5BA-15508-59466

3 vaccinations 4 coded responses 25 check-ins 3 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 300 / GA
Registered: 2021-01-19

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

2021-01-19
Registered in v-safe
2021-01-19
Dose 1 — Pfizer-BioNTech
2021-01-19
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-09
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache · Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — day 14, dose 2
MedDRA: Blood pressure abnormal, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Increase to abnormal blood pressure. One day prior to 2nd covid shot blood pressure normal. Three days after shot began abnormal blood pressure. Internist put my on medicine to relive pressure temporarily. · Healthcare visit (other): Internist office at (b)(6) Hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Carotid artery disease, Carotid artery occlusion, Chills, Headache, Hypertension, Office visit, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: After 2nd shot had headache for 3 straight days besides the chills, fever that came on exactly 12 hours post vaccine. Internist diagnosed me with high blood pressure and carotid blockage. · Healthcare visit (other): Drs appt in office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — 3 months, 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)
2021-08-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Call 2 — Left Voicemail
2022-02-09
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-24
Dose 3 — Pfizer-BioNTech
2022-08-25
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Good · 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: Got covid after 2 shots and one booster. No plans to ever take another shot.

MedDRA releases: 2024-11 · check-in free text available
2022-08-25
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-08-26
Call 1 — Left Voicemail
2022-08-26
Call 1 — Left Voicemail
2022-08-26
Call 1 — Left Voicemail
2022-08-26
Call successful
Participant prefers to complete VAERS report online
2022-08-26
Call successful
Participant prefers to complete VAERS report online
2022-08-26
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-02-24
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-02-24
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-02-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-19	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2022-02-24	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Increase to abnormal blood pressure. One day prior to 2nd covid shot blood pressure normal. Three days after shot began abnormal blood pressure. Internist put my on medicine to relive pressure temporarily.

Healthcare visit (other): Internist office at (b)(6) Hospital

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: After 2nd shot had headache for 3 straight days besides the chills, fever that came on exactly 12 hours post vaccine. Internist diagnosed me with high blood pressure and carotid blockage.

Healthcare visit (other): Drs appt in office

Release 12 — 6 months, dose 3

2022-08-25

Symptoms: Got covid after 2 shots and one booster. No plans to ever take another shot.

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	Blood pressure abnormal	✓	✓	✓
SD	Carotid artery disease	○	✓	○
SD	Carotid artery occlusion	✓	·	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Pyrexia	✓	✓	✓

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