4LB-76032-90093

5 vaccinations 6 coded responses 36 check-ins 6 free-text entries 5 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 630 / MO
Registered: 2021-02-28

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

2021-02-27
Dose 1 — Pfizer-BioNTech
2021-02-28
Registered in v-safe
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Eyelids pruritus, Medical counselling — Feeling: Good · Site: Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Corner of rim of left eyelid itching and eye stinging · Healthcare visit (other): Phone call to eye doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pruritus, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Rim of left eye lid continues to itch · Healthcare visit (other): Called eye doctor and he suggested OTC eye drops and a eyelid cleanser

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Unevaluable event — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): These symptoms started late yesterday. I don't know if the vaccine is making my MCTD flare. · Healthcare visit (other): Phone call to doctor for medicine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-04
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Headache, Medical counselling, Paraesthesia — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pins and needles head pain. Had to start taking steroids for the body pain. · Healthcare visit (other): Called doctor to ask about unusual blood bruising on my wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Connective tissue disorder, Pain — Feeling: Good · Joint pains

Free text: My pain may be due to my connective tissue disease

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-20
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-28
Dose 3 — Pfizer-BioNTech
2021-09-20
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-26
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-01
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — day 7, dose 4
MedDRA: Dyspnoea, Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Heart palpitations and shortness of breath · Healthcare visit (other): Office visit with PCP and ekg with cardiologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-15
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-19
Call 1 — Could Not Reach Participant
2022-04-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-04-22
Call 2 — Left Voicemail
2022-04-22
Call successful
Participant prefers to complete VAERS report online
2022-04-29
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-13
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-11-10
Dose 5 — Pfizer-BioNTech
2023-04-01
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in
2023-05-11
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-27	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-08-28	Pfizer-BioNTech	No
4	2022-04-01	Pfizer-BioNTech	No
5	2022-11-10	Pfizer-BioNTech	No

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Corner of rim of left eyelid itching and eye stinging

Healthcare visit (other): Phone call to eye doctor

2021-03-02

Systemic reaction (other): Rim of left eye lid continues to itch

Healthcare visit (other): Called eye doctor and he suggested OTC eye drops and a eyelid cleanser

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): These symptoms started late yesterday. I don't know if the vaccine is making my MCTD flare.

Healthcare visit (other): Phone call to doctor for medicine

2021-03-04

Systemic reaction (other): Pins and needles head pain. Had to start taking steroids for the body pain.

Healthcare visit (other): Called doctor to ask about unusual blood bruising on my wrist

2021-03-05

Systemic reaction (other): My pain may be due to my connective tissue disease

Release 11 — day 7, dose 4

2022-04-14

Systemic reaction (other): Heart palpitations and shortness of breath

Healthcare visit (other): Office visit with PCP and ekg with cardiologist

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	Medical counselling	✓	✓	✓
HCVO	Office visit	·	·	✓
SRO	Connective tissue disorder	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Eye pain	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Eyelids pruritus	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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