5B2-31625-65061

5 vaccinations 19 coded responses 38 check-ins 19 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 973 / OR
Registered: 2021-03-04

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 1
MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Itching · Chills, Headache, Nausea

Free text: pretty bad itching I took 50mg of benadryl it is a bit better will take another dose at 8pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Taste disorder — Feeling: Fair · Site: Pain · Chills, Nausea

Free text: Itching but not as bad as yesterday. And I had a funny taste in my mouth after the shot that is finally beginning to go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Itching but it is better than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Free text: Itching which is better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 1
MedDRA: Influenza like illness, Nausea — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I have felt fluish the last few days. Very nauseated today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Things are better today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 1
MedDRA: Unevaluable event — Feeling: Good

Free text: Feeling back to normal today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 2
MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Pain, Redness, Itching

Free text: Just really bad itching. Took Benadryl x2

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Influenza, Mobility decreased, Temperature regulation disorder — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My normal temp is 95-96. Have been in bed today fluish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Chills, Headache, Myalgia, Pyrexia — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I had a fever of 103 during the evening and night last night with chills headache and muscle pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Still do not have much energy fatigue but not as bad as yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: The fatigue is really hanging on!!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 7, dose 2
MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Fatigue is better today but Im still really tired. Im usually the energizer bunny!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-12-13
Call 1 — Left Voicemail
2022-03-28
Survey response — 12 months, dose 2
MedDRA: Arrhythmia, Dyspnoea, Exposure to SARS-CoV-2, Herpes zoster, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, 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: I had shingles that began December 9,2021. I have had an increasing problem with shortness of breath and irregular heart rhythm which began in the summer of 2020. My husband had covid in mid January if 2022. I tested neg three times. We both had thre

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-27
Dose 4 — Moderna
2022-10-26
Dose 5 — Moderna
2022-10-27
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-28
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Out of breath more than usual

MedDRA releases: 2024-11 · check-in free text available
2022-10-30
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspnoea, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Free text: Shortness of breath I seem to get this with every shot

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — days 1–6 daily, dose 5
MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-11-02
Health check-in — day 7, dose 5
Feeling: Fair · Headache, Fatigue or tiredness, Nausea

Adult check-in
2022-11-11
Survey response — day 14, dose 5
MedDRA: Urinary tract infection — Feeling: Good · 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: Urinary tract infection

MedDRA releases: 2024-11 · check-in free text available
2022-11-11
Report sent to call center — day 14, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-14
Call 1 — Left Voicemail
2022-11-14
Call successful
Does not wish to fill out VAERS report
2022-11-16
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-23
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-30
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-12-11
Survey response — day 42, dose 5
MedDRA: Cystitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Recurrent bladder infections which I SM sure are not caused by the vaccines · Healthcare visit (other): Dr visit

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Report sent to call center — day 42, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2023-01-27
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-26
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No
4	2022-05-27	Moderna	No
5	2022-10-26	Moderna	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): pretty bad itching I took 50mg of benadryl it is a bit better will take another dose at 8pm

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): Itching but not as bad as yesterday. And I had a funny taste in my mouth after the shot that is finally beginning to go away

2021-03-06

Systemic reaction (other): Itching but it is better than yesterday

2021-03-07

Systemic reaction (other): Itching which is better today

2021-03-08

Systemic reaction (other): I have felt fluish the last few days. Very nauseated today

2021-03-09

Systemic reaction (other): Things are better today

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): Feeling back to normal today

Release 6 — day 0, dose 2

2021-03-25

Systemic reaction (other): Just really bad itching. Took Benadryl x2

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): My normal temp is 95-96. Have been in bed today fluish

2021-03-27

Systemic reaction (other): I had a fever of 103 during the evening and night last night with chills headache and muscle pain

2021-03-30

Systemic reaction (other): Still do not have much energy fatigue but not as bad as yesterday

2021-03-31

Systemic reaction (other): The fatigue is really hanging on!!!!

Release 6 — day 7, dose 2

2021-04-01

Systemic reaction (other): Fatigue is better today but Im still really tired. Im usually the energizer bunny!!!

Release 11 — 12 months, dose 2

2022-03-28

Symptoms: I had shingles that began December 9,2021. I have had an increasing problem with shortness of breath and irregular heart rhythm which began in the summer of 2020. My husband had covid in mid January if 2022. I tested neg three times. We both had thre cut off by CDC

Release 12 — days 1–6 daily, dose 5

2022-10-29

Systemic reaction (other): Out of breath more than usual

2022-10-30

Systemic reaction (other): Shortness of breath I seem to get this with every shot

2022-10-31

Systemic reaction (other): Shortness of breath

Release 12 — day 14, dose 5

2022-11-11

Symptoms: Urinary tract infection

Release 12 — day 42, dose 5

2022-12-11

Symptoms: Recurrent bladder infections which I SM sure are not caused by the vaccines

Healthcare visit (other): Dr visit

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	Office visit	·	·	✓
SD	Arrhythmia	·	·	✓
SD	Cystitis	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Exposure to SARS-CoV-2	·	·	✓
SD	Herpes zoster	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Urinary tract infection	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hot flush	○	✓	○
SRO	Influenza	✓	·	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Mobility decreased	✓	·	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Taste disorder	✓	✓	✓
SRO	Temperature regulation disorder	○	✓	○
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccine positive rechallenge	·	·	✓

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