58U-25427-16850

2 vaccinations 12 coded responses 26 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 750 / TX
Registered: 2021-01-28

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-28
Registered in v-safe
2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-28
Survey response — day 0, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Just heahache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza like illness — Feeling: Good · Fever · Headache

Free text: Felt small symptoms of the flu, when away by 1::00

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Diarrhea

Free text: All are good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Diarrhea

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-21
Survey response — day 0, dose 2
MedDRA: Eye pruritus, Hypersensitivity — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site

Free text: Eyes are itching . I feel Ike Im getting a allergic reaction

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Pruritus, Rash, Unevaluable event — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Lots itching of inching. Tired. Skin rash · Healthcare visit (other): (b)(6)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Pruritus, Self-medication — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Redness of my face. Itching all my body at certain times.Then a take Benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Vaginal infection — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Vaginal infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: Still have the rash! Irritating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Pruritus, Rash — Feeling: Good · Site: Itching · Headache

Free text: Itching. Rash, slight headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 2
MedDRA: Pruritus, Rash — Feeling: Fair · Site: Itching · Joint pains

Free text: Rash. Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Good

Free text: Consistent rash, which is annoying

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-28
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-04-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Periorbital swelling, Rash, Swelling — Feeling: Good · Be unable to work

Free text: I had a serious rash around my eyes on my last shot. It was swelling, but I had the mask and shield and my guest couldnt really tell,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Call successful
Participant prefers to complete VAERS report online
2022-02-21
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-01-28

Systemic reaction (other): Just heahache

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Felt small symptoms of the flu, when away by 1::00

2021-01-30

Systemic reaction (other): All are good

Release 4 — day 0, dose 2

2021-02-21

Systemic reaction (other): Eyes are itching . I feel Ike Im getting a allergic reaction

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Lots itching of inching. Tired. Skin rash

Healthcare visit (other): (b)(6)

redacted (b)(6)

2021-02-23

Systemic reaction (other): Redness of my face. Itching all my body at certain times.Then a take Benadryl

2021-02-24

Systemic reaction (other): Vaginal infection

2021-02-25

Systemic reaction (other): Still have the rash! Irritating

2021-02-27

Systemic reaction (other): Itching. Rash, slight headache

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Rash. Itching

Release 5 — day 14, dose 2

2021-03-07

Symptoms: Consistent rash, which is annoying

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: I had a serious rash around my eyes on my last shot. It was swelling, but I had the mask and shield and my guest couldnt really tell,

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	Periorbital swelling	·	·	✓
SD	Rash	✓	✓	✓
SD	Swelling	✓	✓	○
SRO	Erythema	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaginal infection	✓	✓	✓

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