YDQ-16592-55080

1 vaccination 10 coded responses 16 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 481 / MI
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 1
MedDRA: Dizziness, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: constant mildly woozy/stuffed head feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams, Dissociation, Insomnia, Lacrimation increased, Nasal congestion, Post-acute COVID-19 syndrome, Respiratory tract congestion, Restlessness, Symptom recurrence — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: return of these long haul symptoms: restlessness, insomnia, vivid dreams, watery eyes, detatched feeling, stuffed head, congestion,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: New slight cough.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: swollen marble sized lymph node in armpit - same as last 3 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: continuing swollen marble size lymph node in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Survey response — day 21, dose 1
MedDRA: Body temperature decreased, Chills, Cough, Dyspnoea, Fatigue, Flatulence, Myalgia, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities

Free text: Today I woke due to a cough, and congestion, shortness of breath, fatigue, muscle pains, gas, chills, and a temp of 96.8.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 42, dose 1
MedDRA: Asthenia, Cognitive disorder — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Energy levels and cognition seem to be getting worse. I'm back to how I felt in December. Was feeling fairly good the week and day of going for first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — 3 months, dose 1
MedDRA: Chest pain, Diarrhoea, Ear discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diarreah, stabbing pains right side of chest from mild exertion, ear canals trying to close up.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-23
Survey response — 6 months, dose 1
MedDRA: Cardiac disorder, Palpitations — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Heart seems to be worse. Pounding heartrate just doing simple things like 5 steps, getting dressed.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Survey response — 12 months, dose 1
MedDRA: Fatigue, Muscle spasms, Office visit, Physiotherapy — 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

Free text: Symptoms: Worsening fatigue, severe back spasms, new microspasms · Healthcare visit (other): In person dictor visit, 2nd round of 3 months of physical therapy.

MedDRA releases: 2024-11 · check-in free text available
2022-03-29
Report sent to call center — 12 months, dose 1
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)
2022-03-30
Call 1 — Left Voicemail

Vaccinations

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

Call center

Reported	Outcome	VAERS-related outcome
2022-03-29	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): constant mildly woozy/stuffed head feeling

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): return of these long haul symptoms: restlessness, insomnia, vivid dreams, watery eyes, detatched feeling, stuffed head, congestion,

2021-03-30

Systemic reaction (other): New slight cough.

2021-03-31

Systemic reaction (other): swollen marble sized lymph node in armpit - same as last 3 days

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): continuing swollen marble size lymph node in armpit

Release 7 — day 21, dose 1

2021-04-15

Symptoms: Today I woke due to a cough, and congestion, shortness of breath, fatigue, muscle pains, gas, chills, and a temp of 96.8.

Release 8 — day 42, dose 1

2021-05-06

Symptoms: Energy levels and cognition seem to be getting worse. I'm back to how I felt in December. Was feeling fairly good the week and day of going for first shot.

Release 9 — 3 months, dose 1

2021-06-24

Symptoms: Diarreah, stabbing pains right side of chest from mild exertion, ear canals trying to close up.

Release 9 — 6 months, dose 1

2021-09-23

Symptoms: Heart seems to be worse. Pounding heartrate just doing simple things like 5 steps, getting dressed.

Release 11 — 12 months, dose 1

2022-03-29

Symptoms: Worsening fatigue, severe back spasms, new microspasms

Healthcare visit (other): In person dictor visit, 2nd round of 3 months of physical therapy.

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	Physiotherapy	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Body temperature decreased	✓	✓	✓
SD	Cardiac disorder	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Flatulence	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dissociation	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Post-acute COVID-19 syndrome	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Restlessness	✓	✓	✓
SRO	Symptom recurrence	✓	✓	✓

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