3K2-20556-61084

2 vaccinations 15 coded responses 19 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 392 / MS
Registered: 2021-03-25

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-25
Registered in v-safe
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Hallucination — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Hallucinations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-04
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Asthenia, Fatigue, Pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Extreme Fatigue, low to no energy body aches stomach problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 21, dose 1
MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities

Free text: Coughing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Diarrhoea — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Diarrhea for 2 days, constant cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Persistent cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 7, dose 2
MedDRA: Chest pain, Cough, Dyspnoea — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough, Chest pain, shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 14, dose 2
MedDRA: Pruritus, Rash — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Rash and severe itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 21, dose 2
MedDRA: Pruritus, Rash — Feeling: Fair

Free text: Itching on the arm of the injection wide spread rash down the arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 28, dose 2
MedDRA: Fatigue, Injection site pruritus, Rash — Feeling: Good

Free text: Arm is still itching around injection site and rash is spreading. Still feel fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Survey response — day 35, dose 2
MedDRA: Cough, Pain in extremity, Pruritus, Sneezing — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe itching, pain in arm, cough and sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Survey response — day 42, dose 2
MedDRA: Cough, Fatigue, Pruritus, Rash papular — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Still itching on the arm that I received the vaccine in with raised bumps. Fatigued. I have not felt the same since then. Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Cough, Dizziness, Fatigue, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Body aches, fatigue cough dizziness · Healthcare visit (other): Urgent Care

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call successful
Does not wish to fill out VAERS report
2021-10-14
Survey response — 6 months, dose 2
MedDRA: Pneumonia, Respiratory tract congestion, Sneezing — 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

Free text: Congestion sneezing pneumonia

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-19
Call 1 — Left Voicemail
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Hallucinations

Release 6 — day 14, dose 1

2021-04-04

Symptoms: Extreme Fatigue, low to no energy body aches stomach problems

Release 7 — day 21, dose 1

2021-04-11

Symptoms: Coughing

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Diarrhea for 2 days, constant cough

2021-04-19

Systemic reaction (other): Cough

2021-04-20

Systemic reaction (other): Persistent cough

2021-04-21

Systemic reaction (other): Cough

Release 7 — day 7, dose 2

2021-04-22

Systemic reaction (other): Cough, Chest pain, shortness of breath

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Rash and severe itching

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Itching on the arm of the injection wide spread rash down the arm

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Arm is still itching around injection site and rash is spreading. Still feel fatigue.

Release 8 — day 35, dose 2

2021-05-21

Symptoms: Severe itching, pain in arm, cough and sneezing

Release 8 — day 42, dose 2

2021-05-29

Symptoms: Still itching on the arm that I received the vaccine in with raised bumps. Fatigued. I have not felt the same since then. Cough

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Body aches, fatigue cough dizziness

Healthcare visit (other): Urgent Care

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Congestion sneezing pneumonia

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	Abdominal discomfort	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash papular	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Sneezing	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hallucination	✓	✓	✓

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