3WT-31239-79144

5 vaccinations 14 coded responses 25 check-ins 12 free-text entries 11 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 220 / VA
Registered: 2021-09-02

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

2021-03-03
Dose 1 — Pfizer-BioNTech
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-09-02
Registered in v-safe
2021-09-02
Dose 3 — Pfizer-BioNTech
2021-09-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Chalazion, Office visit, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Within 2 days after the 2nd shot, I developed a chalazion that was one of the worst the doctors had seen. They said they had had several cases following vaccination. 4 weeks After booster (3rd) shot, left arm continues to be sore. May be tendontear · Healthcare visit (other): Dr. Office, steroid injections.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
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)
2021-09-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-30
Call successful
Participant prefers to complete VAERS report online
2021-10-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-16
Survey response — day 42, dose 3
MedDRA: Dermatitis, Rash — Feeling: Fair

Free text: Reaction-type Breakout/burns on face after waxing.

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-08
Survey response — 6 months, dose 3
MedDRA: Aspiration joint, Joint effusion, Joint swelling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Elbow swelling, filling with fluid. Radiologist removed fluid twice; on second visit, she added cortisone to stop it. · Healthcare visit (other): 2dr. Appt. Specialist needed.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-09
Call 1 — Left Voicemail
2022-04-24
Dose 4 — Pfizer-BioNTech
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Peripheral swelling — Feeling: Good · Site: Pain

Free text: Swelling of leg, foot, and hands

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Survey response — days 1–6 daily, dose 4
MedDRA: Peripheral swelling — Feeling: Good · Site: Itching · Joint pains · Be unable to do your normal daily activities

Free text: Swelling of right foot and leg

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Health check-in — day 7, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-08
Survey response — day 14, dose 4
MedDRA: Chalazion, Eyelid pain, Incisional drainage, Office visit, Swelling of eyelid — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm developing a chilazion in my R eyelid. Very painful! Swell.This ihappened in L eye with 2nd regular dose, too. My eye Dr. Saw 3 cases. I will contact her tomorrow to see if there is a way to intervene. It was bad w/ 1st one. Had to lance. · Healthcare visit (other): Dr. Visit in person

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call 1 — Left Voicemail
2022-05-09
Call 2 — Left Voicemail
2022-05-09
Call 1 — Left Voicemail
2022-05-17
Survey response — day 21, dose 4
MedDRA: Chalazion, Reaction to previous exposure to any vaccine — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: The chalazion is getting larger. I have an appt. W/ ophthalmologist tomorrow. · Healthcare visit (other): Will see Dr. In person tomorrow. This same side effect happened when I got my first booster - L eye. This time it is the R eye.

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call successful
Participant prefers to complete VAERS report online
2022-05-18
Call successful
Participant prefers to complete VAERS report online
2022-05-18
Call successful
Participant prefers to complete VAERS report online
2022-05-22
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-29
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-05
Survey response — day 42, dose 4
MedDRA: Office visit, Pain in extremity, Peripheral swelling, Pre-existing disease, Psoriatic arthropathy — 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

Free text: Symptoms: My right foor/psoriatic arthritis is flaring. Swelling to the point the bones can't be seen. Pain. Plan to call rheumatologist (autoimmune) on Monday. · Healthcare visit (other): Dr. Appt. In person.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — day 42, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 3 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 2 — Left Voicemail
2022-06-06
Call 1 — Left Voicemail
2022-07-25
Survey response — 3 months, dose 4
MedDRA: COVID-19, Chalazion, Cough, Dyspnoea, Headache, Hospitalisation, Malaise, Ocular discomfort — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I now have chalazions in both eyes. The pressure on my eyes causes headaches. They both flared back up when I caught COVID. And I was hospitalized with COVID on June 26. I am still not well. Recovering at home. The cough, and difficulty breathing

MedDRA releases: 2024-11 · check-in free text available
2022-07-25
Report sent to call center — 3 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-07-26
Call 3 — Left Voicemail
2022-07-26
Call X — Left Voicemail
2022-07-26
Call 3 — Left Voicemail
2022-07-26
Call 3 — Left Voicemail
2022-07-26
Call 2 — Left Voicemail
2022-07-26
Call 1 — Left Voicemail
2022-10-15
Dose 5 — Pfizer-BioNTech
2022-10-24
Survey response — 6 months, dose 4
MedDRA: Accident, Cough, Joint injury, Office visit — 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 · Emergency room or emergency department visit

Free text: Symptoms: . 1. Got COVID, hospitalized in June. 2. Rec'd New variant injection 10/15. By Wed. 10/19, I had a very bad dry, hacking cough. getting worse each day. Now into chest. Will call Dr. In morning. 3. Bad accident at home. Kneecap; 19 stitches. · Healthcare visit (other): Dr. Appt. Pc.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Survey response — day 7, dose 5
MedDRA: Cough, Secretion discharge, Unevaluable event, Wheezing — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cough. Now, In chest. Wheezing. Mucous. Hard to cough or break up. · Healthcare visit (other): Will have appt.

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-10-24
Report sent to call center — day 7, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-27
Call 3 — Left Voicemail
2022-10-27
Call 2 — Left Voicemail
2022-10-27
Call 1 — Left Voicemail
2022-10-27
Call 1 — Left Voicemail
2022-10-29
Health check-in — day 14, dose 5
Feeling: Poor

Adult check-in
2022-11-05
Health check-in — day 21, dose 5
Feeling: Poor

Adult check-in
2022-11-12
Survey response — day 28, dose 5
MedDRA: Medical counselling, Office visit, Oxygen saturation decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood oxygen levels dinking to 88 and 89. PCP suggested hospitalization., · Healthcare visit (other): In person appts. W/ PCP and pulmonary specialist.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Report sent to call center — day 28, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-14
Call successful
Participant prefers to complete VAERS report online
2022-11-19
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-16
Survey response — 3 months, dose 5
MedDRA: Cellulitis, Fatigue, Hospitalisation, Rehabilitation therapy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-01-16
Report sent to call center — 3 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-01-17
Call 1 — Could Not Reach Participant
2023-01-20
Call 2 — Left Voicemail
2023-04-17
Survey response — 6 months, dose 5
MedDRA: Blindness transient, Blindness unilateral, Blood pressure abnormal, COVID-19, Cataract, Eye infection, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-18
Call 3 — Left Voicemail
2023-04-18
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-03	Pfizer-BioNTech	No
2	2021-03-29	Pfizer-BioNTech	No
3	2021-09-02	Pfizer-BioNTech	No
4	2022-04-24	Pfizer-BioNTech	No
5	2022-10-15	Pfizer-BioNTech	No

Call center

11 call center cases

9 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Within 2 days after the 2nd shot, I developed a chalazion that was one of the worst the doctors had seen. They said they had had several cases following vaccination. 4 weeks After booster (3rd) shot, left arm continues to be sore. May be tendontear cut off by CDC

Healthcare visit (other): Dr. Office, steroid injections.

Release 10 — day 42, dose 3

2021-10-16

Symptoms: Reaction-type Breakout/burns on face after waxing.

Release 11 — 6 months, dose 3

2022-03-08

Symptoms: Elbow swelling, filling with fluid. Radiologist removed fluid twice; on second visit, she added cortisone to stop it.

Healthcare visit (other): 2dr. Appt. Specialist needed.

Release 11 — days 1–6 daily, dose 4

2022-04-27

Systemic reaction (other): Swelling of leg, foot, and hands

2022-04-29

Systemic reaction (other): Swelling of right foot and leg

Release 11 — day 14, dose 4

2022-05-08

Symptoms: I'm developing a chilazion in my R eyelid. Very painful! Swell.This ihappened in L eye with 2nd regular dose, too. My eye Dr. Saw 3 cases. I will contact her tomorrow to see if there is a way to intervene. It was bad w/ 1st one. Had to lance.

Healthcare visit (other): Dr. Visit in person

Release 11 — day 21, dose 4

2022-05-17

Symptoms: The chalazion is getting larger. I have an appt. W/ ophthalmologist tomorrow.

Healthcare visit (other): Will see Dr. In person tomorrow. This same side effect happened when I got my first booster - L eye. This time it is the R eye.

Release 11 — day 42, dose 4

2022-06-05

Symptoms: My right foor/psoriatic arthritis is flaring. Swelling to the point the bones can't be seen. Pain. Plan to call rheumatologist (autoimmune) on Monday.

Healthcare visit (other): Dr. Appt. In person.

Release 12 — 3 months, dose 4

2022-07-25

Symptoms: I now have chalazions in both eyes. The pressure on my eyes causes headaches. They both flared back up when I caught COVID. And I was hospitalized with COVID on June 26. I am still not well. Recovering at home. The cough, and difficulty breathing cut off by CDC

Release 12 — 6 months, dose 4

2022-10-24

Symptoms: . 1. Got COVID, hospitalized in June. 2. Rec'd New variant injection 10/15. By Wed. 10/19, I had a very bad dry, hacking cough. getting worse each day. Now into chest. Will call Dr. In morning. 3. Bad accident at home. Kneecap; 19 stitches.

Healthcare visit (other): Dr. Appt. Pc.

Release 12 — day 7, dose 5

2022-10-24

Systemic reaction (other): Cough. Now, In chest. Wheezing. Mucous. Hard to cough or break up.

Healthcare visit (other): Will have appt.

Release 12 — day 28, dose 5

2022-11-12

Symptoms: Blood oxygen levels dinking to 88 and 89. PCP suggested hospitalization.,

Healthcare visit (other): In person appts. W/ PCP and pulmonary specialist.

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	Reaction to previous exposure to any vaccine	·	·	✓
HCVO	Rehabilitation therapy	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Accident	·	·	✓
SD	Aspiration joint	·	·	✓
SD	Blindness transient	·	·	✓
SD	Blindness unilateral	·	·	✓
SD	Blood pressure abnormal	·	·	✓
SD	Cataract	·	·	✓
SD	Cellulitis	·	·	✓
SD	Chalazion	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dermatitis	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Eye infection	·	·	✓
SD	Eyelid pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Incisional drainage	·	·	✓
SD	Joint effusion	·	·	✓
SD	Joint injury	·	·	✓
SD	Joint swelling	·	·	✓
SD	Malaise	·	·	✓
SD	Medical counselling	·	·	✓
SD	Ocular discomfort	·	·	✓
SD	Office visit	·	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Psoriatic arthropathy	·	·	✓
SD	Rash	·	·	✓
SD	Swelling of eyelid	·	·	✓
SRO	Cough	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Secretion discharge	·	·	✓
SRO	Wheezing	·	·	✓

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