YKP-14948-92071

2 vaccinations 5 coded responses 9 check-ins 5 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 481 / MI
Registered: 2021-04-02

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-05
Dose 1 — Pfizer-BioNTech
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Thirst — Feeling: Good

Free text: Thirsty

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Arthralgia, Constipation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Knee pain and constipatiom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-08
Survey response — day 42, dose 2
MedDRA: Aortic valve replacement, Cardiac arrest, Hyporesponsive to stimuli, Intensive care, Mechanical ventilation, Mitral valve replacement, Post procedural complication, Resuscitation, Seizure, Transfusion — Feeling: Poor · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Had an aortic and mitral valve replacement yesterday, went into asystole, received compressions, currently postop in ICU, had seizures, possible stroke or bleeding. Received 2 blood units, currently on ventilator and moderately responsive. · Healthcare visit (other): Had mitral and aortic valve replacement. Currently experiencing post-op complications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Aortic valve replacement, Aspiration, Cardiac operation, Gastrointestinal haemorrhage, Hospitalisation, Mitral valve replacement, Pleural effusion, Post procedural complication — 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 · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Have been in the hospital since May 7th. Had open heart to replace aortic and mitral valve and continue to experience post surgical complications. Had 6+ procedures to remove fluid from pleural effusions. Had continued GI bleed. · Healthcare visit (other): GI Bleed and pleural effusions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 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)
2021-06-30
Call 1 — Left Voicemail
2021-08-20
Call 2 — Requested Callback
2021-08-23
Callback requested for
04:00PM ET
2021-08-23
Call successful
Participant prefers to complete VAERS report online
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Cardiac operation, Hospitalisation, Post procedural complication, Pulmonary hypertension — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Had open hear surgery on May 7, 2021 and had many post operative complications. Was hospitalized from May 7 2021 - Aug. 2, 2021. In late July the physicians treating me realized I had pulmonary hypertension and upon treatment for that was discharged

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
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

Hospitalization · 1 call case(s)
2021-09-28
Call 1 — Could Not Reach Participant
2021-10-01
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-05	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-08	Successful	Participant prefers to complete VAERS report online
2021-06-26	Successful 2021-08-23	Participant prefers to complete VAERS report online
2021-09-27	Successful 2021-10-01	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Thirsty

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Knee pain and constipatiom

Release 8 — day 42, dose 2

2021-05-08

Symptoms: Had an aortic and mitral valve replacement yesterday, went into asystole, received compressions, currently postop in ICU, had seizures, possible stroke or bleeding. Received 2 blood units, currently on ventilator and moderately responsive.

Healthcare visit (other): Had mitral and aortic valve replacement. Currently experiencing post-op complications.

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: Have been in the hospital since May 7th. Had open heart to replace aortic and mitral valve and continue to experience post surgical complications. Had 6+ procedures to remove fluid from pleural effusions. Had continued GI bleed.

Healthcare visit (other): GI Bleed and pleural effusions

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Had open hear surgery on May 7, 2021 and had many post operative complications. Was hospitalized from May 7 2021 - Aug. 2, 2021. In late July the physicians treating me realized I had pulmonary hypertension and upon treatment for that was discharged 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
HCVO	Aortic valve replacement	✓	✓	✓
HCVO	Gastrointestinal haemorrhage	✓	✓	✓
HCVO	Mitral valve replacement	✓	✓	✓
HCVO	Pleural effusion	✓	✓	✓
HCVO	Post procedural complication	✓	✓	✓
SD	Aortic valve replacement	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Aspiration	✓	✓	✓
SD	Cardiac arrest	✓	✓	✓
SD	Cardiac operation	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Gastrointestinal haemorrhage	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hyporesponsive to stimuli	✓	✓	✓
SD	Intensive care	✓	✓	✓
SD	Mechanical ventilation	✓	✓	✓
SD	Mitral valve replacement	✓	✓	✓
SD	Pleural effusion	✓	✓	✓
SD	Post procedural complication	✓	✓	✓
SD	Pulmonary hypertension	·	·	✓
SD	Resuscitation	✓	✓	✓
SD	Seizure	✓	✓	✓
SD	Transfusion	✓	✓	✓
SRO	Thirst	✓	✓	✓

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