YQD-11184-44147

2 vaccinations 21 coded responses 24 check-ins 21 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 913 / CA
Registered: 2021-04-30

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

Timeline

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

2021-04-30
Registered in v-safe
2021-05-01
Dose 1 — Pfizer-BioNTech
2021-05-01
Survey response — day 0, dose 1
MedDRA: Flushing, Hot flush, Hyperhidrosis, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Abdominal pain · Be unable to do your normal daily activities

Free text: Facial flushing, hot flashes, sweating, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Bladder pain, Discomfort, Flatulence, Urinary retention — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Abdominal bloating/gas, bladder pain/pressure/trouble emptying

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Urinary retention — Feeling: Fair · Site: Pain · Fever · Abdominal pain · Be unable to do your normal daily activities

Free text: Bladder not emptying well, bloating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Myalgia, Swelling — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bruising and swollen vein above right knee (I did not injure it); pain in left thigh muscle after exercising.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: bruising above right knee

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-10
Survey response — day 7, dose 1
MedDRA: Lymphadenopathy, Pruritus — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes armpit; itchy on skin of arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-22
Dose 2 — Pfizer-BioNTech
2021-05-22
Survey response — day 0, dose 2
MedDRA: Dizziness postural — Feeling: Fair · Site: Pain · Headache

Free text: Dizzy upon standing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tightness/pressure in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Tightness/pressure in chest; get winded very easily

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chest pain, Dyspnoea, Unevaluable event — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Chest pain/pressure; shortness of breath · Healthcare visit (other): I scheduled an appt- they didnt have availability.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — days 1–6 daily, 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
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Chest pain, Dyspnoea, Palpitations — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to work, 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: Chest pain/pressure/tightness; Shortness of breath; Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Report sent to call center — days 1–6 daily, 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)
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Palpitations — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pressure/tightness, shortness of breath, palpitations, winded.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dyspnoea, Fatigue, Palpitations — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest pressure/tightness, shortness of breath, palpitations, winded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 7, dose 2
MedDRA: Alopecia, Chest discomfort, Dyspnoea, Palpitations, Trichorrhexis — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Chest tightness/pressure, shortness of breath, palpitations, hair breaking off and hair falling out

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Health check-in — day 14, dose 2
Feeling: Poor

Adult check-in
2021-06-12
Survey response — day 21, dose 2
MedDRA: Arthralgia, Chest discomfort, Dysmenorrhoea, Dyspnoea, Headache, Heavy menstrual bleeding, Pain in extremity — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Joint pain, debilitating heel pain, palpitations, chest tightness, short of breath, headache, heavier menstrual bleeding and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Survey response — day 28, dose 2
MedDRA: Alopecia, Arthralgia, Chest discomfort, Dyspnoea, Fall, Fatigue, Foot fracture, Gait disturbance, Limb injury, Pain in extremity, Palpitations — 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 · Outpatient clinic or urgent care clinic visit

Free text: Still short of breath, palpitations, chest tightness, extreme fatigue, hair loss now, and pain in joints- new severe heel pain which caused me to trip and break right foot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — day 28, 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)
2021-06-22
Call 1 — Left Voicemail
2021-06-26
Survey response — day 35, dose 2
MedDRA: Arthralgia, Bladder disorder, Change of bowel habit, Chest discomfort, Dyspnoea, Insomnia, Pain in extremity, Palpitations — Feeling: Poor · 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: 100 fever off and on, insomnia, bladder emptying problems, joint pain, heel pain, bowel changes, continued shortness of breath, palpitations, chest pressure, heart racing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-30
Call 1 — Left Voicemail
2021-07-03
Survey response — day 42, dose 2
MedDRA: Alopecia, Arthralgia, Chest discomfort, Dyspnoea, Fatigue, Hair texture abnormal, Heavy menstrual bleeding, Insomnia, Pain in extremity, Palpitations — 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 · Outpatient clinic or urgent care clinic visit

Free text: New: Extremely heavy period; hair texture has completely turned to straw and breaking off, losing a lot of hair. Fatigue and insomnia very bad.Still having shortness of breath, palpitations & heart racing, chest pressure. Joint pain, heel pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-03
Report sent to call center — day 42, 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)
2021-07-07
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-08-23
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Bladder disorder, Dysstasia, Eye irritation, Gait disturbance, Pain in extremity, Vision blurred, Visual impairment — 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 · Outpatient clinic or urgent care clinic visit

Free text: Severe heel pain, Leg pain, SI joint pain - all limiting ability to stand and walk. Bladder problems, vision problems (eyes burning, blurry).

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-23
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)
2021-08-24
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-11-20
Survey response — 6 months, dose 2
MedDRA: Alopecia, C-reactive protein increased, Chest discomfort, Dyspnoea, Eye pain, Haemorrhage, Heavy menstrual bleeding, Myocarditis, Pain in jaw, Paranasal sinus discomfort, Red blood cell sedimentation rate increased — 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, Outpatient clinic or urgent care clinic visit

Free text: Hair loss, very heavy periods (hemorrhaging), severe sinus pressure causing severe eye pain and jaw pain and reoccurrence of the myocarditis (chest pressure/tightness and severe shortness of breath). Blood tests showed very high hsCRP and ESR levels

MedDRA releases: 2024-11 · check-in free text available
2021-11-20
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-24
Call 2 — Left Voicemail
2022-05-24
Survey response — 12 months, dose 2
MedDRA: Arthralgia, C-reactive protein increased, Eye inflammation, Inflammation, Pain in extremity, Red blood cell sedimentation rate increased — Feeling: Poor · 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: Joint pain in places I've never had joint pain before (shoulders and thumbs and knees). Widespread inflammation - elevated inflammation markers (CRP and ESR). I've never had elevated markers before vaccination. Sinus inflammation, eye inflammatio

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
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)
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-01	Pfizer-BioNTech
2	2021-05-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-25	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-05-26	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-06-19	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 2021-07-07	Reported to VAERS voluntarily prior to GDIT contact
2021-08-23	Successful 2021-08-24	Reported to VAERS voluntarily prior to GDIT contact
2021-11-20	Unsuccessful
2022-05-24	Unsuccessful

Free text

Release 8 — day 0, dose 1

2021-05-01

Systemic reaction (other): Facial flushing, hot flashes, sweating, runny nose

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): Abdominal bloating/gas, bladder pain/pressure/trouble emptying

2021-05-03

Systemic reaction (other): Bladder not emptying well, bloating

2021-05-04

Systemic reaction (other): Bruising and swollen vein above right knee (I did not injure it); pain in left thigh muscle after exercising.

2021-05-06

Systemic reaction (other): bruising above right knee

Release 8 — day 7, dose 1

2021-05-10

Systemic reaction (other): Swollen lymph nodes armpit; itchy on skin of arms

Release 8 — day 0, dose 2

2021-05-22

Systemic reaction (other): Dizzy upon standing

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): Tightness/pressure in chest

2021-05-24

Systemic reaction (other): Tightness/pressure in chest; get winded very easily

2021-05-25

Systemic reaction (other): Chest pain/pressure; shortness of breath

Healthcare visit (other): I scheduled an appt- they didnt have availability.

2021-05-26

Systemic reaction (other): Chest pain/pressure/tightness; Shortness of breath; Heart palpitations

2021-05-27

Systemic reaction (other): Chest pressure/tightness, shortness of breath, palpitations, winded.

2021-05-28

Systemic reaction (other): Chest pressure/tightness, shortness of breath, palpitations, winded

Release 8 — day 7, dose 2

2021-05-31

Systemic reaction (other): Chest tightness/pressure, shortness of breath, palpitations, hair breaking off and hair falling out

Release 9 — day 21, dose 2

2021-06-12

Symptoms: Joint pain, debilitating heel pain, palpitations, chest tightness, short of breath, headache, heavier menstrual bleeding and pain.

Release 9 — day 28, dose 2

2021-06-19

Symptoms: Still short of breath, palpitations, chest tightness, extreme fatigue, hair loss now, and pain in joints- new severe heel pain which caused me to trip and break right foot.

Release 9 — day 35, dose 2

2021-06-26

Symptoms: 100 fever off and on, insomnia, bladder emptying problems, joint pain, heel pain, bowel changes, continued shortness of breath, palpitations, chest pressure, heart racing.

Release 9 — day 42, dose 2

2021-07-03

Symptoms: New: Extremely heavy period; hair texture has completely turned to straw and breaking off, losing a lot of hair. Fatigue and insomnia very bad.Still having shortness of breath, palpitations & heart racing, chest pressure. Joint pain, heel pain.

Release 9 — 3 months, dose 2

2021-08-23

Symptoms: Severe heel pain, Leg pain, SI joint pain - all limiting ability to stand and walk. Bladder problems, vision problems (eyes burning, blurry).

Release 10 — 6 months, dose 2

2021-11-20

Symptoms: Hair loss, very heavy periods (hemorrhaging), severe sinus pressure causing severe eye pain and jaw pain and reoccurrence of the myocarditis (chest pressure/tightness and severe shortness of breath). Blood tests showed very high hsCRP and ESR levels cut off by CDC

Release 11 — 12 months, dose 2

2022-05-24

Symptoms: Joint pain in places I've never had joint pain before (shoulders and thumbs and knees). Widespread inflammation - elevated inflammation markers (CRP and ESR). I've never had elevated markers before vaccination. Sinus inflammation, eye inflammatio 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	Unevaluable event	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Bladder disorder	✓	✓	✓
SD	C-reactive protein increased	·	·	✓
SD	Change of bowel habit	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Dysmenorrhoea	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Dysstasia	✓	·	✓
SD	Eye inflammation	·	·	✓
SD	Eye irritation	✓	·	✓
SD	Eye pain	·	·	✓
SD	Fall	✓	✓	○
SD	Fatigue	✓	✓	✓
SD	Foot fracture	·	·	✓
SD	Gait disturbance	✓	·	✓
SD	Haemorrhage	·	·	✓
SD	Hair texture abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heavy menstrual bleeding	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Limb injury	✓	✓	○
SD	Myocarditis	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pain in jaw	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Red blood cell sedimentation rate increased	·	·	✓
SD	Vision blurred	✓	·	✓
SD	Visual impairment	✓	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Bladder pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness postural	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Trichorrhexis	✓	✓	✓
SRO	Urinary retention	✓	✓	✓

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