579-22399-60118

1 vaccination 13 coded responses 14 check-ins 13 free-text entries 13 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 740 / OK
Registered: 2021-01-01

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

2020-12-31
Dose 1 — Pfizer-BioNTech
2021-01-01
Registered in v-safe
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylactic shock, Hospitalisation — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Yes anaphylactic shock in hospital

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

1 call case(s)
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Anaphylaxis treatment, Blood glucose increased, Hospitalisation — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: On prednisone which has made my sugars go up on insulin. Still in hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Report sent to call center — days 1–6 daily, 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)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased, Depressed mood, Malaise — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Blood sugars up because of prednisone, sadness because I'm sick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, 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)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Hospitalisation — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Still in the hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, 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)
2021-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hospitalisation — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Still in hospital · Healthcare visit (other): Still in hospital.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — days 1–6 daily, 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)
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Hospitalisation — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Still in the hospital · Healthcare visit (other): Still in the hospital from anaphylactic shock, cold urticaria, and almost aspirating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — days 1–6 daily, 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)
2021-01-07
Survey response — day 7, dose 1
MedDRA: Office visit, Tinnitus — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Tinnitus severe · Healthcare visit (other): Visited ENT today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Report sent to call center — day 7, 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)
2021-01-14
Survey response — day 14, dose 1
MedDRA: Dysphagia, Headache, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Ears ringing that wont go away and a dull headache. Still have a hard time swallowing cant do rough foods still.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
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)
2021-01-21
Survey response — day 21, dose 1
MedDRA: Aphasia, Blood pressure increased, Dysphagia, Headache, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Ears ringing, headache, some loss of words, elevated bp, swallowing problems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 21, 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)
2021-01-26
Call 1 — Could Not Reach Participant
2021-01-28
Survey response — day 28, dose 1
MedDRA: Dysphagia, Headache, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Still having ear ringing, headaches and trouble swallowing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Report sent to call center — day 28, 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)
2021-02-06
Survey response — day 35, dose 1
MedDRA: Dizziness, Dysphagia, Headache, Physiotherapy, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Still having severe ear ringing, bad headaches, dizziness, hard time swallowing · Healthcare visit (other): Having to do physical therapy for swallowing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Report sent to call center — day 35, 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)
2021-02-11
Survey response — day 42, dose 1
MedDRA: Dysphagia, Headache, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Ears r still ringing, headaches, trouble swallowing still

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 42, 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)
2021-07-01
Health check-in — 6 months, dose 1
Feeling: Fair

Adult check-in
2021-12-31
Survey response — 12 months, dose 1
MedDRA: Impaired healing, Mast cell activation syndrome, Surgery, Wrist surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I have developed Mast Cell Disease, on new medicine and take allergy shots and had surgery on my wrist that won't heal because of it. All due to the COVID vaccine a year ago to the date. · Healthcare visit (other): Out patient surgery

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 12 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech

Call center

13 call center cases

13 unsuccessful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Yes anaphylactic shock in hospital

2021-01-02

Systemic reaction (other): On prednisone which has made my sugars go up on insulin. Still in hospital

2021-01-03

Systemic reaction (other): Blood sugars up because of prednisone, sadness because I'm sick

2021-01-04

Healthcare visit (other): Still in the hospital

2021-01-05

Systemic reaction (other): Still in hospital

Healthcare visit (other): Still in hospital.

2021-01-06

Systemic reaction (other): Still in the hospital

Healthcare visit (other): Still in the hospital from anaphylactic shock, cold urticaria, and almost aspirating

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): Tinnitus severe

Healthcare visit (other): Visited ENT today

Release 2 — day 14, dose 1

2021-01-14

Symptoms: Ears ringing that wont go away and a dull headache. Still have a hard time swallowing cant do rough foods still.

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Ears ringing, headache, some loss of words, elevated bp, swallowing problems

Release 2 — day 28, dose 1

2021-01-28

Symptoms: Still having ear ringing, headaches and trouble swallowing.

Release 3 — day 35, dose 1

2021-02-06

Symptoms: Still having severe ear ringing, bad headaches, dizziness, hard time swallowing

Healthcare visit (other): Having to do physical therapy for swallowing

Release 4 — day 42, dose 1

2021-02-11

Symptoms: Ears r still ringing, headaches, trouble swallowing still

Release 10 — 12 months, dose 1

2021-12-31

Symptoms: I have developed Mast Cell Disease, on new medicine and take allergy shots and had surgery on my wrist that won't heal because of it. All due to the COVID vaccine a year ago to the date.

Healthcare visit (other): Out patient surgery

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	Anaphylactic shock	○	○	○
HCVO	Aspiration	○	○	○
HCVO	Cold urticaria	○	○	○
HCVO	Ear, nose and throat examination	○	○	○
HCVO	Hospitalisation	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Surgery	·	·	✓
SD	Aphasia	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dysphagia	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired healing	·	·	✓
SD	Mast cell activation syndrome	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Wrist surgery	·	·	✓
SRO	Anaphylactic shock	✓	✓	✓
SRO	Anaphylaxis treatment	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Depressed mood	✓	✓	✓
SRO	Hospitalisation	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Medical observation	○	○	○
SRO	Tinnitus	✓	✓	✓

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