3AT-27834-28306

2 vaccinations 21 coded responses 24 check-ins 21 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-02-09

Relationship: Self
Race: Other
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-02-09
Registered in v-safe
2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have asthma, my inhalers haven't been working as well as before the shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia, Self-medication — Feeling: Fair · Fever · Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: I take tylenol-4 every day so my fevers are not as high as they would be

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 1
MedDRA: Pyrexia, SARS-CoV-2 test positive — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Didn't rest much. I'm a night owl so that high fever happened at 2:30am while I was beginning to settle down. I've had covid-positive twice since around Nov 19 the Dec 15 through blood test. This has been much of the same symptoms.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Just very tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Temp 99.3 f but still really fatigued

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — day 7, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have felt fatigue since contracting covid virus so its nothing new, but it is worse since the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Survey response — day 0, dose 2
MedDRA: Sinus pain — Feeling: Fair · Site: Pain, Swelling

Free text: Sinus pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Immediate post-injection reaction, Injection site pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye pain. The tech delivering the shot pinched my muscle the shot was painful immediately the first was a simple shot to the arm *

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Buzz in left ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Confusional state, Eye pain — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye pain, continued moments of confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Sinus congestion — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Eye pain, sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Fatigue, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Long term exhaustion from previous viruses, eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 7, dose 2
MedDRA: Fatigue, Loss of personal independence in daily activities, Pyrexia — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Exhausted, can't do any activity w/o so tired +fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 14, dose 2
MedDRA: Amnesia, Lethargy, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lethargy, memory loss. Fever after exertion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 21, dose 2
MedDRA: Confusional state, Hot flush, Middle insomnia, Pyrexia, Somnolence — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fever flashes after exertion Sometimes i sleep half of the day,then up in the middle of the nightConfusion is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 28, dose 2
MedDRA: Asthma, Fatigue, Memory impairment, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fevers are back 100.2 earlier in last friday. Asthma is worse. Forgetfulness and exhaustion worse. I call it swiss cheese brain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 35, dose 2
MedDRA: Depression, Dyspnoea, Head discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: Depression,sudden Sudden unable to breathHead pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 42, dose 2
MedDRA: Confusional state, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Confusion and exhaustion Will be going to a (b)(6) at (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Memory impairment, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Off balance, holes in my memoryI have contacted Covid19 recovery but it only included pulmonary/lung health not neurological problems. Most Drs don't want anything to do with me

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-01
Survey response — 6 months, dose 2
MedDRA: Anxiety, Depressed mood, Fatigue, Influenza like illness — 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: Almost 2 weeks of flu like symptoms Went untested for Covid Still exhausted depressed, anxiety

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-01
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-08
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): I have asthma, my inhalers haven't been working as well as before the shot

2021-02-12

Systemic reaction (other): I take tylenol-4 every day so my fevers are not as high as they would be

2021-02-13

Systemic reaction (other): Didn't rest much. I'm a night owl so that high fever happened at 2:30am while I was beginning to settle down. I've had covid-positive twice since around Nov 19 the Dec 15 through blood test. This has been much of the same symptoms.

2021-02-14

Systemic reaction (other): Just very tired

2021-02-15

Systemic reaction (other): Temp 99.3 f but still really fatigued

Release 4 — day 7, dose 1

2021-02-16

Systemic reaction (other): I have felt fatigue since contracting covid virus so its nothing new, but it is worse since the vaccine

Release 4 — day 0, dose 2

2021-03-02

Systemic reaction (other): Sinus pain

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Eye pain. The tech delivering the shot pinched my muscle the shot was painful immediately the first was a simple shot to the arm *

2021-03-04

Systemic reaction (other): Eye pain

2021-03-05

Systemic reaction (other): Buzz in left ear

2021-03-06

Systemic reaction (other): Eye pain, continued moments of confusion

2021-03-07

Systemic reaction (other): Eye pain, sinus congestion

2021-03-08

Systemic reaction (other): Long term exhaustion from previous viruses, eye pain

Release 5 — day 7, dose 2

2021-03-09

Systemic reaction (other): Exhausted, can't do any activity w/o so tired +fever

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Lethargy, memory loss. Fever after exertion

Release 6 — day 21, dose 2

2021-03-23

Symptoms: Fever flashes after exertion Sometimes i sleep half of the day,then up in the middle of the nightConfusion is worse

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Fevers are back 100.2 earlier in last friday. Asthma is worse. Forgetfulness and exhaustion worse. I call it swiss cheese brain.

Release 7 — day 35, dose 2

2021-04-06

Symptoms: Depression,sudden Sudden unable to breathHead pressure

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Confusion and exhaustion Will be going to a (b)(6) at (b)(6)

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Off balance, holes in my memoryI have contacted Covid19 recovery but it only included pulmonary/lung health not neurological problems. Most Drs don't want anything to do with me

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Almost 2 weeks of flu like symptoms Went untested for Covid Still exhausted depressed, anxiety

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	Amnesia	✓	✓	✓
SD	Anxiety	✓	·	✓
SD	Asthma	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Depressed mood	✓	·	✓
SD	Depression	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Hypersomnia	○	○	○
SD	Influenza like illness	✓	·	✓
SD	Lethargy	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Middle insomnia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Somnolence	✓	✓	✓
SRO	Asthma	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Loss of personal independence in daily activities	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	SARS-CoV-2 test positive	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sinus pain	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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