2WN-10749-19608

2 vaccinations 13 coded responses 17 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 591 / MT
Registered: 2021-03-04

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

2021-02-12
Dose 1 — Pfizer-BioNTech
2021-03-04
Registered in v-safe
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 2
MedDRA: Swelling face — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Concerned mostly swollen face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — day 14, dose 1
MedDRA: Arthralgia, Fatigue, Feeling abnormal, Myalgia, Swelling face — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swelling of the face. Foggy head very little. Tired medium achey shoulders and burning feeling along the top back and shoulders. This is my second vaccine Pfizer 3-3-2021 . I register 1st vaccine date 2-12-2021. Pfizer vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · None · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Joint swelling, Pre-existing disease, Swelling face — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Face still swollen not severe ankles swollen not severe I would guess it's is moderate ankles could be due to arthritis. Was so tired yesterday I fell asleep talking reading ang playing a game.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling of the face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Fair · Site: Swelling · Chills, Joint pains

Free text: Swelling in face not gone but better

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Swelling face — Feeling: Good · Chills, Headache, Fatigue or tiredness

Free text: Little swelling let side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — day 7, dose 2
Feeling: Good · Chills, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — day 14, dose 2
MedDRA: Chills, Oropharyngeal pain, Pruritus — Feeling: Fair

Free text: Sore throat slight. Chills moderate at times. Foster son came home with cold/allergy symptoms not vaccinated. Day 6 he's almost better. Yet I feel like he did. Dr said if he is positive Covid then I should be tested. And report. Arm itchy. Little

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 2
MedDRA: Chills, Pneumonia — 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: Double Pneumonia.Chills since last Vac. Mar 3 actually since 1st Vac.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-02
Survey response — day 28, dose 2
MedDRA: Pneumonia, Pyrexia, SARS-CoV-2 test negative — 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: I have double pneumonia. On O2. test neg for Covid 19highest fever was 102.4Â°

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 35, dose 2
MedDRA: Pneumonia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Still trying to recover from double pneumonia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 42, dose 2
MedDRA: Oxygen consumption increased, Pneumonia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Using more oxygen. Double pneumonia lingering

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Survey response — 3 months, dose 2
MedDRA: Rash vesicular — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Developed a spotty, blistering rash. I don't know if this related to the vax. 3wk after 2 vax had pneumonia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Call successful
Completed over the phone
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Fatigue, Feeling hot, Skin warm — Feeling: Good

Free text: I dont know if it has anything to do withe the vaccine. I have been gett real hot at times . My forheadis hot and i am tired . It does not last . I have no fever and i past menopaues. There is no pattern to when the hotness comes it only lasts for a

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-12	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 3

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-04

Symptoms: Swelling of the face. Foggy head very little. Tired medium achey shoulders and burning feeling along the top back and shoulders. This is my second vaccine Pfizer 3-3-2021 . I register 1st vaccine date 2-12-2021. Pfizer vaccine.

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): Concerned mostly swollen face.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Face still swollen not severe ankles swollen not severe I would guess it's is moderate ankles could be due to arthritis. Was so tired yesterday I fell asleep talking reading ang playing a game.

2021-03-08

Systemic reaction (other): Swelling of the face.

2021-03-09

Systemic reaction (other): Swelling in face not gone but better

2021-03-10

Systemic reaction (other): Little swelling let side of face

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Sore throat slight. Chills moderate at times. Foster son came home with cold/allergy symptoms not vaccinated. Day 6 he's almost better. Yet I feel like he did. Dr said if he is positive Covid then I should be tested. And report. Arm itchy. Little cut off by CDC

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Double Pneumonia.Chills since last Vac. Mar 3 actually since 1st Vac.

Release 6 — day 28, dose 2

2021-04-02

Symptoms: I have double pneumonia. On O2. test neg for Covid 19highest fever was 102.4Â°

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Still trying to recover from double pneumonia.

Release 7 — day 42, dose 2

2021-04-15

Symptoms: Using more oxygen. Double pneumonia lingering

Release 8 — 3 months, dose 2

2021-06-03

Symptoms: Developed a spotty, blistering rash. I don't know if this related to the vax. 3wk after 2 vax had pneumonia.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: I dont know if it has anything to do withe the vaccine. I have been gett real hot at times . My forheadis hot and i am tired . It does not last . I have no fever and i past menopaues. There is no pattern to when the hotness comes it only lasts for a 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
SD	Arthralgia	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Feeling hot	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Oxygen consumption increased	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Rash vesicular	✓	✓	✓
SD	SARS-CoV-2 test negative	✓	✓	✓
SD	Skin warm	·	·	✓
SD	Swelling face	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Joint swelling	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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