YCK-61561-58631

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 013 / MA
Registered: 2021-04-11

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

2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-11
Registered in v-safe
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Anxiety, Confusional state, Insomnia, Panic attack — Feeling: Poor · Joint pains, 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 · Telehealth, virtual health, or email health consultation

Free text: Confusion, severe insomnia, feelings of panic and dread

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Report sent to call center — days 1–6 daily, 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)
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-04-15
Survey response — day 7, dose 1
MedDRA: Insomnia — Feeling: Poor · Diarrhea, Rash, not including the immediate area around the injection site

Free text: Insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 1
MedDRA: Cardiac flutter, Insomnia, Medical counselling — Feeling: Poor · 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: Fluttering heart after severe insomnia. Getting checked by doctor via holter monitor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — day 14, 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)
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Good

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations, Pre-existing disease — Feeling: Fair · Fever · Diarrhea

Free text: Heart palpitations and insomnia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Good · Diarrhea

Free text: Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-10-28
Survey response — 6 months, dose 2
MedDRA: Arthralgia, Condition aggravated, Immunisation reaction, Inflammation, Palpitations, Pre-existing disease — Feeling: Fair · Be unable to work or attend school

Free text: Joint pain and connective tissue pain has gotten increasingly worse. Specialist (rheumatologist) suggests it is lingering inflammation caused by vaccine that was about 6 months ago. Also heart palpitations that started with 1st shot keep recurring.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Call 1 — Left Voicemail
2022-03-28
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-12	Unsuccessful
2021-04-22	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Confusion, severe insomnia, feelings of panic and dread

Release 7 — day 7, dose 1

2021-04-15

Systemic reaction (other): Insomnia

Release 7 — day 14, dose 1

2021-04-22

Symptoms: Fluttering heart after severe insomnia. Getting checked by doctor via holter monitor

Release 8 — days 1–6 daily, dose 2

2021-05-03

Systemic reaction (other): Heart palpitations

2021-05-04

Systemic reaction (other): Heart palpitations and insomnia.

2021-05-05

Systemic reaction (other): Heart palpitations

Release 10 — 6 months, dose 2

2021-10-28

Symptoms: Joint pain and connective tissue pain has gotten increasingly worse. Specialist (rheumatologist) suggests it is lingering inflammation caused by vaccine that was about 6 months ago. Also heart palpitations that started with 1st shot keep recurring. cut off by CDC

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	Arthralgia	·	·	✓
SD	Cardiac flutter	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Immunisation reaction	·	·	✓
SD	Inflammation	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Panic attack	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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