48A-17964-38507

3 vaccinations 14 coded responses 20 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 945 / CA
Registered: 2021-04-03

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Hives, arms and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Hives still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site

Free text: Hives arms legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Intermenstrual bleeding, Rash, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Hives still on arms and legs. Plus have been spotting both light and very heavy with clotting starting two days after vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Menstrual disorder, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Hives still. And menstrual which is unusual after having no period in the past 7 months.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — day 7, dose 1
MedDRA: Haemorrhage, Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Still hives and hormonal bleeding

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 2
MedDRA: Skin disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Skin on legs and arms looks mottled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Office visit, Pain, Skin disorder, Tenderness — Feeling: Fair · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Skin issues, plus mulitiple areas of pain and tenderness · Healthcare visit (other): Went to see my primary

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Livedo reticularis, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Skin mottling issues. Leg pains.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity, Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lingering bumpy skin. Still leg pain issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 2
MedDRA: Hypoaesthesia, Limb discomfort, Pain, Pain in extremity, Rash — 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: Pains in arms and legs, sometimes numbness, lower leg skin rash, limbs feel heavy and achy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-19
Health check-in — day 7, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-12-19
Report sent to call center — day 7, dose 3
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)
2021-12-20
Call 1 — Left Voicemail
2021-12-23
Survey response — day 14, dose 3
MedDRA: Erythema, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Developed rash/red spots on lower legs as well as the rash on my face is still there.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Report sent to call center — day 14, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-27
Call 1 — Left Voicemail
2022-01-01
Survey response — day 21, dose 3
MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Face rash had gotten worse. Is now a little better than it was before at its worst, but still there, and not going away. Mostly on the cheeks.

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-04
Call 1 — Left Voicemail
2022-01-04
Call successful
Does not wish to fill out VAERS report
2022-01-08
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-20
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Erythema, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Face rash/reddening still not healed.

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech
3	2021-12-09	Pfizer-BioNTech	No

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-04

Systemic reaction (other): Hives, arms and legs

2021-04-05

Systemic reaction (other): Hives still

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Hives arms legs

2021-04-08

Systemic reaction (other): Hives still on arms and legs. Plus have been spotting both light and very heavy with clotting starting two days after vaccine.

2021-04-09

Systemic reaction (other): Hives still. And menstrual which is unusual after having no period in the past 7 months.

Release 7 — day 7, dose 1

2021-04-10

Systemic reaction (other): Still hives and hormonal bleeding

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): Skin on legs and arms looks mottled.

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Skin issues, plus mulitiple areas of pain and tenderness

Healthcare visit (other): Went to see my primary

2021-04-28

Systemic reaction (other): Skin mottling issues. Leg pains.

2021-04-29

Systemic reaction (other): Lingering bumpy skin. Still leg pain issues.

Release 8 — day 21, dose 2

2021-05-17

Symptoms: Pains in arms and legs, sometimes numbness, lower leg skin rash, limbs feel heavy and achy.

Release 10 — day 14, dose 3

2021-12-23

Symptoms: Developed rash/red spots on lower legs as well as the rash on my face is still there.

Release 10 — day 21, dose 3

2022-01-01

Symptoms: Face rash had gotten worse. Is now a little better than it was before at its worst, but still there, and not going away. Mostly on the cheeks.

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Face rash/reddening still not healed.

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	Erythema	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Limb discomfort	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Rash	✓	✓	✓
SRO	Haemorrhage	✓	✓	✓
SRO	Intermenstrual bleeding	✓	✓	✓
SRO	Livedo reticularis	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Skin disorder	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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