ZKP-97907-87771

1 vaccination 7 coded responses 8 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 152 / PA
Registered: 2021-10-08

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-10-07
Dose 1 — Pfizer-BioNTech
2021-10-08
Registered in v-safe
2021-10-08
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chest pain and breathing difficulties

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Tightness in chest/breathing

MedDRA releases: 2024-11 · check-in free text available
2021-10-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-11
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort — Feeling: Fair · Fatigue or tiredness

Free text: Heaviness in chest

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Chest pain, Confusional state, Dyspnoea, Palpitations, Tremor — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Shaky hands, heart palpitations, confusion, chest pain/pressure, trouble breathing

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Dyspnoea, Painful respiration, Palpitations — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Heart palpitations, trouble breathing, chest pain, pain when breathing

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 7, dose 1
MedDRA: Cardiac flutter, Chest pain, Dyspnoea, Painful respiration, Palpitations, Unevaluable event — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Shortness of breath, chest pains, heart palpitations, pounding and fluttering heart, pain breathing!!!!! These are severe!! · Healthcare visit (other): I tried to reach my PCP office via phone a few times today. Called them earlier in week to report same issues. Playing phone tag.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
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)
2021-10-25
Survey response — day 14, dose 1
MedDRA: Chest pain, Confusional state, Dyspnoea, Emergency care, Headache, Hyperkalaemia, Palpitations, Pyrexia, Renal 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 · Emergency room or emergency department visit

Free text: Symptoms: Visited ER with heart palpitations, trouble breathing, headache, fever, chest pain, confusion. Diagnosed with Hyperkalemia due to kidney not functioning properly and can't deplete potassium. · Healthcare visit (other): They did nit test me for COVID at the ER. Not sure why they did not.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 14, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-10-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-07	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-14	Unsuccessful
2021-10-25	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-08

Systemic reaction (other): Chest pain and breathing difficulties

2021-10-09

Systemic reaction (other): Tightness in chest/breathing

2021-10-11

Systemic reaction (other): Heaviness in chest

2021-10-12

Systemic reaction (other): Shaky hands, heart palpitations, confusion, chest pain/pressure, trouble breathing

2021-10-13

Systemic reaction (other): Heart palpitations, trouble breathing, chest pain, pain when breathing

Release 10 — day 7, dose 1

2021-10-14

Systemic reaction (other): Shortness of breath, chest pains, heart palpitations, pounding and fluttering heart, pain breathing!!!!! These are severe!!

Healthcare visit (other): I tried to reach my PCP office via phone a few times today. Called them earlier in week to report same issues. Playing phone tag.

Release 10 — day 14, dose 1

2021-10-25

Symptoms: Visited ER with heart palpitations, trouble breathing, headache, fever, chest pain, confusion. Diagnosed with Hyperkalemia due to kidney not functioning properly and can't deplete potassium.

Healthcare visit (other): They did nit test me for COVID at the ER. Not sure why they did not.

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	Emergency care	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Chest pain	·	·	✓
SD	Confusional state	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Headache	·	·	✓
SD	Hyperkalaemia	·	·	✓
SD	Palpitations	·	·	✓
SD	Pyrexia	·	·	✓
SD	Renal impairment	·	·	✓
SRO	Cardiac flutter	·	·	✓
SRO	Chest discomfort	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Confusional state	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Painful respiration	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Tremor	·	·	✓

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