5PR-24890-50615

1 vaccination 8 coded responses 10 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 880 / NM
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Survey response — day 0, dose 1
MedDRA: General symptom — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Most sx. are probably due to my mcas

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Pre-existing disease, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: tinnitus worse than usual, not hungry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Initial insomnia, Oxygen saturation decreased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: O2 sats consistency below 90

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Autonomic nervous system imbalance, Mast cell activation syndrome, Postural orthostatic tachycardia syndrome — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dysautonomia, POTS and MCAS

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — day 7, dose 1
MedDRA: Immunisation reaction, Medical counselling — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My cardio. feels I shouldn't take 2nd dose due to my reaction. He feels my mcas will make it dangerous.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — day 14, dose 1
MedDRA: Pneumonia, Sinus operation — 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: Sinus surgery of 2/20, has still not healed and I developed pneumonia.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-13
Survey response — day 21, dose 1
MedDRA: Fatigue, Office visit, Rash, Sinusitis — 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: Symptoms: Sinusitis, fatigue, rash over most of body. · Healthcare visit (other): doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — day 21, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Survey response — day 28, dose 1
MedDRA: Autonomic nervous system imbalance, Body temperature increased, Chills, Medical counselling, Pneumonia, Pre-existing disease, Tremor — Feeling: Poor · 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: Symptoms: Sx related to pneumonia and dysautonomia problems. Not related to covid vaccine. Because of severe reaction to 1st shot (temp 102.2 for 2 days with shaking chills) both my cardiologist and pulmonologist have advised me to not take 2nd shot. · Healthcare visit (other): Telephone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Report sent to call center — day 28, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech

Call center

3 call center cases

3 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Most sx. are probably due to my mcas

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): tinnitus worse than usual, not hungry

2021-01-25

Systemic reaction (other): O2 sats consistency below 90

2021-01-26

Systemic reaction (other): Dysautonomia, POTS and MCAS

Release 3 — day 7, dose 1

2021-01-30

Systemic reaction (other): My cardio. feels I shouldn't take 2nd dose due to my reaction. He feels my mcas will make it dangerous.

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Sinus surgery of 2/20, has still not healed and I developed pneumonia.

Release 4 — day 21, dose 1

2021-02-13

Symptoms: Sinusitis, fatigue, rash over most of body.

Healthcare visit (other): doctors office

Release 4 — day 28, dose 1

2021-02-20

Symptoms: Sx related to pneumonia and dysautonomia problems. Not related to covid vaccine. Because of severe reaction to 1st shot (temp 102.2 for 2 days with shaking chills) both my cardiologist and pulmonologist have advised me to not take 2nd shot.

Healthcare visit (other): Telephone

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Autonomic nervous system imbalance	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Pneumonia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sinus operation	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Tremor	✓	✓	✓
SRO	Autonomic nervous system imbalance	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	General symptom	✓	✓	✓
SRO	Immunisation reaction	✓	✓	✓
SRO	Initial insomnia	○	✓	○
SRO	Mast cell activation syndrome	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Oxygen saturation decreased	✓	✓	✓
SRO	Postural orthostatic tachycardia syndrome	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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