25X-12048-23960

1 vaccination 8 coded responses 10 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 315 / GA
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

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-28
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Free text: My psoriasis has really advanced. My black kitty looks like shes been out in a snowstorm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Psoriasis — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My psoriasis is really blossoming

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: Pre-existing disease, Pruritus, Psoriasis — Feeling: Fair · Muscle or body aches

Free text: Horrible itching. I have psoriasis. The injection seems to have pumped it up some.

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: Pre-existing disease, Psoriasis — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Psoriasis symptoms are increasing

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: Alopecia, Pre-existing disease, Psoriasis — Feeling: Fair · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My psoriasis is acting up. Clumps of hair are coming out of my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Health check-in — day 7, dose 1
Feeling: Poor · Site: Pain, Itching · 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

Adult check-in
2021-02-12
Survey response — day 14, dose 1
MedDRA: Psoriasis — Feeling: Fair · Be unable to do your normal daily activities

Free text: My psoriasis is getting worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 21, dose 1
MedDRA: Hallucination, Hospitalisation, Office visit, Pre-existing disease — Feeling: Fair · 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: My psoriasis is back full fledge. I started hallucinating this past Friday. I ended up in the hospital. My head is finally clear now. · Healthcare visit (other): Dermatologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Survey response — day 28, dose 1
MedDRA: Unevaluable event — Feeling: Poor · 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: I do not plan to do my second COVID-19 vaccination. I am still suffering from the first vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-11
Call 1 — Left Voicemail
2021-11-11
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): My psoriasis has really advanced. My black kitty looks like shes been out in a snowstorm.

2021-01-30

Systemic reaction (other): My psoriasis is really blossoming

2021-01-31

Systemic reaction (other): Horrible itching. I have psoriasis. The injection seems to have pumped it up some.

2021-02-01

Systemic reaction (other): Psoriasis symptoms are increasing

2021-02-02

Systemic reaction (other): My psoriasis is acting up. Clumps of hair are coming out of my head.

Release 4 — day 14, dose 1

2021-02-12

Symptoms: My psoriasis is getting worse

Release 4 — day 21, dose 1

2021-02-24

Symptoms: My psoriasis is back full fledge. I started hallucinating this past Friday. I ended up in the hospital. My head is finally clear now.

Healthcare visit (other): Dermatologist

Release 4 — day 28, dose 1

2021-02-27

Symptoms: I do not plan to do my second COVID-19 vaccination. I am still suffering from the first vaccination.

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	Hallucination	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Psoriasis	✓	✓	✓
SD	Unevaluable event	✓	✓	✓
SRO	Alopecia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Psoriasis	✓	✓	✓

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