3K4-25579-92235

2 vaccinations 6 coded responses 25 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 705 / LA
Registered: 2020-12-29

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

2020-12-29
Registered in v-safe
2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Nausea

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache — Feeling: Good

Free text: Fatigue and headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Eye swelling — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Under eye area is swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — day 7, dose 2
MedDRA: Eye swelling — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Both (under) eyes are swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Survey response — day 35, dose 2
MedDRA: Eye swelling, Peripheral swelling, Pruritus — Feeling: Good

Free text: Under eye swelling, hand puffiness, generalized Itching on legs with no rash or hives present. For one to two days then gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-08
Call successful
Does not wish to fill out VAERS report
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Survey response — 6 months, dose 2
MedDRA: Cough, Office visit, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Congestion, runny nose, sore throat, coughing. · Healthcare visit (other): Primary care MD

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Report sent to call center — 6 months, dose 2
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)
2021-07-22
Call 1 — Requested Callback
2021-07-23
Call 2 — Left Voicemail
2021-07-23
Callback requested for
2022-01-19
Survey response — 12 months, dose 2
MedDRA: Arthralgia, COVID-19, Cough, Headache, Influenza, Myalgia, Pyrexia, Respiratory tract congestion — 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: Flu and covid both in December 2021. Despite Flu shot taken November of 2021. Fever, cough, severe congestion, muscle aches, joint pain, headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-01-19
Report sent to call center — 12 months, dose 2
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)
2022-01-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 1 — day 14, dose 1

2021-01-12

Symptoms: Fatigue and headache

Release 2 — days 1–6 daily, dose 2

2021-01-25

Systemic reaction (other): Under eye area is swollen

Release 2 — day 7, dose 2

2021-01-26

Systemic reaction (other): Both (under) eyes are swollen

Release 4 — day 35, dose 2

2021-02-23

Symptoms: Under eye swelling, hand puffiness, generalized Itching on legs with no rash or hives present. For one to two days then gone.

Release 9 — 6 months, dose 2

2021-07-20

Symptoms: Congestion, runny nose, sore throat, coughing.

Healthcare visit (other): Primary care MD

Release 10 — 12 months, dose 2

2022-01-19

Symptoms: Flu and covid both in December 2021. Despite Flu shot taken November of 2021. Fever, cough, severe congestion, muscle aches, joint pain, headaches.

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	Arthralgia	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Influenza	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Eye swelling	✓	✓	✓

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