2UE-31162-28602

2 vaccinations 12 coded responses 25 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 480 / MI
Registered: 2021-03-17

Relationship: Self
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 1
MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Slight numbness in my upper lip

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Painful respiration — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore in my back under my ribs and between my shoulder blades. It hurt to take a deep breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches

Free text: Still have a slight pain when I take a deep breath and in the area between my ribs before my shoulder blades

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain — Feeling: Good · Joint pains, Muscle or body aches

Free text: Still have a little soreness in my back area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-31
Survey response — day 14, dose 1
MedDRA: Insomnia, Pain in extremity, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: My legs have been hurting and I'm having a hard time sleeping. Regular aches and pains with Lupus are normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 21, dose 1
MedDRA: Eye disorder, Impaired work ability, Visual impairment — Feeling: Good

Free text: Seeing some sort of squiggly lines in my left eye. I believe I need to see an opthalmologist for it. Very annoying and making it hard to work on the computer. I'm an accountant so that is a must.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Vitreous floaters — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Floaters in my left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Macular hole, Office visit — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Found out I have a hole in my retna · Healthcare visit (other): In person with my eye Dr.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Cough, Neck pain, Sinus congestion — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Pain in my shoulder and neck. Coughing and sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Didn't sleep well every night so far

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-23
Survey response — day 14, dose 2
MedDRA: Diarrhoea, Vitreous floaters — Feeling: Fair

Free text: Loose stoolsHave floaters in my left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Renal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Serious pain in my kidneys

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-08
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-02-19
Call successful
Does not wish to fill out VAERS report
2022-04-09
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Slight numbness in my upper lip

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Sore in my back under my ribs and between my shoulder blades. It hurt to take a deep breath.

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Still have a slight pain when I take a deep breath and in the area between my ribs before my shoulder blades

2021-03-20

Systemic reaction (other): Still have a little soreness in my back area

Release 6 — day 14, dose 1

2021-03-31

Symptoms: My legs have been hurting and I'm having a hard time sleeping. Regular aches and pains with Lupus are normal

Release 7 — day 21, dose 1

2021-04-07

Symptoms: Seeing some sort of squiggly lines in my left eye. I believe I need to see an opthalmologist for it. Very annoying and making it hard to work on the computer. I'm an accountant so that is a must.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Floaters in my left eye

2021-04-13

Systemic reaction (other): Found out I have a hole in my retna

Healthcare visit (other): In person with my eye Dr.

2021-04-14

Systemic reaction (other): Pain in my shoulder and neck. Coughing and sinus congestion

2021-04-15

Systemic reaction (other): Didn't sleep well every night so far

Release 7 — day 14, dose 2

2021-04-23

Symptoms: Loose stoolsHave floaters in my left eye

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Serious pain in my kidneys

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	Diarrhoea	✓	✓	✓
SD	Eye disorder	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal pain	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Hypoaesthesia oral	✓	✓	✓
SRO	Macular hole	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Vitreous floaters	✓	✓	✓

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