5X7-16656-37611

3 vaccinations 12 coded responses 35 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 400 / KY
Registered: 2021-03-25

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

2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-25
Registered in v-safe
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good

Free text: Elevated blood glucose levels since day 2 after vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Blood glucose increased — Feeling: Good

Free text: Elevated blood glucose levels since being vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — day 7, dose 1
MedDRA: Blood glucose increased — Feeling: Good · Headache

Free text: Elevated blood glucose levels

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

Adult check-in
2021-04-10
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Headache

Free text: Elevated blood sugar levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Headache

Free text: Elevated blood glucose levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good

Free text: Elevated blood sugar levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Headache

Free text: Elevated blood sugar

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Elevated blood sugar levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Good · Headache

Free text: Elevated blood sugar levels

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 7, dose 2
Feeling: Fair · Headache

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-23
Dose 3 — Pfizer-BioNTech
2021-10-23
Health check-in — day 0, dose 3
Feeling: Poor · Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Blood glucose increased — Feeling: Good · Site: Pain

Free text: Elevated blood sugar levels. I forgot to report this each day. It has happened every day since the first day of the booster shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-30
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-06
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 3
MedDRA: Ear discomfort, Myoclonus, Nasal congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Palatal myoclonus, pressure in left ear, left nostril stuffiness

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — 6 months, dose 3
MedDRA: Dysphagia, Ear pain, Hypoaesthesia, Myoclonus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Palatal myoclonus, decreased sensation in face, trouble swallowing, ear pain · Healthcare visit (other): Seeing a neurologist in May

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech
3	2021-10-23	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Elevated blood glucose levels since day 2 after vaccine

2021-03-26

Systemic reaction (other): Elevated blood glucose levels since being vaccinated

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Elevated blood glucose levels

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Elevated blood sugar levels

2021-04-19

Systemic reaction (other): Elevated blood glucose levels

2021-04-20

Systemic reaction (other): Elevated blood sugar levels

2021-04-21

Systemic reaction (other): Elevated blood sugar

2021-04-22

Systemic reaction (other): Elevated blood sugar levels

2021-04-23

Systemic reaction (other): Elevated blood sugar levels

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Elevated blood sugar levels. I forgot to report this each day. It has happened every day since the first day of the booster shot

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Palatal myoclonus, pressure in left ear, left nostril stuffiness

Release 11 — 6 months, dose 3

2022-04-23

Symptoms: Palatal myoclonus, decreased sensation in face, trouble swallowing, ear pain

Healthcare visit (other): Seeing a neurologist in May

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	Unevaluable event	·	·	✓
SD	Dysphagia	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear pain	·	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Myoclonus	·	·	✓
SD	Nasal congestion	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Blood glucose increased	✓	✓	✓

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