ZR8-16919-19240

2 vaccinations 8 coded responses 8 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 951 / CA
Registered: 2021-04-15

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-15
Registered in v-safe
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Redness of face from yesterday has subsided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dysarthria, Dysphagia, Dysphonia, Office visit, Pharyngeal swelling, Self-medication — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Throat started to swell yesterday afternoon. Took allergy medicine and it helped a bit but still swollen. Hard to swallow. Hard to talk. Very raspy voice. At doctor now to check it out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain, Pharyngeal swelling, SARS-CoV-2 test — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Throat swelling sensation, sore throat, chest tightness (got a covid test today to make sure I didnt get it results pending)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — day 7, dose 2
MedDRA: Headache — Feeling: Poor · Site: Pain · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Stabbing headache on left side of head, I never have headaches so this is weird

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Chest discomfort, Chest pain, Decreased appetite, Headache, Palpitations, Unevaluable event — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Headache was severe day 9-13 after shot, still have headache. Also loss of appetite and heart palpitations. Some chest tightness. · Healthcare visit (other): Have appointment with neurology scheduled in a week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 21, dose 2
MedDRA: Arteriospasm coronary, Asthenia, Headache, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache continues and some days is debilitating, worse in morning and night. Random pains in legs, thighs, calves. Heart motor spasm still present at night.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 28, dose 2
MedDRA: Electrocardiogram abnormal, Headache, Heart rate irregular — Feeling: Fair

Free text: Headache continues. Heart beating irregular continues. Had borderline abnormal PR ekg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Survey response — 3 months, dose 2
MedDRA: Asthenia, Dysphagia, Emergency care, Eye pain, Paraesthesia — 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, Emergency room or emergency department visit

Free text: Went to ER for eye issues and arm/face tingling. Also have trouble swallowing. Weakness in body on and off.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
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)
2021-07-21
Call 1 — Could Not Reach Participant
2021-07-26
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-30	Unsuccessful
2021-07-14	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Redness of face from yesterday has subsided.

2021-04-16

Systemic reaction (other): Throat started to swell yesterday afternoon. Took allergy medicine and it helped a bit but still swollen. Hard to swallow. Hard to talk. Very raspy voice. At doctor now to check it out.

2021-04-17

Systemic reaction (other): Throat swelling sensation, sore throat, chest tightness (got a covid test today to make sure I didnt get it results pending)

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): Stabbing headache on left side of head, I never have headaches so this is weird

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Headache was severe day 9-13 after shot, still have headache. Also loss of appetite and heart palpitations. Some chest tightness.

Healthcare visit (other): Have appointment with neurology scheduled in a week.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Headache continues and some days is debilitating, worse in morning and night. Random pains in legs, thighs, calves. Heart motor spasm still present at night.

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Headache continues. Heart beating irregular continues. Had borderline abnormal PR ekg.

Release 9 — 3 months, dose 2

2021-07-14

Symptoms: Went to ER for eye issues and arm/face tingling. Also have trouble swallowing. Weakness in body on and off.

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	Unevaluable event	✓	✓	✓
SD	Arteriospasm coronary	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Electrocardiogram abnormal	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate irregular	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SRO	Dysarthria	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	SARS-CoV-2 test	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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