Y7A-44871-22691

2 vaccinations 12 coded responses 21 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 925 / CA
Registered: 2021-02-03

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

2021-02-03
Registered in v-safe
2021-02-03
Dose 1 — Pfizer-BioNTech
2021-02-03
Survey response — day 0, dose 1
MedDRA: Energy increased, Feeling abnormal, Symptom recurrence — Feeling: Good · Site: Pain

Free text: I had about 20 mins of brain fog about 2 hours after the shot and it was obvious. But it went away and did not recur as of 13 hours post vaccination. I also have extreme energy after the brain fog. No fatigue yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Feeling abnormal — Feeling: Good · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Did not feel like eating - stomach felt full

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — day 7, dose 1
MedDRA: Hypertension, Lymphadenopathy, Nodule, Rash, Skin induration — Feeling: Good · Headache, Joint pains, 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, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: High blood pressure for me and Rash of hard painful knots on my neck and scalp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 7, dose 1
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)
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Fever · Headache, Joint pains

Free text: Very sore stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Fair · Joint pains · Be unable to do your normal daily activities

Free text: Severe neck pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — days 1–6 daily, dose 2
MedDRA: Musculoskeletal stiffness — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Still have a bad both sides stiff neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Abdominal pain, Blood pressure increased, Musculoskeletal stiffness, Neck pain, Palpitations — 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: Very painful stiff neck and heart palpitations. I keep having spikes in blood pressure as well and abdominal pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 21, 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)
2021-03-25
Survey response — day 28, dose 2
MedDRA: Blood pressure fluctuation — Feeling: Fair · 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: Blood pressure continues to fluctuate to the high side. May be a hepatic vein issue getting blocked to the liver. Not sure why yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
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)
2021-04-01
Survey response — day 35, dose 2
MedDRA: Abdominal distension, Abdominal pain, Abdominal wall oedema, Anxiety, Blood pressure increased, Heart rate increased, Hepatic pain, Hepatomegaly, Insomnia, Swelling, Unevaluable event — 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, Emergency room or emergency department visit

Free text: Symptoms: Liver and abdominal swelling and pain with elevated heart rate and blood pressure. Also anxiety and insomnia. Happens whenever I eat. · Healthcare visit (other): Orders for an abdominal and pelvic CT scan and bloodwork.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call successful
Participant prefers to complete VAERS report online
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Angiogram abnormal, Aortic arteriosclerosis, Gastrointestinal disorder, Hypertension, Palpitations, Unevaluable event — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Still the heart palpitations and high blood pressure, but had an angiogram 8/19/21 and only very slight placque/atherosclerosis and no surgery needed nor performed so no stents. Now I must have my digestive system checked for the reason of my sympto · Healthcare visit (other): Outpatient Angiogram

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
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)
2021-08-30
Call 1 — Could Not Reach Participant
2021-09-02
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-03	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-10	Successful
2021-03-18	Successful
2021-03-25	Successful
2021-04-01	Successful 2021-06-09	Participant prefers to complete VAERS report online
2021-08-26	Successful 2021-09-02	Participant prefers to complete VAERS report online

Free text

Release 3 — day 0, dose 1

2021-02-03

Systemic reaction (other): I had about 20 mins of brain fog about 2 hours after the shot and it was obvious. But it went away and did not recur as of 13 hours post vaccination. I also have extreme energy after the brain fog. No fatigue yet.

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Brain fog

2021-02-07

Systemic reaction (other): Did not feel like eating - stomach felt full

2021-02-09

Systemic reaction (other): Sore throat

Release 3 — day 7, dose 1

2021-02-10

Systemic reaction (other): High blood pressure for me and Rash of hard painful knots on my neck and scalp

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Very sore stiff neck

2021-03-01

Systemic reaction (other): Severe neck pain

2021-03-02

Systemic reaction (other): Still have a bad both sides stiff neck

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Very painful stiff neck and heart palpitations. I keep having spikes in blood pressure as well and abdominal pain.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Blood pressure continues to fluctuate to the high side. May be a hepatic vein issue getting blocked to the liver. Not sure why yet.

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Liver and abdominal swelling and pain with elevated heart rate and blood pressure. Also anxiety and insomnia. Happens whenever I eat.

Healthcare visit (other): Orders for an abdominal and pelvic CT scan and bloodwork.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Still the heart palpitations and high blood pressure, but had an angiogram 8/19/21 and only very slight placque/atherosclerosis and no surgery needed nor performed so no stents. Now I must have my digestive system checked for the reason of my sympto cut off by CDC

Healthcare visit (other): Outpatient Angiogram

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	Unevaluable event	✓	✓	✓
SD	Abdominal distension	✓	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Abdominal wall oedema	○	✓	○
SD	Angiogram abnormal	✓	·	✓
SD	Anxiety	✓	✓	✓
SD	Aortic arteriosclerosis	✓	·	✓
SD	Blood pressure fluctuation	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Gastrointestinal disorder	✓	·	✓
SD	Heart rate increased	✓	✓	✓
SD	Hepatic pain	✓	·	✓
SD	Hepatomegaly	✓	·	✓
SD	Hypertension	✓	·	✓
SD	Insomnia	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Swelling	○	✓	○
SRO	Abdominal distension	✓	✓	✓
SRO	Brain fog	✓	·	✓
SRO	Energy increased	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	○
SRO	Musculoskeletal stiffness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Nodule	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin induration	·	·	✓
SRO	Symptom recurrence	✓	✓	✓

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