YL4-57381-72539

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 057 / VT
Registered: 2021-04-16

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-07
Dose 1 — Pfizer-BioNTech
2021-04-16
Registered in v-safe
2021-04-16
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-21
Survey response — day 14, dose 1
MedDRA: Amnesia, Aphasia, Cranial nerve disorder, Disturbance in attention, Dizziness, Headache, Hospitalisation, Intracranial pressure increased, Memory impairment, Palpitations, Speech disorder — Feeling: Fair · Be unable to work, 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: Two days after 1st vaccine, my heart started pounding fast, severe headache, high cranial pressure. I was lightheaded like I would pass out. My concentration & focus when speaking and short term memory was poor. I was admitted to hospital for 3 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
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)
2021-04-28
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Diarrhoea — Feeling: Good

Free text: I had diarrhea the day after my shot on the 29th but didnt give me a chance to enter that

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-05-12
Survey response — day 14, dose 2
MedDRA: Anxiety, Depression, Diarrhoea, Headache, Lymph node pain, Nausea, Oropharyngeal pain, Pain in jaw — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: Lupus flare - bad pain in red swollen joints, sore throat and jaw and glands. Nausea and spontaneous diarrhea. Depressed mood and anxiety.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 14, dose 2
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)
2021-05-19
Survey response — day 21, dose 2
MedDRA: Diarrhoea, Gait inability, Pain, Pre-existing disease, Pyrexia, Systemic lupus erythematosus — Feeling: Fair · 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: Massive Lupus flare with unbearable pain and unable to walk. Fever up to 100.9 for two days. Diarrhea has continued and is starting to get better as of today. Previous to vaccine, pain was completely under control.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 21, dose 2
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)
2021-05-26
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-02
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Survey response — day 42, dose 2
MedDRA: Office visit, Palpitations — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Heart palpitations are worsening · Healthcare visit (other): Referral to cardiologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-07-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-28
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-27
Survey response — 6 months, dose 2
MedDRA: Diarrhoea, Loss of personal independence in daily activities, Pre-existing disease — 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

Free text: Aside from my chronic illness symptoms, my diarrhea that started after my second vaccination is still persisting. It is very much getting in the way of daily activity and I am schedule for a gastroenterologist appoint in Feb

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-11-04
Call successful
Reported to VAERS during previous contact from GDIT
2022-04-28
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-07	Pfizer-BioNTech
2	2021-04-28	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-05-12	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-05-19	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-06-09	Successful 2021-07-06	Reported to VAERS voluntarily prior to GDIT contact
2021-10-27	Successful 2021-11-04	Reported to VAERS during previous contact from GDIT

Free text

Release 7 — day 14, dose 1

2021-04-21

Symptoms: Two days after 1st vaccine, my heart started pounding fast, severe headache, high cranial pressure. I was lightheaded like I would pass out. My concentration & focus when speaking and short term memory was poor. I was admitted to hospital for 3 days. cut off by CDC

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): I had diarrhea the day after my shot on the 29th but didnt give me a chance to enter that

Release 8 — day 14, dose 2

2021-05-12

Symptoms: Lupus flare - bad pain in red swollen joints, sore throat and jaw and glands. Nausea and spontaneous diarrhea. Depressed mood and anxiety.

Release 8 — day 21, dose 2

2021-05-19

Symptoms: Massive Lupus flare with unbearable pain and unable to walk. Fever up to 100.9 for two days. Diarrhea has continued and is starting to get better as of today. Previous to vaccine, pain was completely under control.

Release 9 — day 42, dose 2

2021-06-09

Symptoms: Heart palpitations are worsening

Healthcare visit (other): Referral to cardiologist

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Aside from my chronic illness symptoms, my diarrhea that started after my second vaccination is still persisting. It is very much getting in the way of daily activity and I am schedule for a gastroenterologist appoint in Feb

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	✓	✓	✓
SD	Amnesia	✓	·	○
SD	Anxiety	✓	✓	✓
SD	Aphasia	✓	·	○
SD	Cranial nerve disorder	○	✓	○
SD	Depression	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Gait inability	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	·	✓
SD	Intracranial pressure increased	✓	·	✓
SD	Loss of personal independence in daily activities	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Memory impairment	○	✓	✓
SD	Nausea	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Speech disorder	·	·	✓
SD	Systemic lupus erythematosus	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓

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