5QY-31452-93745

1 vaccination 10 coded responses 13 check-ins 10 free-text entries 9 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 165 / PA
Registered: 2021-02-27

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Emergency care, Hospitalisation, Hypersensitivity, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Systemic reaction (other): Ended up in emergency room on Thursday evening w/severe allergic reaction to vaccine..effected my asthma, had a severe attack had to call 911..they are doing heart tests. · Healthcare visit (other): Patient @(b)(6) still at this time..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Hospitalisation — Feeling: Poor · Site: Pain · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Severe asthma symptoms..very, very severe · Healthcare visit (other): Still in hospital since injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Emergency care, Hospitalisation, Immediate post-injection reaction — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Severe, severe asthma conditions · Healthcare visit (other): Still in hospital since hour after shot..

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-02
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Hospitalisation, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Severe asthma symptoms · Healthcare visit (other): Still in hospital

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Malaise, Pre-existing disease — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Severe asthma symptoms, out of control, on oxygen, but dropping into 80s · Healthcare visit (other): Still feel like shit, thought you ppl were going to call me or are you just a bot??

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-06
Survey response — day 7, dose 1
MedDRA: Asthma, Home care — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Asthma symptoms · Healthcare visit (other): At home visiting nursing care

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-20
Survey response — day 21, dose 1
MedDRA: Emergency care — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Had another emergency room visit after coming home from hospital ...ongoing problems due to 1st covid vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 21, dose 1
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)
2021-03-25
Survey response — day 28, dose 1
MedDRA: Adverse reaction, Drug hypersensitivity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Had reaction to drug they put me on to help w/side effects from covid vaccine...knocked my recovery back to square one.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
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)
2021-04-01
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-04-08
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-05-27
Survey response — 3 months, dose 1
MedDRA: Dyspnoea, Office visit, Pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Still on oxygen due to shortness of breath since Covid vaccine, terrible body aches that I didnt have before injection. · Healthcare visit (other): Dr office visits

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2022-02-25
Survey response — 12 months, dose 1
MedDRA: Asthma, Cardiac failure congestive, Fatigue, Hospitalisation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe asthma episodes, hospitalations, CHF, fatigue,

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech

Call center

9 call center cases

9 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Ended up in emergency room on Thursday evening w/severe allergic reaction to vaccine..effected my asthma, had a severe attack had to call 911..they are doing heart tests.

Healthcare visit (other): Patient @(b)(6) still at this time..

redacted (b)(6)

2021-02-28

Systemic reaction (other): Severe asthma symptoms..very, very severe

Healthcare visit (other): Still in hospital since injection

2021-03-01

Systemic reaction (other): Severe, severe asthma conditions

Healthcare visit (other): Still in hospital since hour after shot..

2021-03-02

Systemic reaction (other): Severe asthma symptoms

Healthcare visit (other): Still in hospital

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Severe asthma symptoms, out of control, on oxygen, but dropping into 80s

Healthcare visit (other): Still feel like shit, thought you ppl were going to call me or are you just a bot??

Release 5 — day 7, dose 1

2021-03-06

Systemic reaction (other): Asthma symptoms

Healthcare visit (other): At home visiting nursing care

Release 6 — day 21, dose 1

2021-03-20

Symptoms: Had another emergency room visit after coming home from hospital ...ongoing problems due to 1st covid vaccination.

Release 6 — day 28, dose 1

2021-03-25

Symptoms: Had reaction to drug they put me on to help w/side effects from covid vaccine...knocked my recovery back to square one.

Release 8 — 3 months, dose 1

2021-05-27

Symptoms: Still on oxygen due to shortness of breath since Covid vaccine, terrible body aches that I didnt have before injection.

Healthcare visit (other): Dr office visits

Release 11 — 12 months, dose 1

2022-02-25

Symptoms: Severe asthma episodes, hospitalations, CHF, fatigue,

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	Emergency care	✓	·	✓
HCVO	Home care	✓	✓	✓
HCVO	Hospitalisation	✓	✓	✓
HCVO	Immediate post-injection reaction	✓	·	✓
HCVO	Malaise	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Adverse drug reaction	○	·	○
SD	Adverse reaction	✓	·	✓
SD	Asthma	·	·	✓
SD	Cardiac failure congestive	·	·	✓
SD	Drug hypersensitivity	○	✓	○
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Hospitalisation	·	·	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Unevaluable event	○	✓	○
SRO	Asthma	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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