5GN-32102-47024

5 vaccinations 10 coded responses 37 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 787 / TX
Registered: 2021-03-02

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

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-30
Dose 2 — Pfizer-BioNTech
2021-03-30
Survey response — day 0, dose 2
MedDRA: Chills — Feeling: Good · Joint pains, Fatigue or tiredness

Free text: The night following the 2nd vaccine I developed severe Rigors for at least 4 hours.

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: Headache — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: 4 days ago developed severe headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache

Adult check-in
2021-04-06
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-13
Health check-in — day 14, dose 2
Feeling: Good

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

Adult check-in
2021-04-27
Survey response — day 28, dose 2
MedDRA: Feeling hot, Feeling of body temperature change, Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hot and cold sensations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Survey response — day 35, dose 2
MedDRA: Headache, Mental impairment — Feeling: Poor

Free text: Headache unable to think

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 42, dose 2
MedDRA: Balance disorder, Feeling of body temperature change, Headache, Hot flush, Mental impairment, Unevaluable event, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache, off balance, vision changes, cold and hot flashes- constantly, difficulty thinking · Healthcare visit (other): trying to get appointment with a neurologist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 42, 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)
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Chills, Concussion, Dry eye, Fall, Headache, Hypersensitivity, Lacrimation increased, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I did fall and diagnosed with concussion...but prior to the fall I had developed a very bad headache. I have Chills, and feel feverish on and off all the time, besides much watering from my eyes besides taking allergy and use of dry eye medications

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2021-08-26
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-25
Survey response — 6 months, dose 3
MedDRA: Blood glucose increased, Joint stiffness, Musculoskeletal stiffness, Pain, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Body aches-stiffness lower extremities..knees especially... increase in glucose levels...and stage 1 kidney disease... unsure why · Healthcare visit (other): Contacting nephrologist

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-01
Call 1 — Left Voicemail
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-14
Survey response — days 1–6 daily, dose 4
MedDRA: Joint swelling, Office visit, Pre-existing disease, Tinnitus — Feeling: Fair · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Tinnitus is louder.. and some increased knee swelling · Healthcare visit (other): Outpatient rheumatologist

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-15
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches

Adult check-in
2022-04-19
Call successful
Does not wish to fill out VAERS report
2022-04-22
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-30
Survey response — day 21, dose 4
MedDRA: Joint swelling, Tinnitus — Feeling: Poor

Free text: Swollen knees.. increased tinnitus

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-07-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-06
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-24
Survey response — day 14, dose 5
MedDRA: Arthralgia, Injection site pain, Medical counselling, Muscular weakness, Pain in extremity — 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: Left shoulder pain..the 2nd vaccine hurt when injected... pharmacist said it WAS the Fluad and because it's thick and creamy she had to push it hard. My arm is still painful...and weak. (b)(6) at (b)(6). (b)(6) provided the Vaccines.

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
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)
2022-09-26
Call successful
Completed over the phone
2022-09-27
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-10-04
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-10-11
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-10-18
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-06
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-07
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-30	Pfizer-BioNTech
3	2021-08-26	Pfizer-BioNTech	No
4	2022-04-08	Pfizer-BioNTech	No
5	2022-09-06	Pfizer-BioNTech	Flu

Call center

6 call center cases

6 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): The night following the 2nd vaccine I developed severe Rigors for at least 4 hours.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): 4 days ago developed severe headache

Release 8 — day 28, dose 2

2021-04-27

Symptoms: Hot and cold sensations

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Headache unable to think

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Headache, off balance, vision changes, cold and hot flashes- constantly, difficulty thinking

Healthcare visit (other): trying to get appointment with a neurologist

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: I did fall and diagnosed with concussion...but prior to the fall I had developed a very bad headache. I have Chills, and feel feverish on and off all the time, besides much watering from my eyes besides taking allergy and use of dry eye medications cut off by CDC

Release 11 — 6 months, dose 3

2022-02-25

Symptoms: Body aches-stiffness lower extremities..knees especially... increase in glucose levels...and stage 1 kidney disease... unsure why

Healthcare visit (other): Contacting nephrologist

Release 11 — days 1–6 daily, dose 4

2022-04-14

Systemic reaction (other): Tinnitus is louder.. and some increased knee swelling

Healthcare visit (other): Outpatient rheumatologist

Release 11 — day 21, dose 4

2022-04-30

Symptoms: Swollen knees.. increased tinnitus

Release 12 — day 14, dose 5

2022-09-24

Symptoms: Left shoulder pain..the 2nd vaccine hurt when injected... pharmacist said it WAS the Fluad and because it's thick and creamy she had to push it hard. My arm is still painful...and weak. (b)(6) at (b)(6). (b)(6) provided the Vaccines.

redacted (b)(6)

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Balance disorder	✓	✓	✓
SD	Blood glucose increased	·	·	✓
SD	Chills	✓	✓	✓
SD	Concussion	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Fall	✓	✓	✓
SD	Feeling hot	✓	✓	○
SD	Feeling of body temperature change	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Joint stiffness	·	·	✓
SD	Joint swelling	·	·	✓
SD	Lacrimation increased	✓	✓	✓
SD	Medical counselling	·	·	✓
SD	Mental impairment	✓	✓	✓
SD	Muscular weakness	·	·	✓
SD	Musculoskeletal stiffness	·	·	✓
SD	Nasopharyngitis	✓	✓	○
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Visual impairment	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Joint swelling	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tinnitus	·	·	✓

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