Z9L-14532-42855

2 vaccinations 9 coded responses 13 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 060 / CT
Registered: 2021-03-16

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

2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-16
Registered in v-safe
2021-03-16
Survey response — day 7, dose 1
MedDRA: Enanthema, Medical counselling, Office visit, Paraesthesia — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Mucoid eruptions lips thru GI tract. Tingly hands · Healthcare visit (other): Visit to PCP 3/11/21. Email with Rheumatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — day 14, dose 1
MedDRA: Increased viscosity of upper respiratory secretion, Lymphadenopathy, Muscular weakness, Musculoskeletal discomfort, Paraesthesia, Throat tightness — 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

Free text: Continued tight throat feeling,mucoid eruptions of mouth, enlarged bilateral axillary lymph nodes,left shoulder/clavicular discomfort,intermittent hand/right leg tingling,muscle weakness, right clavicular discomfort, T-96.5 96.73 wks post vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
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)
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Paraesthesia oral — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · 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: Tingling of tongue lips, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
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)
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Cardiac flutter, Cough, Dizziness, Dyspnoea, Medical counselling, Palpitations — Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Heart flutter with cough,palpitations, dizziness and short of breath episodes On a cardiac event monitor · Healthcare visit (other): Called cardiologist office to check recordings on my event monitor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
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)
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Laryngoscopy, Office visit, Throat irritation, Throat tightness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Continued throat tightness and irritation · Healthcare visit (other): In person Dr visit with laryngoscopy performed today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal discomfort, Paraesthesia oral, Throat irritation — Feeling: Poor · Headache, Fatigue or tiredness · 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: Tingling of tongue,palate,upper / lower left lip. Throat discomfort/ irritation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
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)
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia oral, Throat tightness, Weight decreased — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continued tingling full sensation l upper/lower lip, palate. Continued tight feeling of throat.4 pound wt.loss in 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Palatal disorder, Secretion discharge, Throat tightness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Continued throat tightness and mucoid eruptions of palate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 2
MedDRA: Throat tightness — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still tightness in throat

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

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Successful	Participant prefers to complete VAERS report online
2021-03-21	Successful	Participant prefers to complete VAERS report online
2021-03-30	Successful	Participant prefers to complete VAERS report online
2021-03-31	Successful	Participant prefers to complete VAERS report online
2021-04-01	Successful	Participant prefers to complete VAERS report online
2021-04-02	Successful 2021-06-09	Participant prefers to complete VAERS report online

Free text

Release 5 — day 7, dose 1

2021-03-16

Systemic reaction (other): Mucoid eruptions lips thru GI tract. Tingly hands

Healthcare visit (other): Visit to PCP 3/11/21. Email with Rheumatologist

Release 6 — day 14, dose 1

2021-03-21

Symptoms: Continued tight throat feeling,mucoid eruptions of mouth, enlarged bilateral axillary lymph nodes,left shoulder/clavicular discomfort,intermittent hand/right leg tingling,muscle weakness, right clavicular discomfort, T-96.5 96.73 wks post vaccine

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Tingling of tongue lips, cough

2021-03-31

Systemic reaction (other): Heart flutter with cough,palpitations, dizziness and short of breath episodes On a cardiac event monitor

Healthcare visit (other): Called cardiologist office to check recordings on my event monitor

2021-04-01

Systemic reaction (other): Continued throat tightness and irritation

Healthcare visit (other): In person Dr visit with laryngoscopy performed today

2021-04-02

Systemic reaction (other): Tingling of tongue,palate,upper / lower left lip. Throat discomfort/ irritation

2021-04-03

Systemic reaction (other): Continued tingling full sensation l upper/lower lip, palate. Continued tight feeling of throat.4 pound wt.loss in 2 days

2021-04-04

Systemic reaction (other): Continued throat tightness and mucoid eruptions of palate

Release 6 — day 7, dose 2

2021-04-05

Systemic reaction (other): Still tightness in throat

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	Laryngoscopy	○	✓	○
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Increased viscosity of upper respiratory secretion	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal discomfort	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Throat tightness	✓	✓	✓
SRO	Cardiac flutter	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Enanthema	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Palatal disorder	○	✓	○
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Secretion discharge	✓	·	✓
SRO	Throat irritation	✓	✓	✓
SRO	Throat tightness	✓	✓	✓
SRO	Weight decreased	✓	✓	✓

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