4TZ-83259-80457

2 vaccinations 6 coded responses 10 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 606 / IL
Registered: 2021-01-31

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

2021-01-30
Dose 1 — Pfizer-BioNTech
2021-01-31
Registered in v-safe
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-17
Survey response — day 14, dose 1
MedDRA: Hypersensitivity, Pruritus, Urticaria — Feeling: Poor · Be unable to work, 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: 8 days after I got the vaccine I broke out in hives on my arms and hands and back. I still have them. I am very itchy. Sometimes I can hardly stand it. Benadryl helps. My doctor says the hives are an allergic reaction to the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-27
Survey response — day 7, dose 2
MedDRA: Erythema, Immunisation reaction, Pruritus, Urticaria — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Just like the first vaccination about six days after I got it I broke out in hives over much of my body. They are red they are very itchy sometimes I can hardly stand it. This happened with the first injection they faded Somewhat but came back after the second injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 21, dose 2
MedDRA: Erythema, Pruritus, Urticaria — Feeling: Fair · Be unable to work, 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: The red hives that itch so terribly have spread to my legs and back. Sometimes I think I can hardly stand it and wish I had never had the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-20
Survey response — day 28, dose 2
MedDRA: Pruritus, Urticaria — Feeling: Fair · Be unable to work

Free text: Hives and itching have spread to my legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — day 35, dose 2
MedDRA: Erythema, Fatigue, Immediate post-injection reaction, Memory impairment, Pruritus — Feeling: Good · Be unable to work, 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: Red spots and itching continue to spread. Memory problems continue. Very tired. All this started shortly afterThe vaccination and got worse after the second dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Amnesia, Dizziness, Memory impairment, Vertigo — 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: Significantly impaired short-term memory, some long-term memory problems. My doctor says it is from the vaccine. Also dizziness, vertigo,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
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)
2021-08-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-30	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-17

Symptoms: 8 days after I got the vaccine I broke out in hives on my arms and hands and back. I still have them. I am very itchy. Sometimes I can hardly stand it. Benadryl helps. My doctor says the hives are an allergic reaction to the vaccine.

Release 4 — day 7, dose 2

2021-02-27

Systemic reaction (other): Just like the first vaccination about six days after I got it I broke out in hives over much of my body. They are red they are very itchy sometimes I can hardly stand it. This happened with the first injection they faded Somewhat but came back after the second injection.

Release 5 — day 21, dose 2

2021-03-13

Symptoms: The red hives that itch so terribly have spread to my legs and back. Sometimes I think I can hardly stand it and wish I had never had the vaccine.

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Hives and itching have spread to my legs.

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Red spots and itching continue to spread. Memory problems continue. Very tired. All this started shortly afterThe vaccination and got worse after the second dose

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Significantly impaired short-term memory, some long-term memory problems. My doctor says it is from the vaccine. Also dizziness, vertigo,

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
SD	Amnesia	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Erythema	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Urticaria	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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