3YA-16047-50838

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 208 / MD
Registered: 2021-04-13

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Nose extra congested

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Free text: Increased nasal congestion - left nostril almost blocked

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye discharge, Eyelid margin crusting — Feeling: Good · Headache

Free text: Eye discharge making crust at corners. Not sure if it is the vaccine, allergies, or glacauma drops

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Eye discharge, Nasal congestion — Feeling: Good

Free text: Nasal congestion, eye mucus. Energy level was very good today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — days 1–6 daily, dose 1
MedDRA: Crying, Eye discharge, Periorbital pain — Feeling: Good · Fatigue or tiredness, Abdominal pain

Free text: Eye discharge and weeping making corners of eye sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 1
MedDRA: Crying, Eyelid margin crusting — Feeling: Good · Headache

Free text: Weepy, crusty eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — day 14, dose 1
MedDRA: Eye pain, Lacrimation increased, Ocular hyperaemia, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still have eye weeping that makes the corners of my eyes red and sore. I did not have the problem before the vaccine. It started the afternoon I received the vaccine. I have year round allergies, but not this problem, usually nasal congestion. · Healthcare visit (other): In person appointment scheduled for May

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 21, dose 1
MedDRA: Eyelid margin crusting, Lacrimation increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still having problems with eyes. Not watery tears anymore but dry crust at corners. I wipe my eyes and eyelids with a wet tissue in the morning and after drops. Will see my glacauma doctor later this month. · Healthcare visit (other): In person appt with glacauma and cornea doctors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-08
Dose 2 — Pfizer-BioNTech
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-05-12
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Lacrimation increased, Pain in extremity, Peripheral swelling, Self-medication — Feeling: Good · Headache, Diarrhea

Free text: First shot had worse symptoms - watery eyes, more arm pain, greater fatigue since I had COVID-19 twice before. This time much milder. Used arnica to reduce arm swelling and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-05-15
Health check-in — day 7, dose 2
Feeling: Good · Headache, Joint pains, Diarrhea

Adult check-in
2021-05-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-19
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Cough, Headache, Hypersensitivity, Neuralgia, Pre-existing disease — Feeling: Good

Free text: My daily headaches that lessened and went away after the vaccine have come back with a higher intensity.Fingertip nerve pain came back. Had been gone for months with supplements. Need to use daily again. Increased allergies, cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-07
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Survey response — 6 months, dose 2
MedDRA: Tachycardia — Feeling: Good

Free text: Had tachycardia twice (140 bpm) but it nay have been related to dehydration and drinking too much water since Pedialyte electrolytes stopped it.

MedDRA releases: 2024-11 · check-in free text available
2022-04-01
Call 1 — Left Voicemail
2022-05-08
Survey response — 12 months, dose 2
MedDRA: Electrolyte imbalance, Emergency care, Office visit, Tachycardia, Visual impairment, Vitreous floaters — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Big eye floaters that obscured my vision and caused me to see the retinal specialist. Feb 10, 2022 All okay. Tachycardia upon waking from nap in March 2022 about 110 bpm. Electrolytes resolved problem · Healthcare visit (other): Emergency next day appointment with retina specialist

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-09
Call successful
Not applicable - Accidental Reporting
2022-05-09
Call successful
Not applicable - Accidental Reporting
2022-05-09
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-08	Pfizer-BioNTech

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Nose extra congested

2021-04-15

Systemic reaction (other): Increased nasal congestion - left nostril almost blocked

2021-04-16

Systemic reaction (other): Eye discharge making crust at corners. Not sure if it is the vaccine, allergies, or glacauma drops

2021-04-17

Systemic reaction (other): Nasal congestion, eye mucus. Energy level was very good today

2021-04-18

Systemic reaction (other): Eye discharge and weeping making corners of eye sore

Release 7 — day 7, dose 1

2021-04-20

Systemic reaction (other): Weepy, crusty eyes

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Still have eye weeping that makes the corners of my eyes red and sore. I did not have the problem before the vaccine. It started the afternoon I received the vaccine. I have year round allergies, but not this problem, usually nasal congestion.

Healthcare visit (other): In person appointment scheduled for May

Release 8 — day 21, dose 1

2021-05-04

Symptoms: Still having problems with eyes. Not watery tears anymore but dry crust at corners. I wipe my eyes and eyelids with a wet tissue in the morning and after drops. Will see my glacauma doctor later this month.

Healthcare visit (other): In person appt with glacauma and cornea doctors

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): First shot had worse symptoms - watery eyes, more arm pain, greater fatigue since I had COVID-19 twice before. This time much milder. Used arnica to reduce arm swelling and pain.

Release 9 — day 42, dose 2

2021-06-19

Symptoms: My daily headaches that lessened and went away after the vaccine have come back with a higher intensity.Fingertip nerve pain came back. Had been gone for months with supplements. Need to use daily again. Increased allergies, cough

Release 10 — 6 months, dose 2

2021-11-06

Symptoms: Had tachycardia twice (140 bpm) but it nay have been related to dehydration and drinking too much water since Pedialyte electrolytes stopped it.

Release 11 — 12 months, dose 2

2022-05-08

Symptoms: Big eye floaters that obscured my vision and caused me to see the retinal specialist. Feb 10, 2022 All okay. Tachycardia upon waking from nap in March 2022 about 110 bpm. Electrolytes resolved problem

Healthcare visit (other): Emergency next day appointment with retina 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	Emergency care	·	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Electrolyte imbalance	·	·	✓
SD	Eye pain	✓	✓	✓
SD	Eyelid margin crusting	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lacrimation increased	✓	✓	✓
SD	Neuralgia	✓	✓	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tachycardia	·	·	✓
SD	Visual impairment	·	·	✓
SD	Vitreous floaters	·	·	✓
SRO	Asthenia	✓	✓	✓
SRO	Crying	✓	✓	✓
SRO	Eye discharge	✓	✓	✓
SRO	Eyelid margin crusting	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Periorbital pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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