VUJ-17873-10497

2 vaccinations 11 coded responses 11 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 222 / VA
Registered: 2021-04-27

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-27
Registered in v-safe
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure fluctuation, Blood pressure increased, Chills, Dyspnoea, Emergency care, Erythema, Fatigue, Immediate post-injection reaction, Livedo reticularis, Loss of consciousness, Mobility decreased, Muscle contracture, Muscle spasms, Muscle tightness, Pain, Pain in extremity, Spinal pain, Tremor, Urticaria, Vertigo — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: uncontrollable shaking/spasms in extremities, arms, legs; blood pressure changes (steadily rising) according to the frequent monitoring by EMTs on site in Emergency Suite; room seemed to be spinning, even though shot was administered while I was lying down, and even when I put a hand to the wall; shooting, stabbing pain all over (starting in arms and hands, progressing down thoracic spine, then all over); chattering teeth; difficulty staying conscious; hives; mottled, red skin all over chest, neck, arms; extreme exhaustion, to the point of being unable to cross a room without needing to return to bed rest; muscles felt tight/contracted all over; some difficulty breathing, other less severe symptoms already noted below

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Fatigue, Mental impairment, Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Confusion, unusual difficulty processing thoughts before speaking in conversations with coworkers on webcam, insomnia, inability to get quality, restorative sleep, so my unbelievable exhaustion continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — day 7, dose 2
MedDRA: Confusional state — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 14, dose 2
MedDRA: Abdominal pain, Fatigue, Headache, Hyperhidrosis, Insomnia, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Worsening fatigue, nausea, headache, abdominal pain, insomnia, sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-16
Survey response — day 21, dose 2
MedDRA: Abdominal pain upper, Ear pain, Fatigue, Hypersomnia, Oropharyngeal pain, Rash, Rash erythematous, Rash neonatal — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, inner ear pain, red rashes on neck and shoulder and chest, severe fatigue, stomach pain, sleeping too much but not feeling well rested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 28, dose 2
MedDRA: Abdominal pain, Arthralgia, Confusional state, Cough, Fatigue, Headache, Myalgia, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Sore throat, cough, muscle aches and joint pain all over, nausea, exhaustion, confusion, headache, abdominal pain, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 35, dose 2
MedDRA: Arthralgia, Chest pain, Cognitive disorder, Condition aggravated, Confusional state, Exercise tolerance decreased, Fatigue, Headache, Memory impairment, Myalgia — Feeling: Fair · 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

Free text: Worsening out of breath, inability to do exercise routines I previously did before getting vaccine, chest pains, abnormal EKGs, still slow cognitive processing and memory issues/confusion, continued fatigue/exhaustion, muscle and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 35, 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)
2021-06-04
Survey response — day 42, dose 2
MedDRA: Chest pain, Dyspnoea, Fatigue — Feeling: Fair · 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

Free text: Worsening shortness of breath, chest pain, fatigue, exhaustion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 42, 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)
2021-07-25
Survey response — 3 months, dose 2
MedDRA: Cognitive disorder, Cough, Electrocardiogram abnormal, Fatigue, Influenza like illness, Malaise, Oropharyngeal pain — Feeling: Poor · 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: Constantly feeling sick with a sore throat, cough, and other flu-like symptoms, though tests do not indicate flu, strep, or other causes. Consistently abnormal EKGs without other discernable cause. Worsened fatigue and decline in cognitive function

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-25
Report sent to call center — 3 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)
2021-07-29
Call 1 — Left Voicemail
2021-10-22
Survey response — 6 months, dose 2
MedDRA: Dehydration, Electrocardiogram abnormal, Fatigue, Insomnia, Palpitations, Temperature intolerance, Urinary retention — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Palpitations, continued abnormal EKGs, worsening constant fatigue, difficulty sleeping, worsened heat intolerance, urinary retention, dehydration (despite all efforts to balance hydration and electrolytes, other factors, etc.)

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 12 months, dose 2
MedDRA: Aphasia, Asthenia, Brain fog, Disorganised speech, Fatigue, Headache, Migraine, Pain — 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

Free text: Significantly worsened fatigue, inability to maintain stamina regardless of diet & fitness; constant brain fog & feeling I've forgotten many words, difficulty composing sentences & completing easy tasks; frequent body pain and headaches, migraines

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
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 · 1 call case(s)
2022-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-29	Unsuccessful
2021-06-04	Unsuccessful
2021-07-25	Unsuccessful
2022-04-23	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): uncontrollable shaking/spasms in extremities, arms, legs; blood pressure changes (steadily rising) according to the frequent monitoring by EMTs on site in Emergency Suite; room seemed to be spinning, even though shot was administered while I was lying down, and even when I put a hand to the wall; shooting, stabbing pain all over (starting in arms and hands, progressing down thoracic spine, then all over); chattering teeth; difficulty staying conscious; hives; mottled, red skin all over chest, neck, arms; extreme exhaustion, to the point of being unable to cross a room without needing to return to bed rest; muscles felt tight/contracted all over; some difficulty breathing, other less severe symptoms already noted below

2021-04-29

Systemic reaction (other): Confusion, unusual difficulty processing thoughts before speaking in conversations with coworkers on webcam, insomnia, inability to get quality, restorative sleep, so my unbelievable exhaustion continues

Release 8 — day 7, dose 2

2021-05-02

Systemic reaction (other): Confusion

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Worsening fatigue, nausea, headache, abdominal pain, insomnia, sweating

Release 8 — day 21, dose 2

2021-05-16

Symptoms: Sore throat, inner ear pain, red rashes on neck and shoulder and chest, severe fatigue, stomach pain, sleeping too much but not feeling well rested

Release 8 — day 28, dose 2

2021-05-21

Symptoms: Sore throat, cough, muscle aches and joint pain all over, nausea, exhaustion, confusion, headache, abdominal pain, fatigue

Release 8 — day 35, dose 2

2021-05-29

Symptoms: Worsening out of breath, inability to do exercise routines I previously did before getting vaccine, chest pains, abnormal EKGs, still slow cognitive processing and memory issues/confusion, continued fatigue/exhaustion, muscle and joint pain

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Worsening shortness of breath, chest pain, fatigue, exhaustion.

Release 9 — 3 months, dose 2

2021-07-25

Symptoms: Constantly feeling sick with a sore throat, cough, and other flu-like symptoms, though tests do not indicate flu, strep, or other causes. Consistently abnormal EKGs without other discernable cause. Worsened fatigue and decline in cognitive function cut off by CDC

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Palpitations, continued abnormal EKGs, worsening constant fatigue, difficulty sleeping, worsened heat intolerance, urinary retention, dehydration (despite all efforts to balance hydration and electrolytes, other factors, etc.)

Release 11 — 12 months, dose 2

2022-04-23

Symptoms: Significantly worsened fatigue, inability to maintain stamina regardless of diet & fitness; constant brain fog & feeling I've forgotten many words, difficulty composing sentences & completing easy tasks; frequent body pain and headaches, migraines

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	Abdominal pain	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Aphasia	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dehydration	·	·	✓
SD	Disorganised speech	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Electrocardiogram abnormal	✓	·	✓
SD	Exercise tolerance decreased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Hypersomnia	✓	✓	✓
SD	Influenza like illness	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Malaise	✓	·	✓
SD	Memory impairment	✓	✓	✓
SD	Migraine	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SD	Rash neonatal	○	✓	○
SD	Temperature intolerance	·	·	✓
SD	Urinary retention	·	·	✓
SRO	Blood pressure fluctuation	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Livedo reticularis	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Muscle contracture	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Spinal pain	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Urticaria	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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