3H3-28499-68299

1 vaccination 11 coded responses 13 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 925 / CA
Registered: 2021-02-16

Relationship: Self
Race: Other
Ethnicity: N/A

Timeline

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

2021-02-16
Registered in v-safe
2021-02-16
Dose 1 — Pfizer-BioNTech
2021-02-16
Survey response — day 0, dose 1
MedDRA: Dysphagia, Ear discomfort, Paraesthesia oral — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Nausea

Free text: Lips were tingling- plug up ears-hard to swallow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Plug up ears-sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat-hard to swallow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — days 1–6 daily, dose 1
MedDRA: Dyspnoea, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: Hard to breath Sore and weak throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dysphagia, Hypertension, Office visit, Pharyngeal swelling — Feeling: Poor

Free text: Swelling of throat cant swallow high blood pressure went to urgent care will follow up with doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-03-11
Survey response — day 21, dose 1
MedDRA: Hypersensitivity — Feeling: Poor · Be unable to do your normal daily activities

Free text: Allergic reaction still with side effects

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — day 28, dose 1
MedDRA: Dysphagia — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Throat restrictions difficulty swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 42, dose 1
MedDRA: Hypersensitivity, Immunisation reaction — Feeling: Fair · 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, Hospitalization

Free text: Still allergic reaction to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 42, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — 3 months, dose 1
MedDRA: Blood potassium decreased, Blood pressure abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Low potassium and blood pressure off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Call 1 — Left Voicemail
2021-06-08
Call successful
Participant prefers to complete VAERS report online
2021-08-19
Survey response — 6 months, dose 1
MedDRA: Anxiety — Feeling: Fair · Be unable to do your normal daily activities

Free text: Having anxiety. Dont really know why. Never had it before.

MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-16	Pfizer-BioNTech

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-16

Systemic reaction (other): Lips were tingling- plug up ears-hard to swallow

Release 4 — days 1–6 daily, dose 1

2021-02-17

Systemic reaction (other): Plug up ears-sore throat

2021-02-18

Systemic reaction (other): Sore throat-hard to swallow

2021-02-19

Systemic reaction (other): Sore throat

2021-02-20

Systemic reaction (other): Hard to breath Sore and weak throat

2021-02-21

Systemic reaction (other): Swelling of throat cant swallow high blood pressure went to urgent care will follow up with doctor

Release 5 — day 21, dose 1

2021-03-11

Symptoms: Allergic reaction still with side effects

Release 5 — day 28, dose 1

2021-03-16

Symptoms: Throat restrictions difficulty swallowing

Release 6 — day 42, dose 1

2021-04-01

Symptoms: Still allergic reaction to the vaccine

Release 8 — 3 months, dose 1

2021-05-20

Symptoms: Low potassium and blood pressure off

Release 9 — 6 months, dose 1

2021-08-19

Symptoms: Having anxiety. Dont really know why. Never had it before.

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	Anxiety	✓	·	✓
SD	Blood potassium decreased	✓	✓	✓
SD	Blood pressure abnormal	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SRO	Dysphagia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓

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