YPS-32849-00364

1 vaccination 9 coded responses 11 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 031 / NH
Registered: 2021-06-02

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

2021-05-29
Dose 1 — Pfizer-BioNTech
2021-06-02
Registered in v-safe
2021-06-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling hot, Heart rate irregular, Sensory disturbance, Tremor — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Irregular heartbeat, waves of heat, shaky, light headed, odd sensations comes in waves some very strong some moderate some mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Survey response — days 1–6 daily, dose 1
MedDRA: Extrasystoles — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Skipped heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate irregular, Nervousness — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work

Free text: Irregular heartbeat, shaky

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Survey response — day 7, dose 1
MedDRA: Extrasystoles — Feeling: Fair · Be unable to work

Free text: Skipped heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — day 14, dose 1
MedDRA: Emergency care, Extrasystoles, Feeling abnormal — Feeling: Fair · 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: Skipped heartbeat, feeling really poorly 2nd ER visit. Better today still have but have skipped heartbeat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-06-26
Survey response — day 28, dose 1
MedDRA: Heart rate irregular, Hypertension, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: High blood pressure, irregular heartbeat · Healthcare visit (other): Follow up with pcp

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-03
Survey response — day 35, dose 1
MedDRA: Abdominal discomfort, Diarrhoea, Heart rate increased, Hypertension, Malaise — 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 · Emergency room or emergency department visit

Free text: Stomach upset, diarrhea, high BP, feeling crappy, fast heart rate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Report sent to call center — day 35, 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)
2021-07-08
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-10
Health check-in — day 42, dose 1
Feeling: Poor

Adult check-in
2021-08-28
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-11-27
Survey response — 6 months, dose 1
MedDRA: Aortic stenosis, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Aortic Stenosis · Healthcare visit (other): Dr. Visit

MedDRA releases: 2024-11 · check-in free text available
2021-11-27
Report sent to call center — 6 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-29
Call 1 — Left Voicemail
2021-11-29
Call successful
Participant prefers to complete VAERS report online
2022-05-29
Survey response — 12 months, dose 1
MedDRA: Endometrial cancer — Feeling: Fair · Be unable to work or attend school

Free text: Endometrial cancer

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-02	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-06-12	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-06-26	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-07-03	Successful 2021-07-08	Reported to VAERS voluntarily prior to GDIT contact
2021-11-27	Successful 2021-11-29	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-02

Systemic reaction (other): Irregular heartbeat, waves of heat, shaky, light headed, odd sensations comes in waves some very strong some moderate some mild

2021-06-03

Systemic reaction (other): Skipped heartbeat

2021-06-04

Systemic reaction (other): Irregular heartbeat, shaky

Release 8 — day 7, dose 1

2021-06-05

Systemic reaction (other): Skipped heartbeat

Release 9 — day 14, dose 1

2021-06-12

Symptoms: Skipped heartbeat, feeling really poorly 2nd ER visit. Better today still have but have skipped heartbeat

Release 9 — day 28, dose 1

2021-06-26

Symptoms: High blood pressure, irregular heartbeat

Healthcare visit (other): Follow up with pcp

Release 9 — day 35, dose 1

2021-07-03

Symptoms: Stomach upset, diarrhea, high BP, feeling crappy, fast heart rate

Release 10 — 6 months, dose 1

2021-11-27

Symptoms: Aortic Stenosis

Healthcare visit (other): Dr. Visit

Release 11 — 12 months, dose 1

2022-05-29

Symptoms: Endometrial cancer

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	Abdominal discomfort	✓	✓	✓
SD	Aortic stenosis	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Endometrial cancer	·	·	✓
SD	Extrasystoles	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Malaise	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Extrasystoles	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Heart rate irregular	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Sensory disturbance	·	·	✓
SRO	Tremor	✓	✓	○

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