5YR-30719-41691

2 vaccinations 22 coded responses 26 check-ins 22 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 981 / WA
Registered: 2021-03-29

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

2021-03-29
Registered in v-safe
2021-03-29
Dose 1 — Pfizer-BioNTech
2021-03-29
Survey response — day 0, dose 1
MedDRA: Asthma, Chronic obstructive pulmonary disease, Pre-existing disease — Feeling: Good · Site: Itching · Fever · Fatigue or tiredness

Free text: I have Asthma and COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dry mouth, Hypoaesthesia, Mobility decreased, Product after taste — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activities

Free text: My left arm is numb,hard to lift it up,could taste the medicine from the shot,mouth is very dry

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Chronic obstructive pulmonary disease, Pre-existing disease, Pyrexia, Somnolence — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Asthma and COPD. High fever,sleepy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Headache · Be unable to do your normal daily activities

Free text: I have Asthma and COPD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Asthma, Chronic obstructive pulmonary disease, Hypoaesthesia, Mobility decreased, Muscular weakness, Pre-existing disease, Unevaluable event — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · 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: Systemic reaction (other): COPD and Asthma · Healthcare visit (other): Left arm was numb hard to raise it up,hard to hold anything.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
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)
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Migraine Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Emergency care, Migraine — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: Massive migraine headache went to Emergency Room two days in a row.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — day 7, dose 1
MedDRA: Migraine — Feeling: Poor · Headache, Muscle or body aches, Nausea, Vomiting · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Massive Migraine Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Survey response — day 14, dose 1
MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: Still have a Migraine Headache after 1 1/2weeks. I got the first Pfizer shotMarch 29th and still have my migraine headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-21
Dose 2 — Pfizer-BioNTech
2021-04-21
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Migraine — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Went to Emergency Room · Healthcare visit (other): Massive Migraine Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Diarrhea

Adult check-in
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Emergency care, Migraine — Feeling: Fair · Headache · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Went to emergency room twice again for my Migraine Headache · Healthcare visit (other): Migraine Headache was severely like a lightning bolt hit my head.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Headache, Migraine — Feeling: Good · Site: Pain · Fever · Headache · Be unable to do your normal daily activities

Free text: Migraine Headache been 21 days from last one. Before my covid shots it was 15 years since I have had a Migraine Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Free text: Still have a MIGRAINE HEADACHE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Poor · Headache · Be unable to do your normal daily activities

Free text: MAJOR MIGRAINE HEADACHE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Survey response — day 7, dose 2
MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: 1 week and still have a severe Migraine Headache syill.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities

Free text: My headache will not go away. I have been around people at the (b)(6) who were Positive Covid 19.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 21, dose 2
MedDRA: Exposure to SARS-CoV-2, Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine Headache,also exposed to an Eagles Club Member that has Covid and now she is in the ICU at a hospital.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-26
Survey response — day 35, dose 2
MedDRA: Asthma, Body temperature increased, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Asthma hard to breath,high temperatures 102.6

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Survey response — day 42, dose 2
MedDRA: Exposure to SARS-CoV-2, Pulmonary pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lungs hurt, was told that I was around a person with high positive test and is now in ICU and my not make it out.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Call successful
Does not wish to fill out VAERS report
2021-07-21
Survey response — 3 months, dose 2
MedDRA: Arthropod bite, Fall, Pre-existing disease, Surgery, Wrist fracture — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bed bug bites.Mom in a cast with no home health services to care for her and she has High Blood Pressure Cast on right Wrist from tripping over a huge dog,4 hour Surgery, 2 1/2 Recovery.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Cough, Dysphagia, Office visit, Weight decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: A bad cough I have had for 1 month now. My throat hard to swallow anything,losing weight very fast. · Healthcare visit (other): Visiting my Care Doctor

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-21
Call successful
Does not wish to fill out VAERS report
2022-04-21
Survey response — 12 months, dose 2
MedDRA: Foot operation — Feeling: Good · Be unable to do your normal daily activities

Free text: Foot Surgery March 2nd 2022.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-29	Pfizer-BioNTech
2	2021-04-21	Pfizer-BioNTech

Call center

7 call center cases

7 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-29

Systemic reaction (other): I have Asthma and COPD

Release 6 — days 1–6 daily, dose 1

2021-03-30

Systemic reaction (other): My left arm is numb,hard to lift it up,could taste the medicine from the shot,mouth is very dry

2021-03-31

Systemic reaction (other): Asthma and COPD. High fever,sleepy

2021-04-01

Systemic reaction (other): I have Asthma and COPD

2021-04-02

Systemic reaction (other): COPD and Asthma

Healthcare visit (other): Left arm was numb hard to raise it up,hard to hold anything.

2021-04-03

Systemic reaction (other): Migraine Headache

2021-04-04

Systemic reaction (other): Massive migraine headache went to Emergency Room two days in a row.

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): Massive Migraine Headache

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Still have a Migraine Headache after 1 1/2weeks. I got the first Pfizer shotMarch 29th and still have my migraine headache.

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): Went to Emergency Room

Healthcare visit (other): Massive Migraine Headache

2021-04-24

Systemic reaction (other): Went to emergency room twice again for my Migraine Headache

Healthcare visit (other): Migraine Headache was severely like a lightning bolt hit my head.

2021-04-25

Systemic reaction (other): Migraine Headache been 21 days from last one. Before my covid shots it was 15 years since I have had a Migraine Headache

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Still have a MIGRAINE HEADACHE

2021-04-27

Systemic reaction (other): MAJOR MIGRAINE HEADACHE

Release 8 — day 7, dose 2

2021-04-28

Systemic reaction (other): 1 week and still have a severe Migraine Headache syill.

Release 8 — day 14, dose 2

2021-05-07

Symptoms: My headache will not go away. I have been around people at the (b)(6) who were Positive Covid 19.

redacted (b)(6)

Release 8 — day 21, dose 2

2021-05-12

Symptoms: Migraine Headache,also exposed to an Eagles Club Member that has Covid and now she is in the ICU at a hospital.

Release 8 — day 35, dose 2

2021-05-26

Symptoms: Asthma hard to breath,high temperatures 102.6

Release 8 — day 42, dose 2

2021-06-02

Symptoms: Lungs hurt, was told that I was around a person with high positive test and is now in ICU and my not make it out.

Release 9 — 3 months, dose 2

2021-07-21

Symptoms: Bed bug bites.Mom in a cast with no home health services to care for her and she has High Blood Pressure Cast on right Wrist from tripping over a huge dog,4 hour Surgery, 2 1/2 Recovery.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: A bad cough I have had for 1 month now. My throat hard to swallow anything,losing weight very fast.

Healthcare visit (other): Visiting my Care Doctor

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: Foot Surgery March 2nd 2022.

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	Hypoaesthesia	✓	✓	✓
HCVO	Migraine	✓	✓	✓
HCVO	Mobility decreased	✓	✓	✓
HCVO	Muscular weakness	✓	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Arthropod bite	·	·	✓
SD	Asthma	✓	✓	✓
SD	Body temperature increased	✓	✓	✓
SD	Cough	·	·	✓
SD	Dysphagia	·	·	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Fall	·	·	✓
SD	Foot operation	·	·	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pulmonary pain	✓	✓	✓
SD	Surgery	·	·	✓
SD	Weight decreased	·	·	✓
SD	Wrist fracture	·	·	✓
SRO	Asthma	✓	✓	✓
SRO	Chronic obstructive pulmonary disease	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Product after taste	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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