YT3-27323-57148

1 vaccination 7 coded responses 7 check-ins 7 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 850 / AZ
Registered: 2021-04-19

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-19
Registered in v-safe
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Dizziness, Dysphagia, Exercise tolerance decreased, Fatigue, Feeling abnormal, Headache, Injection site pain, Muscle spasms, Myalgia, Neck pain, Pain — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Foggy brain, poor appetite, difficult to drink fluids, cramping in legs and feet poor stamina and fatigue, dizzy. After 2 days of dizziness. Registered Blood pressure this morning at 83/69/105. Took 8 hours with drinking some coffee, sipping coke a cola, sipping water, and Pedialyte to get bp to 105/69/70. Side effects started 12 hours after vaccine. Very sore at the injection site 8 hrs later, muscle pain radiated to neck. Lasted 4 days.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 1
MedDRA: Dehydration, Pyrexia, Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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: Systemic reaction (other): When trying to eat, or drink fluided. per Telehealth visit today. Dehydration and feaver · Healthcare visit (other): Suggested to go to ER for IV infusion even with insurance. cost to me would be over $1 000 out of pocket

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Survey response — day 14, dose 1
MedDRA: Atrial fibrillation, Dehydration, Emergency care, Hospitalisation, Hypotension, Office visit — Feeling: Poor · 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: Had to go to urgent care for low erratic blood pressure and high heart rate. Nurse stopped exam with ekg. Admitted to Emergency room/hospital. Diagnosis. covid, dehydration and afib

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
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)
2021-05-04
Survey response — day 21, dose 1
MedDRA: Balance disorder, Brain fog, Cardiac disorder, Fatigue, Headache — 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: Continued extreme fatigue and exhaustion, headaches, unstable. foggy brain and heart issues sonce 1st vaccine 4.13.21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, 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)
2021-05-11
Survey response — day 28, dose 1
MedDRA: COVID-19 — 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, Emergency room or emergency department visit, Hospitalization

Free text: Continuing to recover from covid-19 after receiving 1st dose of Pfizer vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 28, 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)
2021-05-18
Survey response — day 35, dose 1
MedDRA: Atrial fibrillation, Fatigue — 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, Hospitalization

Free text: Fatigue continues. Afib continues. If anyone ready reads these comments. Will consider when I feel well again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Report sent to call center — day 35, 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)
2021-05-25
Survey response — day 42, dose 1
MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued Atril Fibrillation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Report sent to call center — day 42, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-30
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Unsuccessful
2021-04-27	Unsuccessful
2021-05-04	Unsuccessful
2021-05-11	Unsuccessful
2021-05-18	Unsuccessful
2021-05-25	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Foggy brain, poor appetite, difficult to drink fluids, cramping in legs and feet poor stamina and fatigue, dizzy. After 2 days of dizziness. Registered Blood pressure this morning at 83/69/105. Took 8 hours with drinking some coffee, sipping coke a cola, sipping water, and Pedialyte to get bp to 105/69/70. Side effects started 12 hours after vaccine. Very sore at the injection site 8 hrs later, muscle pain radiated to neck. Lasted 4 days.

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): When trying to eat, or drink fluided. per Telehealth visit today. Dehydration and feaver

Healthcare visit (other): Suggested to go to ER for IV infusion even with insurance. cost to me would be over $1 000 out of pocket

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Had to go to urgent care for low erratic blood pressure and high heart rate. Nurse stopped exam with ekg. Admitted to Emergency room/hospital. Diagnosis. covid, dehydration and afib

Release 8 — day 21, dose 1

2021-05-04

Symptoms: Continued extreme fatigue and exhaustion, headaches, unstable. foggy brain and heart issues sonce 1st vaccine 4.13.21

Release 8 — day 28, dose 1

2021-05-11

Symptoms: Continuing to recover from covid-19 after receiving 1st dose of Pfizer vaccine

Release 8 — day 35, dose 1

2021-05-18

Symptoms: Fatigue continues. Afib continues. If anyone ready reads these comments. Will consider when I feel well again.

Release 8 — day 42, dose 1

2021-05-25

Symptoms: Continued Atril Fibrillation

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	Atrial fibrillation	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Cardiac disorder	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Dehydration	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Hypotension	✓	✓	✓
SD	Office visit	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Exercise tolerance decreased	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓

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