62H-37845-83903

5 vaccinations 11 coded responses 42 check-ins 10 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 928 / CA
Registered: 2021-03-05

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

2021-03-01
Dose 1 — Pfizer-BioNTech
2021-03-05
Registered in v-safe
2021-03-05
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have Dercums Disease & lipedema

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Hypertension — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: High BP spikes, worst last night was 234/114. Now is 182/104. Having to take clonidine to control

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blood pressure spikes every evening since vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure fluctuation, Blood pressure increased, Emergency care — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): BP spike to 193/122 took clonidine. BP erratic since · Healthcare visit (other): Was unsuccessful contacting doctor per Wednesday ER instructions

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
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)
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain

Free text: Slight elevation of blood pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Acid reflux

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-21
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-18
Dose 3 — Pfizer-BioNTech
2022-02-13
Call 1 — Left Voicemail
2022-02-17
Survey response — 3 months, dose 3
MedDRA: Unevaluable event — Feeling: Good

Free text: Mammo issue. Not related to shot

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Dose 4 — Pfizer-BioNTech
2022-05-15
Survey response — day 14, dose 4
MedDRA: Gastrointestinal bacterial overgrowth, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: SIBO & Other digestive problems

MedDRA releases: 2024-11 · check-in free text available
2022-05-15
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-05-16
Call 2 — Left Voicemail
2022-05-22
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-27
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-03
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-10
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-10
Dose 5 — Pfizer-BioNTech
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-14
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-17
Survey response — day 7, dose 5
MedDRA: Blood pressure increased, Gastrointestinal disorder, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Digestive disturbance and blood pressure spikes per a disorder I have called Dercum's Disease

MedDRA releases: 2024-11 · check-in free text available
2022-10-24
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-31
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-11-07
Survey response — day 28, dose 5
MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I apparently picked up a cold. A rapid covid test detected no covid

MedDRA releases: 2024-11 · check-in free text available
2022-11-14
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-21
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-11
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-10
Survey response — 6 months, dose 5
MedDRA: Atrial tachycardia, Atrioventricular block, Cardiac pacemaker insertion — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

MedDRA releases: 2024-11
2023-04-10
Report sent to call center — 6 months, dose 5
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 2 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail
2023-04-11
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-01	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech	No
4	2022-04-29	Pfizer-BioNTech	No
5	2022-10-10	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): I have Dercums Disease & lipedema

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): High BP spikes, worst last night was 234/114. Now is 182/104. Having to take clonidine to control

2021-03-26

Systemic reaction (other): Blood pressure spikes every evening since vaccine

2021-03-27

Systemic reaction (other): BP spike to 193/122 took clonidine. BP erratic since

Healthcare visit (other): Was unsuccessful contacting doctor per Wednesday ER instructions

2021-03-28

Systemic reaction (other): Slight elevation of blood pressure

2021-03-29

Systemic reaction (other): Acid reflux

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Mammo issue. Not related to shot

Release 11 — day 14, dose 4

2022-05-15

Symptoms: SIBO & Other digestive problems

Release 12 — day 7, dose 5

2022-10-17

Systemic reaction (other): Digestive disturbance and blood pressure spikes per a disorder I have called Dercum's Disease

Release 12 — day 28, dose 5

2022-11-07

Symptoms: I apparently picked up a cold. A rapid covid test detected no covid

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	✓	✓	✓
SD	Atrial tachycardia	·	·	✓
SD	Atrioventricular block	·	·	✓
SD	Cardiac pacemaker insertion	·	·	✓
SD	Gastrointestinal bacterial overgrowth	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Blood pressure fluctuation	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Gastrointestinal disorder	·	·	✓
SRO	Gastrooesophageal reflux disease	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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