2LK-27193-26901

4 vaccinations 9 coded responses 34 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 333 / FL
Registered: 2021-04-02

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

2021-03-30
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Eye swelling, Periorbital swelling, Self-medication, Tenderness — Feeling: Good

Free text: Shot was Tuesday around noon. Wednesday night during sleep, my eye started to hurt. I noticed a little puffiness Thursday morning. I woke up Friday and my eye was more swollen. A little pain. I took an antihistamine Friday night. Saturday morning, my eye is less swollen. Still a little pain and tenderness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Eye swelling — Feeling: Good

Free text: My right eye area is still swollen and minor pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Eye swelling, Self-medication, Sinus pain — Feeling: Good

Free text: Eye swelling and pain appears to be easing. It seems to be related to sinus pain. When I use more antihistamines, the symptoms ease.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Eye pain, Ocular discomfort, Self-medication, Swelling — Feeling: Good

Free text: I tried to sleep on my right side, because our cat was bothering me. It started to bother my right eye a lot. Ive been taking a daily antihistamine and it seems to be helping. Swelling is down and so is pain to my right eye.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Sinus headache — Feeling: Good · Headache, Nausea

Free text: Sinus headache - symptoms are better or less than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-27
Survey response — day 7, dose 2
MedDRA: Sinus headache — Feeling: Good · Headache

Free text: Sinus headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Pfizer-BioNTech
2022-04-20
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-25
Dose 4 — Moderna
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-28
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2022-04-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-09
Survey response — day 14, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph glands in my upper neck

MedDRA releases: 2024-11 · check-in free text available
2022-05-16
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 28, dose 4
MedDRA: Cough — Feeling: Fair

Free text: Coughing started yesterday. But I was outside exercising and we had the (b)(6) dust wind blowing through.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-08
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-25
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-24
Survey response — 6 months, dose 4
MedDRA: Cough, Fatigue, Malaise, SARS-CoV-2 test positive — Feeling: Fair · 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: I displayed symptoms on COVID on September 17th and tested positive on September 18th. I'm Still coughing and tired.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 6 months, dose 4
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 · 1 call case(s)
2022-10-26
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech
3	2021-11-26	Pfizer-BioNTech	No
4	2022-04-25	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Shot was Tuesday around noon. Wednesday night during sleep, my eye started to hurt. I noticed a little puffiness Thursday morning. I woke up Friday and my eye was more swollen. A little pain. I took an antihistamine Friday night. Saturday morning, my eye is less swollen. Still a little pain and tenderness.

2021-04-04

Systemic reaction (other): My right eye area is still swollen and minor pain.

2021-04-05

Systemic reaction (other): Eye swelling and pain appears to be easing. It seems to be related to sinus pain. When I use more antihistamines, the symptoms ease.

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): I tried to sleep on my right side, because our cat was bothering me. It started to bother my right eye a lot. Ive been taking a daily antihistamine and it seems to be helping. Swelling is down and so is pain to my right eye.

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Sinus headache - symptoms are better or less than yesterday

Release 8 — day 7, dose 2

2021-04-27

Systemic reaction (other): Sinus headache

Release 11 — day 14, dose 4

2022-05-09

Symptoms: Swollen lymph glands in my upper neck

Release 11 — day 28, dose 4

2022-05-23

Symptoms: Coughing started yesterday. But I was outside exercising and we had the (b)(6) dust wind blowing through.

redacted (b)(6)

Release 12 — 6 months, dose 4

2022-10-24

Symptoms: I displayed symptoms on COVID on September 17th and tested positive on September 18th. I'm Still coughing and tired.

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	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Malaise	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye swelling	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Periorbital swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus headache	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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