2NE-95487-63876

4 vaccinations 14 coded responses 28 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 318 / GA
Registered: 2021-01-15

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling face — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Swollen Face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · Fever · Headache

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Fever · Headache

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Diarrhea, Abdominal pain

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache, Joint pains, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: I have Asthma, Allergies,, and severe chronic ORTHO pains. Many symptoms I already deal with,daily.STAY SAFE!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Survey response — days 1–6 daily, dose 1
MedDRA: Swelling — Feeling: Good · Headache, Joint pains, Muscle or body aches

Free text: SWELLING ALL OVER

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · Headache, Abdominal pain

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-04
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Excessive sweating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Nausea

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Joint pains, Muscle or body aches

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-06
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Survey response — day 35, dose 2
MedDRA: Pain, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: 1. Orthopedic pain/chronic2. Sounds in ears3. Heart palpitations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 42, dose 2
MedDRA: Dizziness, Fatigue, Fluid retention, Headache, Myalgia, Rash, Respiratory disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, dizziness, fluid retention,rashes, extreme fatigue, muscle pain, respiratory issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 6 months, dose 2
MedDRA: Asthma, Depressed mood, Depression, Unevaluable event, Viral upper respiratory tract infection — Feeling: Fair · 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: Symptoms: 1. Viral upper respiratory infections2. Possible Uterine Cancer 3. Depression/Sadness4. More Asthma Issues · Healthcare visit (other): MRIS/SCANS

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-21
Dose 3 — Pfizer-BioNTech
2021-11-19
Call X — Left Voicemail
2022-02-06
Survey response — 12 months, dose 2
MedDRA: Ear congestion, Headache, Heart rate irregular, Irritable bowel syndrome, Nasal congestion, Oropharyngeal pain, Pain, Pre-existing disease, Respiratory disorder, Sinus disorder, Swelling — 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, Emergency room or emergency department visit

Free text: Breathing problems, stuffy ears and nose, sore throat, headaches, increased ortho pain, rapid heartbeats, swelling, lots of sinus c problems, IBS problems increased, etc

MedDRA releases: 2024-11 · check-in free text available
2022-02-06
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-02-07
Call 1 — Could Not Reach Participant
2022-02-10
Call 2 — Could Not Reach Participant
2022-04-14
Dose 4 — Pfizer-BioNTech
2022-04-23
Survey response — day 7, dose 4
MedDRA: Asthma, Office visit — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Free text: Ortho/Neuro/Asthma

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — day 21, dose 4
MedDRA: Asthenia, Fatigue, Headache, Pain, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Breathing, headaches, body aches, fatigue, no energy

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-09
Call 1 — Could Not Reach Participant
2022-05-09
Call 3 — Could Not Reach Participant
2022-05-09
Call 1 — Could Not Reach Participant
2022-05-11
Call 2 — Could Not Reach Participant
2022-05-11
Call 2 — Could Not Reach Participant
2022-05-12
Survey response — day 28, dose 4
MedDRA: Dizziness, Drug hypersensitivity, Dyspnoea, Fatigue, Gallbladder enlargement, Headache, Heart rate increased, Hepatomegaly, Insomnia, Major depression, Malaise, Memory impairment — 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: Breathing problems, headaches, dizziness, enlarged liver and gallbladder, allergic to medications, rapid heart rates, not feeling in well, fatigue, major depression, insomnia, forgetfulness, and not my best.

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — day 28, dose 4
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 · 1 call case(s)
2022-05-13
Call 1 — Could Not Reach Participant
2022-05-18
Call 2 — Left Voicemail
2022-05-20
Survey response — day 35, dose 4
MedDRA: Chest discomfort, Dizziness, Fatigue, Fluid retention, Headache, Heart rate increased, Pain, Respiratory disorder — Feeling: Poor · 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: Breathing difficulties, chest tightness, rapid heart rates, dizziness, headaches, fatigue, pain, fluid retention, etc.

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — day 35, dose 4
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 · 1 call case(s)
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-05-23
Call successful
Participant prefers to complete VAERS report online
2022-07-14
Survey response — 3 months, dose 4
MedDRA: Dizziness, Fatigue, Gallbladder disorder, Gastrointestinal disorder, Heart rate increased, Liver disorder, Major depression, Malaise, Myalgia — Feeling: Poor · 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: Rapid heart rate, profound fatigue, muscle pain, dizziness, major depression, feelings of being sick, stomach problems/ gallbladder and liver;

MedDRA releases: 2024-11 · check-in free text available
2022-07-14
Report sent to call center — 3 months, dose 4
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 · 1 call case(s)
2022-07-15
Call 3 — Left Voicemail
2022-07-15
Call X — Left Voicemail
2022-07-15
Call 3 — Left Voicemail
2022-07-15
Call 3 — Left Voicemail
2022-07-15
Call 1 — Left Voicemail
2022-07-15
Call 1 — Left Voicemail
2022-10-13
Survey response — 6 months, dose 4
MedDRA: Alopecia, Dizziness, Fatigue, General physical health deterioration, Malaise, Musculoskeletal pain, Nausea, Respiratory disorder, Swelling face, Weight decreased — Feeling: Poor · Be unable to do your normal daily activities

Free text: I am exhausted. My face is swollen. II am nauseous, dizzy, experiencing profound ortho pain, losing weight, hair loss, breathing issues, and feel sick! My health and well-being have declined significantly since taking the 5 Covid19, and sick!

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-04	Pfizer-BioNTech
3	2021-08-21	Pfizer-BioNTech	No
4	2022-04-14	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Swollen Face

2021-01-19

Systemic reaction (other): I have Asthma, Allergies,, and severe chronic ORTHO pains. Many symptoms I already deal with,daily.STAY SAFE!!

2021-01-20

Systemic reaction (other): SWELLING ALL OVER

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Excessive sweating

Release 5 — day 35, dose 2

2021-03-11

Symptoms: 1. Orthopedic pain/chronic2. Sounds in ears3. Heart palpitations

Release 5 — day 42, dose 2

2021-03-18

Symptoms: Headache, dizziness, fluid retention,rashes, extreme fatigue, muscle pain, respiratory issues

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: 1. Viral upper respiratory infections2. Possible Uterine Cancer 3. Depression/Sadness4. More Asthma Issues

Healthcare visit (other): MRIS/SCANS

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Breathing problems, stuffy ears and nose, sore throat, headaches, increased ortho pain, rapid heartbeats, swelling, lots of sinus c problems, IBS problems increased, etc

Release 11 — day 7, dose 4

2022-04-23

Systemic reaction (other): Ortho/Neuro/Asthma

Release 11 — day 21, dose 4

2022-05-07

Symptoms: Breathing, headaches, body aches, fatigue, no energy

Release 11 — day 28, dose 4

2022-05-12

Symptoms: Breathing problems, headaches, dizziness, enlarged liver and gallbladder, allergic to medications, rapid heart rates, not feeling in well, fatigue, major depression, insomnia, forgetfulness, and not my best.

Release 11 — day 35, dose 4

2022-05-20

Symptoms: Breathing difficulties, chest tightness, rapid heart rates, dizziness, headaches, fatigue, pain, fluid retention, etc.

Release 12 — 3 months, dose 4

2022-07-14

Symptoms: Rapid heart rate, profound fatigue, muscle pain, dizziness, major depression, feelings of being sick, stomach problems/ gallbladder and liver;

Release 12 — 6 months, dose 4

2022-10-13

Symptoms: I am exhausted. My face is swollen. II am nauseous, dizzy, experiencing profound ortho pain, losing weight, hair loss, breathing issues, and feel sick! My health and well-being have declined significantly since taking the 5 Covid19, and sick! cut off by CDC

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	Unevaluable event	✓	·	✓
SD	Alopecia	·	·	✓
SD	Asthenia	·	·	✓
SD	Asthma	✓	·	✓
SD	Chest discomfort	·	·	✓
SD	Depressed mood	✓	·	✓
SD	Depression	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Drug hypersensitivity	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear congestion	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Gallbladder disorder	·	·	✓
SD	Gallbladder enlargement	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	General physical health deterioration	·	·	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	·	·	✓
SD	Heart rate irregular	·	·	✓
SD	Hepatomegaly	·	·	✓
SD	Insomnia	·	·	✓
SD	Irritable bowel syndrome	·	·	✓
SD	Liver disorder	·	·	✓
SD	Major depression	·	·	✓
SD	Malaise	·	·	✓
SD	Memory impairment	·	·	✓
SD	Musculoskeletal pain	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rash	✓	✓	✓
SD	Respiratory disorder	✓	✓	✓
SD	Sinus disorder	·	·	✓
SD	Swelling	·	·	✓
SD	Swelling face	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Viral upper respiratory tract infection	✓	·	✓
SD	Weight decreased	·	·	✓
SRO	Asthma	·	·	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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