YEV-58215-50291

2 vaccinations 10 coded responses 21 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 282 / NC
Registered: 2021-02-17

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

2021-02-17
Registered in v-safe
2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-17
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Both armpits are sore and aching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Odynophagia, Oropharyngeal pain, Tinnitus — Feeling: Fair

Free text: Tonsils were sore and irritated slight pain on swallowing for a couple of days. Tinnitus got much louder.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Nausea

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dry mouth, Euphoric mood — Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dry mouth almost euphoric feeling not unlike getting a dose of steroids

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Nausea

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-03-18
Survey response — day 7, dose 2
MedDRA: Nausea — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea

Free text: Nausea for past 3 days increases in evening hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Joint stiffness — Feeling: Fair · Be unable to do your normal daily activities

Free text: More painful than usual joint pains and stiffness. Continuing unusual fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-16
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-21
Survey response — day 42, dose 2
MedDRA: Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Intense myalgia frozen like painful right shoulder and neck down arm to hand and fingers lasting 2-3 days despite muscle relaxers, lidocaine patches. Have had two episodes in last 10 days. Ran low grade fever for approx 8hrd 4 days ago -98.9-99.2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — 3 months, dose 2
MedDRA: Acute respiratory failure, Cardiac pacemaker insertion, Electrocardiogram abnormal, Emergency care, Endotracheal intubation, Heart rate decreased, Hospitalisation, Left ventricle outflow tract obstruction, Pulmonary oedema — 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, Hospitalization

Free text: Symptoms: Acute respiratory failure w/hypoxia Pulmonary edema Complete heart block by electrocg Left ventricular outflow tract obstruction. Had pacemaker implanted Heart rate in lower 30s O2 80 and falling upon when admitted to ER 05/06/21 · Healthcare visit (other): Intubated 3 times while in hospital. Hospital stay 6 days went home w/o O2 support. Not sure if any of this was caused or exacerbated by the COVID-19 vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Survey response — 6 months, dose 2
MedDRA: Cardiac pacemaker insertion, Fatigue, Hospitalisation, Oxygen saturation abnormal — 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

Free text: Not oxygenating as well as should be. Still very tired after pacemaker implant may 6th and hospital stay from 05/06-12/2021.

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-09
Call 1 — Could Not Reach Participant
2021-09-14
Call 2 — Left Voicemail
2022-03-11
Survey response — 12 months, dose 2
MedDRA: Cardiac pacemaker insertion, Coronary arterial stent insertion, Fatigue, Oxygen saturation decreased — 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, Hospitalization

Free text: Received stent in heart in November 2021; pacemaker may 2021; still having oxygen levels dropping randomly on an almost daily basis especially after mild exertion. No pulmonary disease - still of unknown etiology fatigue still but better w/stent

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-03-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-09	Unsuccessful
2021-09-08	Unsuccessful
2022-03-11	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-17

Systemic reaction (other): No

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Both armpits are sore and aching

Release 5 — day 14, dose 1

2021-03-03

Symptoms: Tonsils were sore and irritated slight pain on swallowing for a couple of days. Tinnitus got much louder.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Dry mouth almost euphoric feeling not unlike getting a dose of steroids

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Nausea for past 3 days increases in evening hours

Release 6 — day 21, dose 2

2021-03-31

Symptoms: More painful than usual joint pains and stiffness. Continuing unusual fatigue

Release 7 — day 42, dose 2

2021-04-21

Symptoms: Intense myalgia frozen like painful right shoulder and neck down arm to hand and fingers lasting 2-3 days despite muscle relaxers, lidocaine patches. Have had two episodes in last 10 days. Ran low grade fever for approx 8hrd 4 days ago -98.9-99.2

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Acute respiratory failure w/hypoxia Pulmonary edema Complete heart block by electrocg Left ventricular outflow tract obstruction. Had pacemaker implanted Heart rate in lower 30s O2 80 and falling upon when admitted to ER 05/06/21

Healthcare visit (other): Intubated 3 times while in hospital. Hospital stay 6 days went home w/o O2 support. Not sure if any of this was caused or exacerbated by the COVID-19 vaccine.

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Not oxygenating as well as should be. Still very tired after pacemaker implant may 6th and hospital stay from 05/06-12/2021.

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: Received stent in heart in November 2021; pacemaker may 2021; still having oxygen levels dropping randomly on an almost daily basis especially after mild exertion. No pulmonary disease - still of unknown etiology fatigue still but better w/stent

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	Endotracheal intubation	✓	✓	✓
HCVO	Hospitalisation	✓	✓	✓
SD	Acute respiratory failure	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Cardiac pacemaker insertion	✓	✓	✓
SD	Coronary arterial stent insertion	·	·	✓
SD	Electrocardiogram abnormal	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Heart rate decreased	✓	✓	✓
SD	Hospitalisation	·	·	✓
SD	Joint stiffness	✓	✓	✓
SD	Left ventricle outflow tract obstruction	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Odynophagia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Oxygen saturation abnormal	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pulmonary oedema	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Euphoric mood	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	✓	✓	✓

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