Y24-24290-51088

2 vaccinations 10 coded responses 12 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 740 / OK
Registered: 2021-03-13

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

2021-03-09
Dose 1 — Pfizer-BioNTech
2021-03-13
Registered in v-safe
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Dystonia, Pre-existing disease, Vomiting — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dystonia, increased symptoms of my other chronic conditions/flared up; throwing up the two days before post-shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Flare up of my conditions triggering episodes easier/low threshold

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Throat pain and other symptoms still flaired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — day 14, dose 1
MedDRA: Condition aggravated, Impaired gastric emptying, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Increase in some gastroparesis symptoms as well as some other flare ups

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dystonia, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Dealing with a flare as well as increased dystonia even with medication on board that are more intense as well as more frequent

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Apnoea, Condition aggravated, Dystonia, Medical counselling, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dystonia with 60second periods of apnea with medication on board. Having a flare with my symptoms and these are severe. · Healthcare visit (other): My do today is out of the office but I have been informed that if these episodes continue to go to the ER. Will be trying to see her in person to make a game plan while these symptoms are occurring

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
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)
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Apnoea, Dystonia, Medical counselling, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dystonia with periods of apnea as well as symptoms ther symptoms from diagnosiss are all in a flare · Healthcare visit (other): Got in contact with my doctor and made a game plan as to what to do if the periods of apnea with dystonia are to the point where hospital admittance is needed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
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)
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Apnoea, Cardiovascular symptom, Dystonia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Still in a flare; having Dystonia episodes more frequently and intense; also had a CVS episode with periods of apnea that lasted quite a while.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — day 14, dose 2
MedDRA: Apnoea, Dystonia, Office visit, Self-medication — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Dystonia, CVS, Apnea episodes have increased and become stronger. I am still in a flare(whole body) and have a temperature with Tylenol and Ibuprofen on board. I have to go to the hospital if I have another big episode with extended periods of apnea. · Healthcare visit (other): Dr. Appointments with a plan to go to get into the Er to get hospital if I have another big episode with apnea.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — day 14, 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)
2021-04-26
Survey response — day 28, dose 2
MedDRA: Apnoea, Condition aggravated, Dystonia, Hospitalisation, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Dystonia and apnea has increased I am in the hospital as well as still in a flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 28, 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)
2021-06-09
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-09	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-04-01	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-04-12	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-04-26	Successful 2021-06-09	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Dystonia, increased symptoms of my other chronic conditions/flared up; throwing up the two days before post-shot

2021-03-14

Systemic reaction (other): Flare up of my conditions triggering episodes easier/low threshold

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): Throat pain and other symptoms still flaired

Release 6 — day 14, dose 1

2021-03-26

Symptoms: Increase in some gastroparesis symptoms as well as some other flare ups

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Dealing with a flare as well as increased dystonia even with medication on board that are more intense as well as more frequent

2021-03-31

Systemic reaction (other): Dystonia with 60second periods of apnea with medication on board. Having a flare with my symptoms and these are severe.

Healthcare visit (other): My do today is out of the office but I have been informed that if these episodes continue to go to the ER. Will be trying to see her in person to make a game plan while these symptoms are occurring

2021-04-01

Systemic reaction (other): Dystonia with periods of apnea as well as symptoms ther symptoms from diagnosiss are all in a flare

Healthcare visit (other): Got in contact with my doctor and made a game plan as to what to do if the periods of apnea with dystonia are to the point where hospital admittance is needed

2021-04-02

Systemic reaction (other): Still in a flare; having Dystonia episodes more frequently and intense; also had a CVS episode with periods of apnea that lasted quite a while.

Release 7 — day 14, dose 2

2021-04-12

Symptoms: Dystonia, CVS, Apnea episodes have increased and become stronger. I am still in a flare(whole body) and have a temperature with Tylenol and Ibuprofen on board. I have to go to the hospital if I have another big episode with extended periods of apnea. cut off by CDC

Healthcare visit (other): Dr. Appointments with a plan to go to get into the Er to get hospital if I have another big episode with apnea.

Release 8 — day 28, dose 2

2021-04-26

Symptoms: Dystonia and apnea has increased I am in the hospital as well as still in a flare

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	Apnoea	✓	✓	✓
HCVO	Dystonia	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Apnoea	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dystonia	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Impaired gastric emptying	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Apnoea	✓	✓	✓
SRO	Cardiovascular symptom	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dystonia	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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