263-20046-71188

2 vaccinations 12 coded responses 16 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 841 / UT
Registered: 2021-02-10

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

2021-02-10
Registered in v-safe
2021-04-23
Dose 1 — Pfizer-BioNTech
2021-04-29
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Fatigue, Malaise — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Difficulty breathing since 1st dose vaccine, extreme fatigue, generalized feeling of unwellness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 1
MedDRA: Abdominal pain upper, Dyspnoea, Fatigue, Feeling abnormal, Headache, Injection site pain, Nausea — Feeling: Poor · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Here are my symptoms: pain at injection site/followed by simultaneous S.O.B. and EXTREME FATIGUE, with intermittent headache, RUQ pain and nausea since 4.24 - 1 day after 1st injection. I feel terrible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Dyspepsia, Headache, Malaise, Nausea, Office visit — 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

Free text: I continue to feel unwell. I have headache, frequent indigestion, intermittent nausea and RUQ constant pain. I saw PCP on 5.4.21. I was not ill prior to 1st vaccine dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Dose 2 — Pfizer-BioNTech
2021-05-14
Survey response — day 0, dose 2
MedDRA: Emergency care, Feeling abnormal, Flushing, Hypertension, Immediate post-injection reaction, Loss of consciousness, Nausea — Feeling: Poor · Site: Pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Approximately 20 minutes after receiving 2nd vaccine - I got PROFOUNDLY nauseated and felt like I was going to pass out. Initially I got very flushed then clammy and pale - I got HYPERTENSIVE when normally I am normotensive with a BP 120/80. I continued to feel poorly - I was taken to ER where my S/S continued and my BP went as high as 135/110 - TOTALLY OUT OF NORMAL FOR ME. I was finally feeling safe enough to be dc'd. I don't know what happened - all I know is this is what happened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Survey response — days 1–6 daily, dose 2
MedDRA: Mental impairment — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel mentally blunted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease, Nausea — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Constant GERD S/S with intermittent profound nauea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Insomnia — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Feel so exhausted but cant sleep. I am so tired i could cry.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-29
Survey response — day 14, dose 2
MedDRA: Blood pressure increased, Emergency care, Headache, Immediate post-injection reaction — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Constant headache with elevated BP (HTN) - put on BP MEDS since 5.26.21. My BP has always been 110's/70's. I have NEVER had high BP and 20 minutes after 2nd vaccine - I was profoundly hypertensive - I was sent to the ER. Staff thought reaction.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-04
Survey response — day 21, dose 2
MedDRA: Fatigue, Headache, Hypertension, Office visit, Self-medication — 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

Free text: Symptoms: I feel profoundly fatigue with a headache that does not respond to tylenol. I do not eat/drink caffeine. I also had HTN and NEVER was hypertensive before that now requires me to monitor BP and take bp meds. · Healthcare visit (other): Routine visits with now Internal Med MD because I got so sick and needed a different/advanced level of care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — day 28, dose 2
MedDRA: Brain fog, Dizziness, Fatigue, Headache, Malaise, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Brain Fog continuesProfound Fatigue continuesHeadache continuesLightheadedness/Dizziness continuesGeneralized feeling of unwellness continues · Healthcare visit (other): Primary Internal Med MD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Malaise, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Constant headache - I rarely got headaches before.Profound and constant fatigue that NEVER goes away.Migrating body aches - I have no idea why.Generalized feeling of unwellness'. · Healthcare visit (other): New Internal Med MD with multi visits/communications.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
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)
2021-06-21
Call 1 — Left Voicemail
2021-06-27
Survey response — day 42, dose 2
MedDRA: Fatigue, Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still continue to have generalized feeling of unwellness.Intermittent headaches.Intermittent nausea.Consistent fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-23	Pfizer-BioNTech
2	2021-05-14	Pfizer-BioNTech

Call center

6 call center cases

6 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): Difficulty breathing since 1st dose vaccine, extreme fatigue, generalized feeling of unwellness

Release 8 — day 7, dose 1

2021-04-30

Systemic reaction (other): Here are my symptoms: pain at injection site/followed by simultaneous S.O.B. and EXTREME FATIGUE, with intermittent headache, RUQ pain and nausea since 4.24 - 1 day after 1st injection. I feel terrible.

Release 8 — day 14, dose 1

2021-05-07

Symptoms: I continue to feel unwell. I have headache, frequent indigestion, intermittent nausea and RUQ constant pain. I saw PCP on 5.4.21. I was not ill prior to 1st vaccine dose

Release 8 — day 0, dose 2

2021-05-14

Systemic reaction (other): Approximately 20 minutes after receiving 2nd vaccine - I got PROFOUNDLY nauseated and felt like I was going to pass out. Initially I got very flushed then clammy and pale - I got HYPERTENSIVE when normally I am normotensive with a BP 120/80. I continued to feel poorly - I was taken to ER where my S/S continued and my BP went as high as 135/110 - TOTALLY OUT OF NORMAL FOR ME. I was finally feeling safe enough to be dc'd. I don't know what happened - all I know is this is what happened.

Release 8 — days 1–6 daily, dose 2

2021-05-16

Systemic reaction (other): Feel mentally blunted

2021-05-19

Systemic reaction (other): Constant GERD S/S with intermittent profound nauea

2021-05-20

Systemic reaction (other): Feel so exhausted but cant sleep. I am so tired i could cry.

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Constant headache with elevated BP (HTN) - put on BP MEDS since 5.26.21. My BP has always been 110's/70's. I have NEVER had high BP and 20 minutes after 2nd vaccine - I was profoundly hypertensive - I was sent to the ER. Staff thought reaction.

Release 8 — day 21, dose 2

2021-06-04

Symptoms: I feel profoundly fatigue with a headache that does not respond to tylenol. I do not eat/drink caffeine. I also had HTN and NEVER was hypertensive before that now requires me to monitor BP and take bp meds.

Healthcare visit (other): Routine visits with now Internal Med MD because I got so sick and needed a different/advanced level of care

Release 9 — day 28, dose 2

2021-06-11

Symptoms: Brain Fog continuesProfound Fatigue continuesHeadache continuesLightheadedness/Dizziness continuesGeneralized feeling of unwellness continues

Healthcare visit (other): Primary Internal Med MD

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Constant headache - I rarely got headaches before.Profound and constant fatigue that NEVER goes away.Migrating body aches - I have no idea why.Generalized feeling of unwellness'.

Healthcare visit (other): New Internal Med MD with multi visits/communications.

Release 9 — day 42, dose 2

2021-06-27

Symptoms: Still continue to have generalized feeling of unwellness.Intermittent headaches.Intermittent nausea.Consistent fatigue.

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	Abdominal pain upper	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dyspepsia	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Self-medication	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Loss of consciousness	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Mental impairment	✓	✓	✓
SRO	Nausea	✓	✓	✓

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