2KA-13333-25985

3 vaccinations 13 coded responses 25 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 752 / TX
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Dysgeusia, Upper-airway cough syndrome — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Coughing & mucus coming Down the back of my throat and also within an hour and a 1/2 after the shot I tasted a peculiar medication in my mouth in my saliva

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just do not feel well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: I feel a bit better today - 5 days since 1st shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — day 7, dose 1
MedDRA: Abdominal pain — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Free text: Abdominal pain yesterday & today - a 7 to 8 out of a 10

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-22
Survey response — day 7, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Yes - I now have Multiple pulmonary embolism 's PE in my right lung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 14, dose 2
MedDRA: Pulmonary embolism — Feeling: Fair · Be unable to do your normal daily activities

Free text: Multiple Pes in right lungGetting Pulmonary function test today at the hospitalIn 2 weeks and do for EKG to see if either of my atriums in my heart or damage from the P e's in my lung

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 28, dose 2
MedDRA: Fatigue, Pulmonary embolism — Feeling: Fair · Be unable to work

Free text: Multiple Pulmonary blood clots in right lung3 degree temperature increase last saturday, sunday, amd monday Felt very tired and exhaustedI have never been tested for covid-19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 35, dose 2
MedDRA: Ear infection, Emergency care, Lymphadenopathy, Psoriasis, Pulmonary embolism — Feeling: Fair · 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, Emergency room or emergency department visit

Free text: After covid shot:Diagnosed with multiple Pe's in right lung4 weeks later, I have a severe right ear infection which required me to go to the emergency RoomThe glands in my neck were both swollen about 2 weeks after the shotPsoriasi returned

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 35, 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)
2021-05-29
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2021-10-13
Health check-in — day 0, dose 3
Feeling: Good · Headache, Joint pains · Be unable to work or attend school

Adult check-in
2021-10-15
Survey response — days 1–6 daily, dose 3
MedDRA: Insomnia, Pruritus — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Bad Brush the day right after a shot in my arm I was itchy all night long I could not go to sleep I eat so bad I've got chunks of my skin missing

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Dysuria, Somnolence — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, 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

Free text: I just Got up from sleeping last night it's now 3:45 p.m. on a Saturday I slept through the entire night from 8 o'clock on and I just got up. I just feel warm when I when I urinated - hit's very hot coming out of me. So I slept from 8:00 p.m. Fri

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, 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
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Pruritus — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still itchy all over

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — day 7, dose 3
MedDRA: Fatigue, Feeling hot, Malaise — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I just woke up at 2 pm today which is unusual. I felt warm and didn't feel well I did not take my temperature. I just feel under the weather and I'm very tired

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-11
Survey response — day 28, dose 3
MedDRA: Nasopharyngitis, Oropharyngeal pain, Skin warm — Feeling: Fair · Be unable to work or attend school

Free text: I got my 1st sore throat and cold I have not had a cold or sore throat in 5 years I felt warm to the touch this morning

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-21
Call 1 — Could Not Reach Participant
2022-01-26
Call 2 — Requested Callback
2022-02-04
Callback requested for
11:00AM ET
2022-02-04
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Coughing & mucus coming Down the back of my throat and also within an hour and a 1/2 after the shot I tasted a peculiar medication in my mouth in my saliva

2021-03-27

Systemic reaction (other): Just do not feel well

2021-03-29

Systemic reaction (other): I feel a bit better today - 5 days since 1st shot

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Abdominal pain yesterday & today - a 7 to 8 out of a 10

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Yes - I now have Multiple pulmonary embolism 's PE in my right lung

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Multiple Pes in right lungGetting Pulmonary function test today at the hospitalIn 2 weeks and do for EKG to see if either of my atriums in my heart or damage from the P e's in my lung

Release 8 — day 28, dose 2

2021-05-15

Symptoms: Multiple Pulmonary blood clots in right lung3 degree temperature increase last saturday, sunday, amd monday Felt very tired and exhaustedI have never been tested for covid-19

Release 8 — day 35, dose 2

2021-05-22

Symptoms: After covid shot:Diagnosed with multiple Pe's in right lung4 weeks later, I have a severe right ear infection which required me to go to the emergency RoomThe glands in my neck were both swollen about 2 weeks after the shotPsoriasi returned

Release 10 — days 1–6 daily, dose 3

2021-10-15

Systemic reaction (other): Bad Brush the day right after a shot in my arm I was itchy all night long I could not go to sleep I eat so bad I've got chunks of my skin missing

2021-10-16

Systemic reaction (other): I just Got up from sleeping last night it's now 3:45 p.m. on a Saturday I slept through the entire night from 8 o'clock on and I just got up. I just feel warm when I when I urinated - hit's very hot coming out of me. So I slept from 8:00 p.m. Fri cut off by CDC

2021-10-19

Systemic reaction (other): Still itchy all over

Release 10 — day 7, dose 3

2021-10-20

Systemic reaction (other): I just woke up at 2 pm today which is unusual. I felt warm and didn't feel well I did not take my temperature. I just feel under the weather and I'm very tired

Release 10 — day 28, dose 3

2021-11-11

Symptoms: I got my 1st sore throat and cold I have not had a cold or sore throat in 5 years I felt warm to the touch this morning

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	Ear infection	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Psoriasis	✓	✓	✓
SD	Pulmonary embolism	✓	✓	✓
SD	Skin warm	·	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dysuria	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Feeling hot	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Malaise	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Upper-airway cough syndrome	✓	✓	✓

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