ZNV-73879-24487

2 vaccinations 7 coded responses 12 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 875 / NM
Registered: 2021-01-28

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-26
Dose 2 — Pfizer-BioNTech
2021-01-28
Registered in v-safe
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Lack of appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Feeling abnormal — Feeling: Fair · Fatigue or tiredness · Be unable to work

Free text: Lack of appetite. Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Depressed level of consciousness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Slight brain fog only minimal appetites

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Decreased appetite, Feeling abnormal — Feeling: Good

Free text: Slight brain fog, appetite better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — day 14, dose 2
MedDRA: Condition aggravated, Dyspnoea, Heart rate increased, Heart rate irregular, Pre-existing disease, Ventricular extrasystoles — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: My costochondritis is flaring up. High at rest heart rate, irregular heart rate (PVCs confirmed with ekg), difficulty breathing (chest X-ray was fine). Not sure if connected with the vaccine, Im doubtful it is.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Report sent to call center — day 14, dose 2
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)
2021-02-16
Survey response — day 21, dose 2
MedDRA: Arrhythmia, Heart rate increased, Office visit, Ventricular extrasystoles — Feeling: Fair · Be unable to work, 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: Doctors have diagnosed multiple PVC heart arrhythmia with an elevated at rest rate. Doctors are running tests to determine cause. Could this be from the vaccine? Symptoms started 10 days after second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 21, dose 2
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)
2021-02-23
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-04
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-07-21
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-27
Survey response — 6 months, dose 2
MedDRA: Office visit, Ventricular extrasystoles — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Occasional PVCs · Healthcare visit (other): Cardiologist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-26	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-09	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-02-16	Successful 2021-07-21	Reported to VAERS voluntarily prior to GDIT contact
2021-07-27	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Lack of appetite

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Lack of appetite. Brain fog

2021-01-31

Systemic reaction (other): Slight brain fog only minimal appetites

2021-02-01

Systemic reaction (other): Slight brain fog, appetite better

Release 3 — day 14, dose 2

2021-02-09

Symptoms: My costochondritis is flaring up. High at rest heart rate, irregular heart rate (PVCs confirmed with ekg), difficulty breathing (chest X-ray was fine). Not sure if connected with the vaccine, Im doubtful it is.

Release 4 — day 21, dose 2

2021-02-16

Symptoms: Doctors have diagnosed multiple PVC heart arrhythmia with an elevated at rest rate. Doctors are running tests to determine cause. Could this be from the vaccine? Symptoms started 10 days after second shot.

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Occasional PVCs

Healthcare visit (other): Cardiologist

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	Office visit	✓	·	✓
SD	Arrhythmia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Ventricular extrasystoles	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Depressed level of consciousness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓

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