62E-25884-50375

3 vaccinations 12 coded responses 15 check-ins 11 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 786 / TX
Registered: 2021-09-09

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-16
Dose 1 — Pfizer-BioNTech
2021-08-06
Dose 2 — Pfizer-BioNTech
2021-09-09
Registered in v-safe
2021-09-09
Survey response — day 28, dose 2
MedDRA: Abdominal pain upper, Burning sensation, Eye irritation, Gastrointestinal disorder, Hyperhidrosis, Nasal discomfort, Office visit, Oral discomfort, Pain management, Skin burning sensation, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: severe burning in my facesevere burning in my eyessevere burning in my nosesevere burning in my mouth and throatsevere burning my headsevere sweating in my facesevere sweating all over my bodysevere stomach painsevere stomach problems · Healthcare visit (other): pain management specialists

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

1 call case(s)
2021-09-10
Survey response — day 35, dose 2
MedDRA: Dysgeusia, Eye irritation, Headache, Hyperhidrosis, Nasal discomfort, Oral discomfort, Pain, Skin burning sensation, Throat irritation, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities

Free text: severe burning in my face and severe burning in my mouth and throat with bad tasteand severe burning in my nose andsevere burning in my eyes and very bad headache and severe sweating in my face and severe sweating and chronic pain andchronic heal

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Call X — Left Voicemail
2021-09-17
Survey response — day 42, dose 2
MedDRA: Cough, Dysgeusia, Eye irritation, Hyperhidrosis, Nasal discomfort, Office visit, Oral discomfort, Skin burning sensation, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: still severe burning in my nose and severe burning on my face and severe burning in my eyes and severe burning in my mouth and throat with chronic.cough and bad taste in my mouth andsevere sweating in my face and severe sweating all over my body · Healthcare visit (other): doctor office

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-23
Call X — Left Voicemail
2021-11-05
Survey response — 3 months, dose 2
MedDRA: Alopecia, Burning sensation, Eye irritation, Gastrointestinal disorder, Genital pain, Headache, Hyperhidrosis, Nasal discomfort, Oral discomfort, Proctalgia, Skin burning sensation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: BURNING AROUND MY MOUTH BURNING IN MY FACE BURNING IN MY HEAD WITH SEVERE HAIR LOSS BURNING IN MY EYES AND NOSE AND MOUTH AND THROAT SEVERE PAIN IN MY PRIVATE AREAS AND RECTUM AREAS STOMACH PROBLEMS BAD HEADACHES SEVERE SWEATING IN MY FACE SWEATIN

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-15
Call X — Could Not Reach Participant
2022-02-02
Dose 3 — Pfizer-BioNTech
2022-02-04
Survey response — 6 months, dose 2
MedDRA: Burning sensation, Choking, Cough, Epistaxis, Eye irritation, Genital pain, Headache, Hyperhidrosis, Nasal discomfort, Office visit, Oral discomfort, Pain, Skin burning sensation, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: severe burning in my head and face and eyes severe headaches severe pain in my private areas bleeding severe burning.in my.nose and mouth and throat severe coughing and choking severe sweating chronic pain · Healthcare visit (other): doctors appointment

MedDRA releases: 2024-11 · check-in free text available
2022-02-04
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-02-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-02-08
Call 2 — Left Voicemail
2022-02-09
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2022-02-16
Survey response — day 14, dose 3
MedDRA: Abdominal pain upper, Burning sensation, Choking, Cough, Eye irritation, Headache, Hyperhidrosis, Nasal discomfort, Oral discomfort, Pain, Respiratory tract congestion, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: severe coughing and choking with congestion and runny nose and burning in my head and severe headaches and burning in my throat and nose and mouth and burning in my face and eyes and stomache pain and chronic pain and severe sweating

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Survey response — day 21, dose 3
MedDRA: Burning sensation, Choking, Cough, Dry mouth, Eye irritation, Gastrointestinal disorder, Hyperhidrosis, Nasal discomfort, Nasal dryness, Office visit, Oral discomfort, Pre-existing disease, Skin burning sensation, Thirst, Throat irritation, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: severe burning in my head and severe burning in my nose and mouth and throat with severe coughing and choking and throwing up burning in my face and eyes chronic pain severe sweating stomach problems dry mouth and dry nose staying thirsty · Healthcare visit (other): doctor appointments

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-24
Call 3 — Could Not Reach Participant
2022-03-04
Survey response — day 28, dose 3
MedDRA: Burning sensation, Choking, Cough, Eye irritation, Headache, Hyperhidrosis, Nasal discomfort, Oral discomfort, Pain, Respiratory tract congestion, Rhinorrhoea, Skin burning sensation, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: severe burning in my face and severe sweating and severe burning in my head and severe headaches and severe coughing and choking with congestion and runny nose and burning in my mouth and nose and throat and burning in my eyes and chronic pain

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Survey response — day 35, dose 3
MedDRA: Burning sensation, Choking, Cough, Gastrooesophageal reflux disease, Headache, Hyperhidrosis, Hypertonic bladder, Nasal discomfort, Oral discomfort, Pain, Retching, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities

Free text: severe burning in my head and severe headaches and chronic coughing and choking and gagging with severe acid reflux and severe sweating and chronic pain and over active bladder and severe burning in my nose and mouth and throat with severe acid ref

MedDRA releases: 2024-11 · check-in free text available
2022-05-04
Survey response — 3 months, dose 3
MedDRA: Abdominal pain upper, Burning sensation, Choking, Cough, Eye irritation, Gastrointestinal disorder, Hyperhidrosis, Migraine, Nasal discomfort, Oral discomfort, Retching, Skin burning sensation, Throat irritation, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: severe coughing and choking and gagging and throwing up with severe burning in my mouth and throat and nose with burning in my nose and eyes and face and burning in my head and severe migraine headaches and severe sweating stomach problems pain

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Survey response — 6 months, dose 3
MedDRA: Abdominal pain upper, Choking, Dysgeusia, Eye irritation, Gastrointestinal disorder, Headache, Hyperhidrosis, Hypertonic bladder, Nasal discomfort, Office visit, Oral discomfort, Pain in extremity, Parosmia, Physiotherapy, Pre-existing disease, Productive cough, Retching, Skin burning sensation, Throat irritation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: coughing and choking and gagging wet cough severe sweating burning in my nose bad odors bad headaches chronic pain burning in face burning in eyes and mouth and throat bad tastes in mouth OAB stomach problems stomach pain pain in upper left ar · Healthcare visit (other): PT VISIT PAIN MANGEMENT VISIT

MedDRA releases: 2024-11 · check-in free text available
2022-08-03
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-04
Call 3 — Could Not Reach Participant
2022-08-04
Call 3 — Could Not Reach Participant
2022-08-04
Call 3 — Could Not Reach Participant
2022-08-04
Call 3 — Could Not Reach Participant
2022-08-09
Call X — Left Voicemail
2022-08-09
Call X — Left Voicemail
2022-08-09
Call X — Left Voicemail
2023-02-02
Survey response — 12 months, dose 3
MedDRA: Dry mouth, Dry throat, Eczema, Eye irritation, Hand dermatitis, Headache, Migraine, Nasal discomfort, Pain, Pre-existing disease, Skin burning sensation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-02-02
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-03
Call 1 — Could Not Reach Participant
2023-02-08
Call 2 — Left Voicemail
2023-02-08
Call 2 — Left Voicemail
2023-02-08
Call 2 — Left Voicemail
2023-02-08
Call 3 — Left Voicemail
2023-02-08
Call 2 — Left Voicemail
2023-02-08
Call 2 — Left Voicemail
2023-02-08
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-16	Pfizer-BioNTech	No
2	2021-08-06	Pfizer-BioNTech	No
3	2022-02-02	Pfizer-BioNTech	No

Call center

7 call center cases

7 unsuccessful

See the call center timeline

Free text

Release 9 — day 28, dose 2

2021-09-09

Symptoms: severe burning in my facesevere burning in my eyessevere burning in my nosesevere burning in my mouth and throatsevere burning my headsevere sweating in my facesevere sweating all over my bodysevere stomach painsevere stomach problems

Healthcare visit (other): pain management specialists

Release 9 — day 35, dose 2

2021-09-10

Symptoms: severe burning in my face and severe burning in my mouth and throat with bad tasteand severe burning in my nose andsevere burning in my eyes and very bad headache and severe sweating in my face and severe sweating and chronic pain andchronic heal

Release 9 — day 42, dose 2

2021-09-17

Symptoms: still severe burning in my nose and severe burning on my face and severe burning in my eyes and severe burning in my mouth and throat with chronic.cough and bad taste in my mouth andsevere sweating in my face and severe sweating all over my body

Healthcare visit (other): doctor office

Release 10 — 3 months, dose 2

2021-11-05

Symptoms: BURNING AROUND MY MOUTH BURNING IN MY FACE BURNING IN MY HEAD WITH SEVERE HAIR LOSS BURNING IN MY EYES AND NOSE AND MOUTH AND THROAT SEVERE PAIN IN MY PRIVATE AREAS AND RECTUM AREAS STOMACH PROBLEMS BAD HEADACHES SEVERE SWEATING IN MY FACE SWEATIN cut off by CDC

Release 11 — 6 months, dose 2

2022-02-04

Symptoms: severe burning in my head and face and eyes severe headaches severe pain in my private areas bleeding severe burning.in my.nose and mouth and throat severe coughing and choking severe sweating chronic pain

Healthcare visit (other): doctors appointment

Release 11 — day 14, dose 3

2022-02-16

Symptoms: severe coughing and choking with congestion and runny nose and burning in my head and severe headaches and burning in my throat and nose and mouth and burning in my face and eyes and stomache pain and chronic pain and severe sweating

Release 11 — day 21, dose 3

2022-02-23

Symptoms: severe burning in my head and severe burning in my nose and mouth and throat with severe coughing and choking and throwing up burning in my face and eyes chronic pain severe sweating stomach problems dry mouth and dry nose staying thirsty

Healthcare visit (other): doctor appointments

Release 11 — day 28, dose 3

2022-03-04

Symptoms: severe burning in my face and severe sweating and severe burning in my head and severe headaches and severe coughing and choking with congestion and runny nose and burning in my mouth and nose and throat and burning in my eyes and chronic pain

Release 11 — day 35, dose 3

2022-03-11

Symptoms: severe burning in my head and severe headaches and chronic coughing and choking and gagging with severe acid reflux and severe sweating and chronic pain and over active bladder and severe burning in my nose and mouth and throat with severe acid ref cut off by CDC

Release 11 — 3 months, dose 3

2022-05-04

Symptoms: severe coughing and choking and gagging and throwing up with severe burning in my mouth and throat and nose with burning in my nose and eyes and face and burning in my head and severe migraine headaches and severe sweating stomach problems pain cut off by CDC

Release 12 — 6 months, dose 3

2022-08-03

Symptoms: coughing and choking and gagging wet cough severe sweating burning in my nose bad odors bad headaches chronic pain burning in face burning in eyes and mouth and throat bad tastes in mouth OAB stomach problems stomach pain pain in upper left ar cut off by CDC

Healthcare visit (other): PT VISIT PAIN MANGEMENT VISIT

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	Pain management	·	·	✓
HCVO	Physiotherapy	·	·	✓
SD	Abdominal pain upper	·	·	✓
SD	Alopecia	·	·	✓
SD	Burning sensation	·	·	✓
SD	Choking	·	·	✓
SD	Cough	·	·	✓
SD	Dry mouth	·	·	✓
SD	Dry throat	·	·	✓
SD	Dysgeusia	·	·	✓
SD	Eczema	·	·	✓
SD	Epistaxis	·	·	✓
SD	Eye irritation	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Gastrooesophageal reflux disease	·	·	✓
SD	Genital pain	·	·	✓
SD	Hand dermatitis	·	·	✓
SD	Headache	·	·	✓
SD	Hyperhidrosis	·	·	✓
SD	Hypertonic bladder	·	·	✓
SD	Migraine	·	·	✓
SD	Nasal discomfort	·	·	✓
SD	Nasal dryness	·	·	✓
SD	Oral discomfort	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Proctalgia	·	·	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Retching	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Skin burning sensation	·	·	✓
SD	Thirst	·	·	✓
SD	Throat irritation	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓

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