YXQ-22294-70166

4 vaccinations 11 coded responses 52 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 982 / WA
Registered: 2021-04-08

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

2021-04-08
Registered in v-safe
2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 1
MedDRA: Ehlers-Danlos syndrome, Fatigue, Pain — Feeling: Good · Site: Pain

Free text: No new symptoms today, just usual pain/fatigue from Ehlers-Danlos syndrome

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Postural orthostatic tachycardia syndrome, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Have POTS (postural orthostatic tachycardia syndrome) but seems much worse today than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Blood potassium, Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Have POTS, feels like a bad day of it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Nothing out of ordinary for me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Ehlers-Danlos syndrome, Postural orthostatic tachycardia syndrome — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: EDS and POTS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Survey response — day 0, dose 2
MedDRA: Feeling abnormal, Pre-existing disease — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Nothing out of my "normal" with EDS and POTS, except for the overheated feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Medical counselling, Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Also dizziness and tingling · Healthcare visit (other): Just called nurse at regular clinic, she said my symptoms were within normal range

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness (bad POTS symptoms today?)

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: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-13
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Survey response — day 21, dose 2
MedDRA: Injection site pruritus, Vaccination site rash — Feeling: Fair

Free text: Arm around vaccine site has itchy red rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-12
Dose 3 — Moderna
2021-11-12
Survey response — day 0, dose 3
MedDRA: Ehlers-Danlos syndrome, Postural orthostatic tachycardia syndrome — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Have hEDS and POTS

MedDRA releases: 2024-11 · check-in free text available
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Survey response — day 42, dose 3
MedDRA: Fatigue, Nasal disorder, Pharyngeal disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue worse, nose and throat acting up

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2021-12-30
Call 2 — Left Voicemail
2021-12-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-11
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-14
Dose 4 — Pfizer-BioNTech
2022-09-14
Health check-in — day 0, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-16
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-17
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-09-18
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-19
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-21
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-28
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-10-05
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-10-19
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-26
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-12-14
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-03-15
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech
3	2021-11-12	Moderna	No
4	2022-09-14	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-30	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-24	Successful 2021-12-30	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — day 0, dose 1

2021-04-08

Systemic reaction (other): No new symptoms today, just usual pain/fatigue from Ehlers-Danlos syndrome

Release 7 — days 1–6 daily, dose 1

2021-04-09

Systemic reaction (other): Have POTS (postural orthostatic tachycardia syndrome) but seems much worse today than usual

2021-04-10

Systemic reaction (other): Have POTS, feels like a bad day of it

2021-04-11

Systemic reaction (other): Nothing out of ordinary for me

2021-04-12

Systemic reaction (other): EDS and POTS

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Nothing out of my "normal" with EDS and POTS, except for the overheated feeling

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): Also dizziness and tingling

Healthcare visit (other): Just called nurse at regular clinic, she said my symptoms were within normal range

2021-05-01

Systemic reaction (other): Dizziness (bad POTS symptoms today?)

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Arm around vaccine site has itchy red rash

Release 10 — day 0, dose 3

2021-11-12

Systemic reaction (other): Have hEDS and POTS

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Fatigue worse, nose and throat acting up

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	Medical counselling	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Injection site pruritus	✓	✓	✓
SD	Nasal disorder	·	·	✓
SD	Pharyngeal disorder	·	·	✓
SD	Vaccination site rash	✓	✓	✓
SRO	Blood potassium	○	✓	○
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ehlers-Danlos syndrome	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Postural orthostatic tachycardia syndrome	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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