49C-14849-01119

2 vaccinations 6 coded responses 12 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 296 / SC
Registered: 2021-04-26

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

2021-04-05
Dose 1 — Pfizer-BioNTech
2021-04-26
Registered in v-safe
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-26
Health check-in — day 0, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-29
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: The vaccine seems to have triggered my Addison's disease; recognized the Addison's crisis evolving and intervened with increased hydrocortisone. Is working, but should have known what to expect. No one seems to be aware or just not communicating this knowledge

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-03
Survey response — day 7, dose 2
MedDRA: Visual impairment — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Some vision problems since the shot, but don't know if correlated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 14, dose 2
MedDRA: Vision blurred, Vitreous floaters — Feeling: Fair

Free text: Vision problems. No matter how much eye wash solution used, i now see floaters in my visual field. Never had this issue on my lifetime until after the 2md vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 21, dose 2
MedDRA: Vision blurred, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: The floaters in my visual field, which developed within 48 h after the 2nd vaccine, have not cleared up. My vision is blurry. I'm a scientist. My eyes are crucial to my work. I will go to an eye MD for this now.

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-24
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Addison's disease, Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Poor · 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: Your ccp covid plague caused my immune system to attack my adrenals and condemned me to Addison's disease. Peer-reviewed papers indicate a link as well. This is a very rare disease. Not a coincidence. · Healthcare visit (other): $10,000 in 3 mo tests and analysis. Not covered by insurance BTW

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-07
Call 1 — Left Voicemail
2022-04-26
Survey response — 12 months, dose 2
MedDRA: General physical health deterioration, Pre-existing disease, Quality of life decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chronic fatigue, chronic bronchial inflammation and wheezing, dramatically lower quality of life due to the new health issues

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-05	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech

Call center

2 call center cases

2 unsuccessful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): The vaccine seems to have triggered my Addison's disease; recognized the Addison's crisis evolving and intervened with increased hydrocortisone. Is working, but should have known what to expect. No one seems to be aware or just not communicating this knowledge

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Some vision problems since the shot, but don't know if correlated.

Release 8 — day 14, dose 2

2021-05-10

Symptoms: Vision problems. No matter how much eye wash solution used, i now see floaters in my visual field. Never had this issue on my lifetime until after the 2md vaccine.

Release 8 — day 21, dose 2

2021-05-17

Symptoms: The floaters in my visual field, which developed within 48 h after the 2nd vaccine, have not cleared up. My vision is blurry. I'm a scientist. My eyes are crucial to my work. I will go to an eye MD for this now.

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Your ccp covid plague caused my immune system to attack my adrenals and condemned me to Addison's disease. Peer-reviewed papers indicate a link as well. This is a very rare disease. Not a coincidence.

Healthcare visit (other): $10,000 in 3 mo tests and analysis. Not covered by insurance BTW

Release 11 — 12 months, dose 2

2022-04-26

Symptoms: Chronic fatigue, chronic bronchial inflammation and wheezing, dramatically lower quality of life due to the new health issues

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	Unevaluable event	✓	·	✓
SD	Addison's disease	✓	·	✓
SD	Condition aggravated	✓	·	✓
SD	General physical health deterioration	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Quality of life decreased	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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