YKM-40404-97071

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 970 / OR
Registered: 2021-07-17

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

2021-06-25
Dose 1 — Pfizer-BioNTech
2021-07-16
Dose 2 — Pfizer-BioNTech
2021-07-17
Registered in v-safe
2021-07-17
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Fluid retention, Pain — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Continuation of a lot of fluid retention. Started week 2 after 1st dose. Chest pain during heavier exercise like lifting heavy laundry. Dull ache.

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Dizziness, Headache — Feeling: Fair · Headache, Nausea

Free text: Symptoms getting better as the day progresses. A lot of dizziness and weird headache this am or about 6 hours. Light confusion.

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Headache is really debilitating. Right side migraine type except it moves around.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-07-23
Survey response — day 7, dose 2
MedDRA: Dizziness, Headache, Inflammation, Oedema — Feeling: Good · Headache, Nausea

Free text: Still struggling with a lot of systemic inflammation. Its Kien edema but everywhere. Headache is better and only comes and goes. Its a weird headache though. Very pinpointed suddenly and makes me dizzy but overall much better.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-06
Survey response — day 21, dose 2
MedDRA: Cough, Fatigue — Feeling: Good

Free text: Starting to feel a bit run down with some coughing starting but just a little.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-08-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-28
Survey response — day 42, dose 2
MedDRA: Cough, General physical health deterioration, Oropharyngeal pain, Restlessness, Systemic inflammatory response syndrome — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore throat and a little cough. Went away with one evening of rest. Systemic inflammation isnt going all the way away but is slowly getting better. I marked health worse since the vaccine due to this inflammation response to the 2nd dose.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-01-14
Survey response — 6 months, dose 2
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, 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: Covid positive. Internal inflammation is not worsening though.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-18
Call 1 — Left Voicemail
2022-07-16
Survey response — 12 months, dose 2
MedDRA: COVID-19, Dyschezia, Inflammation, Malaise, Reaction to previous exposure to any vaccine — 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, Outpatient clinic or urgent care clinic visit

Free text: Continued I sternal inflammation. Co tinier trouble passing stools. Will be getting a colonoscopy to rule out any complications. Inflammation never went down after 2nd shot. Covid infection in Jan. Very sick but no hospitalization.

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-07-18
Call 2 — Left Voicemail
2022-07-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-25	Pfizer-BioNTech	No
2	2021-07-16	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-14	Unsuccessful
2022-07-16	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-07-17

Systemic reaction (other): Continuation of a lot of fluid retention. Started week 2 after 1st dose. Chest pain during heavier exercise like lifting heavy laundry. Dull ache.

2021-07-19

Systemic reaction (other): Symptoms getting better as the day progresses. A lot of dizziness and weird headache this am or about 6 hours. Light confusion.

2021-07-20

Systemic reaction (other): Headache is really debilitating. Right side migraine type except it moves around.

Release 9 — day 7, dose 2

2021-07-23

Systemic reaction (other): Still struggling with a lot of systemic inflammation. Its Kien edema but everywhere. Headache is better and only comes and goes. Its a weird headache though. Very pinpointed suddenly and makes me dizzy but overall much better.

Release 9 — day 21, dose 2

2021-08-06

Symptoms: Starting to feel a bit run down with some coughing starting but just a little.

Release 9 — day 42, dose 2

2021-08-28

Symptoms: Sore throat and a little cough. Went away with one evening of rest. Systemic inflammation isnt going all the way away but is slowly getting better. I marked health worse since the vaccine due to this inflammation response to the 2nd dose.

Release 10 — 6 months, dose 2

2022-01-14

Symptoms: Covid positive. Internal inflammation is not worsening though.

Release 12 — 12 months, dose 2

2022-07-16

Symptoms: Continued I sternal inflammation. Co tinier trouble passing stools. Will be getting a colonoscopy to rule out any complications. Inflammation never went down after 2nd shot. Covid infection in Jan. Very sick but no hospitalization.

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	Cough	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dyschezia	·	·	✓
SD	Fatigue	✓	·	✓
SD	General physical health deterioration	✓	·	✓
SD	Inflammation	·	·	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	✓	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Restlessness	✓	·	✓
SD	Systemic inflammatory response syndrome	✓	·	✓
SRO	Asthenia	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Confusional state	·	·	✓
SRO	Dizziness	✓	·	✓
SRO	Fluid retention	·	·	✓
SRO	Headache	✓	·	✓
SRO	Inflammation	✓	·	✓
SRO	Migraine	·	·	✓
SRO	Oedema	✓	·	✓
SRO	Pain	·	·	✓

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