T66-21379-58429

2 vaccinations 19 coded responses 22 check-ins 19 free-text entries 9 call cases

Sex: —
Age at first dose: 21-25
ZIP prefix: 337 / FL
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Muscle spasms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-17
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Headache

Free text: Short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Hypertension — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches

Free text: Shortness of breath and hypertension

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Muscle or body aches

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea, Hypertension — Feeling: Poor · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Short of breath, chest pain, hypertension( since vacine)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 14, dose 1
MedDRA: Dysphagia, Hypertension — Feeling: Fair · Be unable to work

Free text: I have had new hypertensiom since vacine. I also had inablilkty to swallow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Dyspnoea, Palpitations — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Palpitations, shortnesa of breath, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sweats, difficulty swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia — Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Extreme Difficulty swallowing this happened around same time with last vacine as well. Have to see doctor again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Tonsillar hypertrophy — Feeling: Poor · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities

Free text: Difficulty swallowing, swollen tonsils went to urgent care thhey said it is adverse reaction to vacine and to take benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dysphagia, Medical counselling, Weight decreased — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Still unable to swallow. Lost 10-15 lbs provider says realted to vacine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-12
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy, Office visit, Ultrasound lymph nodes — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): dinner? Swallowimg enlarged lymph nodes · Healthcare visit (other): Ent, GI and ultrasound of lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Survey response — day 14, dose 2
MedDRA: Eosinophilic oesophagitis, Immunisation reaction, Lymphadenopathy, Office visit, Tonsillitis, Ultrasound scan — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I had to go to ENT and GI they both said i was havijg a vacine adverse event called eosimophilic esophagitis. Im addition, My lymph modes swole so much that i had to get a ultrasound of my neck as i could swallow. Since vacine i have tonsilitis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — day 21, dose 2
MedDRA: Eosinophilic oesophagitis, Tonsillitis — Feeling: Poor · 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: Tonsilitis, eosinphilic esophagitis casued by vacine per 4 diferent doctors.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — day 28, dose 2
MedDRA: Dysphagia, Gastrooesophageal reflux disease, Tonsillar hypertrophy — 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: Continue to have gerd, dificulty swallowing ans swollen tonsils. It began after vacine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-12
Survey response — day 35, dose 2
MedDRA: Fatigue, Injection site pain, Tonsillar hypertrophy — Feeling: Fair · Be unable to do your normal daily activities

Free text: The arm i got the shot in still hurts very bad. Right where the injection was. Tonsils still swollen. Excessiv3 fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 42, dose 2
MedDRA: Malaise, Muscular weakness, Paraesthesia, White blood cell count increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Muscle weakness. Tingling in nerves. Elevated white blood cells. Very very sick. Wish i never got the vacine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-09
Survey response — 3 months, dose 2
MedDRA: Chills, Dysphagia, Fatigue, Injected limb mobility decreased, Injection site pain, Muscular weakness — Feeling: Poor · Be unable to work, 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: My arm still has severe pain where i got the shot. I cant lift above my head for long/have difficulty with adls. When i got shot i had fatigue, chills and muscle weakness, it never went away. Have swallowing issues. Please help. Please contact me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — 3 months, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Call 1 — Could Not Reach Participant
2021-06-04
Call 2 — Left Voicemail
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Abortion spontaneous, Chest pain, Cough, Haemoptysis, Oesophageal disorder — Feeling: Poor · Be unable to work or attend school

Free text: Miscarriage Esophagus issuesCoughCoughing up blood Chest pain I was healthy before vacine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-12
Call successful
Participant prefers to complete VAERS report online
2022-02-07
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Pregnancy, White blood cell count increased — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: I have WBCs that are on and off elevated with no known cause. Had a miscarriage in august. Now pregnany again. Will see how it goes.

MedDRA releases: 2024-11 · check-in free text available
2022-02-07
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-02-08
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-02-11	Successful	Participant prefers to complete VAERS report online
2021-02-12	Successful	Participant prefers to complete VAERS report online
2021-02-19	Successful	Participant prefers to complete VAERS report online
2021-02-26	Successful	Participant prefers to complete VAERS report online
2021-03-05	Successful	Participant prefers to complete VAERS report online
2021-03-19	Successful	Participant prefers to complete VAERS report online
2021-05-09	Successful 2021-11-12	Participant prefers to complete VAERS report online
2022-02-07	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Muscle spasms

2021-01-17

Systemic reaction (other): Short of breath

2021-01-18

Systemic reaction (other): Shortness of breath and hypertension

2021-01-21

Systemic reaction (other): Short of breath, chest pain, hypertension( since vacine)

Release 3 — day 14, dose 1

2021-01-29

Symptoms: I have had new hypertensiom since vacine. I also had inablilkty to swallow.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Palpitations, shortnesa of breath, cough

2021-02-08

Systemic reaction (other): Sweats, difficulty swallowing

2021-02-09

Systemic reaction (other): Extreme Difficulty swallowing this happened around same time with last vacine as well. Have to see doctor again

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Difficulty swallowing, swollen tonsils went to urgent care thhey said it is adverse reaction to vacine and to take benadryl

2021-02-11

Systemic reaction (other): Still unable to swallow. Lost 10-15 lbs provider says realted to vacine

Release 4 — day 7, dose 2

2021-02-12

Systemic reaction (other): dinner? Swallowimg enlarged lymph nodes

Healthcare visit (other): Ent, GI and ultrasound of lymph nodes

Release 4 — day 14, dose 2

2021-02-19

Symptoms: I had to go to ENT and GI they both said i was havijg a vacine adverse event called eosimophilic esophagitis. Im addition, My lymph modes swole so much that i had to get a ultrasound of my neck as i could swallow. Since vacine i have tonsilitis

Release 4 — day 21, dose 2

2021-02-26

Symptoms: Tonsilitis, eosinphilic esophagitis casued by vacine per 4 diferent doctors.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Continue to have gerd, dificulty swallowing ans swollen tonsils. It began after vacine

Release 5 — day 35, dose 2

2021-03-12

Symptoms: The arm i got the shot in still hurts very bad. Right where the injection was. Tonsils still swollen. Excessiv3 fatigue

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Muscle weakness. Tingling in nerves. Elevated white blood cells. Very very sick. Wish i never got the vacine.

Release 8 — 3 months, dose 2

2021-05-09

Symptoms: My arm still has severe pain where i got the shot. I cant lift above my head for long/have difficulty with adls. When i got shot i had fatigue, chills and muscle weakness, it never went away. Have swallowing issues. Please help. Please contact me. cut off by CDC

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Miscarriage Esophagus issuesCoughCoughing up blood Chest pain I was healthy before vacine.

Release 11 — 12 months, dose 2

2022-02-07

Symptoms: I have WBCs that are on and off elevated with no known cause. Had a miscarriage in august. Now pregnany again. Will see how it goes.

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	✓	·	✓
HCVO	Ultrasound lymph nodes	○	✓	○
SD	Abortion spontaneous	✓	·	✓
SD	Chest pain	✓	·	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	·	✓
SD	Dysphagia	✓	✓	✓
SD	Eosinophilic oesophagitis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Haemoptysis	✓	·	✓
SD	Hypertension	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Injected limb mobility decreased	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Oesophageal disorder	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Tonsillar hypertrophy	✓	✓	✓
SD	Tonsillitis	✓	✓	✓
SD	Ultrasound scan	✓	✓	✓
SD	White blood cell count increased	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Tonsillar hypertrophy	✓	✓	✓
SRO	Weight decreased	✓	✓	✓

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