ZJG-32995-70855

3 vaccinations 18 coded responses 32 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 905 / CA
Registered: 2021-01-29

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Registered dependents

WSU-25006-39773 Child or adolescent in my care · Male · 2021-08-05

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hypoaesthesia, Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Dizziness, vaccine arm was numb during night time, the uncomfortable numbness woke me up twice, feeling of heart racing but its not (heart rate was high 80s low 90s) this occurred twice for 10,15 minutes, tingly scalp,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Limb discomfort, Lymph node pain, Palpitations, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Vaccine arm-under arm lymph node pain, during sleep I wake up due to vaccine arm falling asleep and is numb and uncomfortable, feeling of heart racing with normal heart rate,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Electric shock sensation, Paraesthesia, Sensation of foreign body — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feeling of electrical jolt on chest, arms and legs. After this feeling, it leads to a tingly, pins and needles feeling. This occurs for a minute or two, lingers and then stops. I also feel like I have a cramp in my throat. This feeling also comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling hot, Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, electrical jolt feeling/hot on arms, back, feet, hands, and chest. The feeling is hot, the turns into numb/pins and needles. feeling of heart racing but it is not( normal heart rate detected). Numbness of vaccinated arm when sleeping.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 1
MedDRA: Discomfort, Electric shock sensation, Feeling hot, Paraesthesia — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Electrical/hot jolt feeling continues on hands and feet. Same feeling on scalp and then turned into hot and tingly feeling on scalp. Scalp feeling was very uncomfortable.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Migraine, Pain in extremity, Paraesthesia — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Electrical jolt/hot/ pins and needles feeling all over body. Mainly hands, feet, and left side chest. Uncomfortable and slightly painful jolts. Migraine headache, tingly/hot scalp feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 7, dose 1
MedDRA: Electric shock sensation — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Electrical jolt feeling still occurring on chest, hands, feet, face and back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities

Free text: Tingly, numb feeling in face, hands, arms, feet and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-26
Survey response — day 7, dose 2
MedDRA: Cardiac disorder — Feeling: Good · Muscle or body aches

Free text: Feels like heart is jumping out of my chest at times

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper — Feeling: Good

Free text: Stomach pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Survey response — day 28, dose 2
MedDRA: Chest pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Chest pain, comes and goes.....some days are worse than others

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-26
Survey response — day 35, dose 2
MedDRA: Chest pain, Gastrointestinal pain, Musculoskeletal chest pain, Sensory disturbance — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Rib, chest pain....Also feels like my organs are doing flips...jumping around

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
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)
2021-04-03
Survey response — day 42, dose 2
MedDRA: Flank pain, Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Side pain under ribs, mainly left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Abdominal discomfort, Arthralgia, Headache, Neck pain, Pain in jaw — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Jaw pain, neck pain, joint pain, headaches, gi issues,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call 1 — Could Not Reach Participant
2021-06-18
Call 2 — Could Not Reach Participant
2021-08-20
Survey response — 6 months, dose 2
MedDRA: Anxiety, Chest pain, Dizziness, Dyspnoea, Hypertension, Nausea — Feeling: Fair

Free text: Ive had high blood pressure accompanied by nausea, dizziness, SOB, chest ache and anxiety.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-02-09
Dose 3 — Pfizer-BioNTech
2022-02-09
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains, Abdominal pain

Adult check-in
2022-02-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-02-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-02-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-02-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-02-14
Survey response — days 1–6 daily, dose 3
MedDRA: Mental disorder — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Loopy

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness, Feeling hot — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Hot soles of feet, dizziness,

MedDRA releases: 2024-11 · check-in free text available
2022-02-16
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-02-23
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-03-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-03-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-05-15
Survey response — 3 months, dose 3
MedDRA: Gastrointestinal disorder, Panic attack — Feeling: Good · Be unable to do your normal daily activities

Free text: Gastrointestinal issues, panic attacks,

MedDRA releases: 2024-11 · check-in free text available
2023-02-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2022-02-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-19	Unsuccessful
2021-03-26	Unsuccessful
2021-04-03	Unsuccessful
2021-05-22	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Dizziness, vaccine arm was numb during night time, the uncomfortable numbness woke me up twice, feeling of heart racing but its not (heart rate was high 80s low 90s) this occurred twice for 10,15 minutes, tingly scalp,

2021-01-31

Systemic reaction (other): Vaccine arm-under arm lymph node pain, during sleep I wake up due to vaccine arm falling asleep and is numb and uncomfortable, feeling of heart racing with normal heart rate,

2021-02-01

Systemic reaction (other): Feeling of electrical jolt on chest, arms and legs. After this feeling, it leads to a tingly, pins and needles feeling. This occurs for a minute or two, lingers and then stops. I also feel like I have a cramp in my throat. This feeling also comes and goes.

2021-02-02

Systemic reaction (other): Dizziness, electrical jolt feeling/hot on arms, back, feet, hands, and chest. The feeling is hot, the turns into numb/pins and needles. feeling of heart racing but it is not( normal heart rate detected). Numbness of vaccinated arm when sleeping.

2021-02-03

Systemic reaction (other): Electrical/hot jolt feeling continues on hands and feet. Same feeling on scalp and then turned into hot and tingly feeling on scalp. Scalp feeling was very uncomfortable.

2021-02-04

Systemic reaction (other): Electrical jolt/hot/ pins and needles feeling all over body. Mainly hands, feet, and left side chest. Uncomfortable and slightly painful jolts. Migraine headache, tingly/hot scalp feeling.

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Electrical jolt feeling still occurring on chest, hands, feet, face and back

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Tingly, numb feeling in face, hands, arms, feet and back.

Release 4 — day 7, dose 2

2021-02-26

Systemic reaction (other): Feels like heart is jumping out of my chest at times

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Stomach pains

Release 5 — day 28, dose 2

2021-03-19

Symptoms: Chest pain, comes and goes.....some days are worse than others

Release 6 — day 35, dose 2

2021-03-26

Symptoms: Rib, chest pain....Also feels like my organs are doing flips...jumping around

Release 6 — day 42, dose 2

2021-04-03

Symptoms: Side pain under ribs, mainly left side

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Jaw pain, neck pain, joint pain, headaches, gi issues,

Release 9 — 6 months, dose 2

2021-08-20

Symptoms: Ive had high blood pressure accompanied by nausea, dizziness, SOB, chest ache and anxiety.

Release 11 — days 1–6 daily, dose 3

2022-02-14

Systemic reaction (other): Loopy

2022-02-15

Systemic reaction (other): Hot soles of feet, dizziness,

Release 11 — 3 months, dose 3

2022-05-15

Symptoms: Gastrointestinal issues, panic attacks,

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
SD	Abdominal discomfort	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Anxiety	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	✓	·	✓
SD	Flank pain	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrointestinal pain	○	✓	○
SD	Headache	✓	✓	✓
SD	Hypertension	✓	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Nausea	✓	·	✓
SD	Neck pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Panic attack	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Sensory disturbance	✓	·	✓
SRO	Cardiac disorder	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Electric shock sensation	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Limb discomfort	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Mental disorder	·	·	✓
SRO	Migraine	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Sensation of foreign body	✓	✓	✓

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