3TX-32434-11007

1 vaccination 10 coded responses 11 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 482 / MI
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Survey response — day 0, dose 1
MedDRA: Glassy eyes, Ocular hyperaemia, Vision blurred — Feeling: Fair

Free text: Redness all the sudden in my eyes and blurred vision With some kind of glaze or something on my retina

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness · Muscle or body aches · Be unable to do your normal daily activities

Free text: This is my Second Shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: This is my Second dosage

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains · Be unable to do your normal daily activities

Free text: This is my second Dose Got pics of the way my Arm injection site looks loke

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event, Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: This is My 2nd Shot of Pfizer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Hospitalisation, Office visit — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Systemic reaction (other): This was my second Shot. Now Ive been admitted into the hospital due to my severe symptoms · Healthcare visit (other): Urgent Care sent me directly to the hospital I would like to call back from someone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Hospitalisation, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Im in the hospital due to complications from the shot · Healthcare visit (other): Call me (b)(6) CDC NEEDS TO KNOW BEFore news stations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 7, dose 1
MedDRA: Hospitalisation, Unevaluable event — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Im in the Hospital · Healthcare visit (other): Please call its serious

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Survey response — day 14, dose 1
MedDRA: Burning sensation, Headache, Hospitalisation — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Still burningHeadache Hospitalization as of 4/14/21

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-08
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-11-07
Call 1 — Left Voicemail
2022-04-09
Survey response — 12 months, dose 1
MedDRA: Immunisation reaction — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: A bad reaction to the shot

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — day 0, dose 1

2021-04-09

Systemic reaction (other): Redness all the sudden in my eyes and blurred vision With some kind of glaze or something on my retina

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): This is my Second Shot

2021-04-11

Systemic reaction (other): This is my Second dosage

2021-04-12

Systemic reaction (other): This is my second Dose Got pics of the way my Arm injection site looks loke

2021-04-13

Systemic reaction (other): This is My 2nd Shot of Pfizer

2021-04-14

Systemic reaction (other): This was my second Shot. Now Ive been admitted into the hospital due to my severe symptoms

Healthcare visit (other): Urgent Care sent me directly to the hospital I would like to call back from someone

2021-04-15

Systemic reaction (other): Im in the hospital due to complications from the shot

Healthcare visit (other): Call me (b)(6) CDC NEEDS TO KNOW BEFore news stations

redacted (b)(6)

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Im in the Hospital

Healthcare visit (other): Please call its serious

Release 7 — day 14, dose 1

2021-04-23

Symptoms: Still burningHeadache Hospitalization as of 4/14/21

Release 11 — 12 months, dose 1

2022-04-09

Symptoms: A bad reaction to the shot

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Burning sensation	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hospitalisation	✓	✓	✓
SD	Immunisation reaction	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Glassy eyes	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	No adverse event	○	✓	○
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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