38Y-62143-45231

1 vaccination 6 coded responses 14 check-ins 6 free-text entries 10 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 850 / AZ
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-17
Dose 1 — Pfizer-BioNTech
2020-12-17
Survey response — day 0, dose 1
MedDRA: Dizziness, Hot flush, Palpitations — Feeling: Poor · Joint pains · Be unable to work

Free text: Dizziness, heart palpitations flush hot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-17
Report sent to call center — day 0, dose 1
Be unable to work

1 call case(s)
2020-12-18
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2020-12-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to work

1 call case(s)
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-23
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus pain, Swelling face — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Left side face swollen sinus bone area pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-23
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-24
Survey response — day 7, dose 1
MedDRA: Bell's palsy, Facial pain, Swelling face — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have bells palsy left side of face its very very painful swollen like been punchrd

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-24
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-31
Survey response — day 14, dose 1
MedDRA: Angina pectoris, Bell's palsy, Office visit, Wheezing — 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

Free text: Bells palasay left side of face and wheezing in my lungs angina pain daily activities have to keep Heart rate under 100bpm to have it tolerable going to see cardilogist . Saw pcp today 50% better 5 days mire high steroids

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2020-12-31
Call 1 — Could Not Reach Participant
2020-12-31
Call 2 — Could Not Reach Participant
2021-01-05
Call 1 — Could Not Reach Participant
2021-01-07
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-08
Call successful
Completed over the phone
2021-01-14
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-01-28
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — 3 months, dose 1
Feeling: Fair

Adult check-in
2021-06-19
Survey response — 6 months, dose 1
MedDRA: Bell's palsy, Blindness unilateral, Office visit, Pupil fixed, Uveitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Bell's Palsy came back I lost site in the left eye Uveitis I had to be in dark as my pupil was blown it took a month to unstick. I had 20/200 in left eye . I am able to be back at work site is 20/70 · Healthcare visit (other): Had to see Nuero opthalmologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-19
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-12-18
Survey response — 12 months, dose 1
MedDRA: Anaphylactic reaction, Condition aggravated, Foot fracture, Frustration tolerance decreased, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Broke my 2nd 3rd metatarsal, keep getting flare ups of Uveitis Uritis now in both eyes all due to the anaphylaxis vaccine on 12/17/20.Super frustrating

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-20
Call 1 — Could Not Reach Participant
2021-12-23
Call 2 — Could Not Reach Participant

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-17	Pfizer-BioNTech

Call center

10 call center cases

8 successful · 2 unsuccessful

VAERS report filed, before or during a call: 8

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-17

Systemic reaction (other): Dizziness, heart palpitations flush hot

Release 1 — days 1–6 daily, dose 1

2020-12-23

Systemic reaction (other): Left side face swollen sinus bone area pain

Release 1 — day 7, dose 1

2020-12-24

Systemic reaction (other): I have bells palsy left side of face its very very painful swollen like been punchrd

Release 1 — day 14, dose 1

2020-12-31

Symptoms: Bells palasay left side of face and wheezing in my lungs angina pain daily activities have to keep Heart rate under 100bpm to have it tolerable going to see cardilogist . Saw pcp today 50% better 5 days mire high steroids

Release 9 — 6 months, dose 1

2021-06-19

Symptoms: Bell's Palsy came back I lost site in the left eye Uveitis I had to be in dark as my pupil was blown it took a month to unstick. I had 20/200 in left eye . I am able to be back at work site is 20/70

Healthcare visit (other): Had to see Nuero opthalmologist

Release 10 — 12 months, dose 1

2021-12-18

Symptoms: Broke my 2nd 3rd metatarsal, keep getting flare ups of Uveitis Uritis now in both eyes all due to the anaphylaxis vaccine on 12/17/20.Super frustrating

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	Anaphylactic reaction	·	·	✓
SD	Angina pectoris	✓	✓	✓
SD	Bell's palsy	✓	✓	✓
SD	Blindness unilateral	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Foot fracture	·	·	✓
SD	Frustration tolerance decreased	·	·	✓
SD	Office visit	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pupil fixed	✓	✓	✓
SD	Uveitis	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Bell's palsy	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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