 10-15 bpm higher than usual with all same meds on board. Today feels more like my bodys mounting a response, with a side flare of POTS.

Release 9 — day 21, dose 3

2021-09-25

Symptoms: Common cold - runny nose, malaise. Tested negative for strep, flu, & COVID. Kiddo brought it home from school. Todays the first day post-cold that Im feeling better. POTS, tachycardia, nausea, post-exertional malaise have been very bad during c

Release 10 — day 35, dose 3

2021-10-09

Symptoms: My period came early by a week, and it's usually pretty regular. It's come a week early in the two cycles I've had since I had the 3rd vaccination, and it came a week early after my second dose in February, too. And it's a LOT lighter those times.

Release 10 — day 42, dose 3

2021-10-16

Symptoms: Increasing difficulty swallowing / under a neurogastroenterologist's care for this as part of POTS / small fiber neuropathy. I think it's unrelated to covid vaccinations and specific to my other health issues.

Release 10 — 3 months, dose 3

2021-12-03

Symptoms: chronic diarrhea but most likely an unusual response to a new medication, provigil

Release 11 — day 7, dose 4

2022-02-10

Systemic reaction (other): Three days of insomnia and poor sleep, which is more unusual for me

Release 11 — day 14, dose 4

2022-02-17

Symptoms: Unusually painful period that came slightly early

Release 11 — day 42, dose 4

2022-03-17

Symptoms: I've been changing around my meds a lot recently in an attempt at better treatment, so it's hard to say what's causing what, but my POTS and ME/CFS are worse lately.

Release 12 — day 14, dose 5

2022-11-25

Symptoms: POTS (postural orthostatic tachycardia syndrome) symptoms seem to be worse

Release 12 — day 21, dose 5

2022-12-02

Symptoms: 1. Recurrence of calcium phosphate kidney stones 2. ME/CFS and POTS, but this is very complicated by being 27 weeks pregnant and off of the meds that were helping manage these conditions

Healthcare visit (other): Outpatient office visit and outpatient diagnostic radiology

Release 12 — day 35, dose 5

2022-12-16

Symptoms: I had an episode of benign paroxysmal positional vertigo yesterday with visual disturbances lasting about 6 hours, currently 29 weeks weeks pregnant with normal blood pressure.

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	Arthralgia	✓	✓	✓
SD	Chills	✓	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Dysphagia	·	·	✓
SD	Exposure to communicable disease	·	·	✓
SD	Haemorrhage	✓	✓	✓
SD	Hypersomnia	✓	·	✓
SD	Hypomenorrhoea	·	·	✓
SD	Influenza	✓	·	✓
SD	Influenza virus test negative	·	·	✓
SD	Injection site inflammation	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	✓	✓	✓
SD	Myalgia	✓	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Ovulation pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Postural orthostatic tachycardia syndrome	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Pyrexia	✓	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tachycardia	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vertigo positional	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Abnormal dreams	✓	·	✓
SRO	Back pain	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Injection site discomfort	✓	✓	✓
SRO	Injection site pain	✓	·	✓
SRO	Injection site swelling	✓	·	✓
SRO	Insomnia	✓	·	✓
SRO	Menstruation irregular	✓	·	✓
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Poor quality sleep	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓

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