68A-21536-52938

3 vaccinations 8 coded responses 25 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 012 / MA
Registered: 2021-03-20

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
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain · Be unable to do your normal daily activities

Free text: Increased edema in legs and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Oedema peripheral — Feeling: Good

Free text: Edema in feet & legs. High blood glucose after vaccination and continuing today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Just got the dose 20 minutes ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Elevated blood glucose readings

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Survey response — day 42, dose 2
MedDRA: Abdominal pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Abdominal pain for about 2 weeks now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Survey response — 6 months, dose 2
MedDRA: Arthritis, COVID-19, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Inflammation in joints. Did contract Covid, but was not hospitalized. · Healthcare visit (other): Covid drive thru test

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-12
Dose 3 — Pfizer-BioNTech
2022-04-10
Survey response — 12 months, dose 2
MedDRA: Condition aggravated, Hepatotoxicity, Pre-existing disease, Reproductive tract disorder — Feeling: Fair · Be unable to work or attend school, 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: Lost my hepatitis tider, had 2 genital herpes outbreaks after receiving second shot and booster. Liver copper toxicity and reproductive issues.

MedDRA releases: 2024-11 · check-in free text available
2022-04-10
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · 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)
2022-04-13
Call 1 — Left Voicemail
2022-06-12
Survey response — 6 months, dose 3
MedDRA: Blood test abnormal, C-reactive protein increased, Copper metabolism disorder, Hepatotoxicity, Nephrolithiasis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Kidney stones, copper toxicity in my liver and I higher level of inflammation seen in my blood test. C- Reactive protein.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-13
Call 1 — Left Voicemail
2022-06-13
Call 2 — Left Voicemail
2022-06-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-12-12	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Increased edema in legs and feet

2021-03-25

Systemic reaction (other): Edema in feet & legs. High blood glucose after vaccination and continuing today.

Release 7 — day 0, dose 2

2021-04-10

Systemic reaction (other): Just got the dose 20 minutes ago

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Elevated blood glucose readings

Release 8 — day 42, dose 2

2021-05-22

Symptoms: Abdominal pain for about 2 weeks now.

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: Inflammation in joints. Did contract Covid, but was not hospitalized.

Healthcare visit (other): Covid drive thru test

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Lost my hepatitis tider, had 2 genital herpes outbreaks after receiving second shot and booster. Liver copper toxicity and reproductive issues.

Release 12 — 6 months, dose 3

2022-06-12

Symptoms: Kidney stones, copper toxicity in my liver and I higher level of inflammation seen in my blood test. C- Reactive protein.

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	SARS-CoV-2 test	·	·	✓
SD	Abdominal pain	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Blood test abnormal	·	·	✓
SD	C-reactive protein increased	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Copper metabolism disorder	·	·	✓
SD	COVID-19	·	·	✓
SD	Hepatotoxicity	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Reproductive tract disorder	·	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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