265-16401-70659

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 708 / LA
Registered: 2021-01-19

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

ZHE-24543-67593 Child or adolescent in my care · Male · 2021-07-10

M3U-55058-56030 Child or adolescent in my care · Female · 2021-07-10

Timeline

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

2021-01-19
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Fair · Chills, Abdominal pain

Adult check-in
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia — Feeling: Fair · Chills, Abdominal pain

Free text: Numbness in the face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good · Diarrhea, Abdominal pain

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Survey response — days 1–6 daily, dose 1
MedDRA: Head discomfort — Feeling: Fair

Free text: Pressure/heaviness in the left side of my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — day 7, dose 1
MedDRA: Discomfort, Hypoaesthesia, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat, pressure/numbness on the left side of the face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-12
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-26
Survey response — day 14, dose 2
MedDRA: Insomnia, Office visit, Rash, Rash pruritic, Self-medication — Feeling: Poor · 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

Free text: The skin rash increased and was very itchy, I couldnt sleep. I went to a doctor and got a steroid shot that helped for a couple of days then the rash is back. I am taking multiple antihistamines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
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)
2021-03-05
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-26
Survey response — day 42, dose 2
MedDRA: Rash, Self-medication — 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

Free text: The rash came back and I am again in antihistamine and allergy medicine. I was given a second steroid shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Report sent to call center — day 42, 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)
2021-05-14
Survey response — 3 months, dose 2
MedDRA: Rash, Self-medication, Therapeutic product ineffective — Feeling: Poor · 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

Free text: The rash is very painful and extremely persistent. Antihistamine did it work. I am on singular and prednisone 40 mg per day. And that still is not 100% effective. The doctors will put me on xolaire next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — 3 months, 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)
2021-08-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-08
Call 1 — Left Voicemail
2021-12-08
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Numbness in the face

2021-01-24

Systemic reaction (other): No

2021-01-28

Systemic reaction (other): Pressure/heaviness in the left side of my face

Release 3 — day 7, dose 1

2021-01-29

Systemic reaction (other): Sore throat, pressure/numbness on the left side of the face

Release 4 — day 14, dose 2

2021-02-26

Symptoms: The skin rash increased and was very itchy, I couldnt sleep. I went to a doctor and got a steroid shot that helped for a couple of days then the rash is back. I am taking multiple antihistamines

Release 6 — day 42, dose 2

2021-03-26

Symptoms: The rash came back and I am again in antihistamine and allergy medicine. I was given a second steroid shot

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: The rash is very painful and extremely persistent. Antihistamine did it work. I am on singular and prednisone 40 mg per day. And that still is not 100% effective. The doctors will put me on xolaire next week.

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
SD	Insomnia	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Self-medication	✓	✓	✓
SD	Therapeutic product ineffective	·	·	✓
SRO	Discomfort	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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