6CH-57878-57535

1 vaccination 14 coded responses 14 check-ins 14 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 301 / GA
Registered: 2021-09-10

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-09-10
Registered in v-safe
2021-09-10
Dose 1 — Pfizer-BioNTech
2021-09-10
Survey response — day 0, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Eye swelling, Joint swelling, Migraine — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swelling of ankles, twitching eyelids, severe migraine, swollen eyes

MedDRA releases: 2024-11 · check-in free text available
2021-09-12
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling, Joint swelling, Migraine — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen ankles, swollen eyes, severe migraine.

MedDRA releases: 2024-11 · check-in free text available
2021-09-13
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Eye swelling, Joint swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen eyes, swollen ankles, twitching eye lids

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Eye swelling, Joint swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen ankles, swollen eyes, twitching eye lids

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharospasm, Eye swelling, Joint swelling, Migraine — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen ankles, swollen eyes, eye twitching, migraine

MedDRA releases: 2024-11 · check-in free text available
2021-09-16
Survey response — days 1–6 daily, dose 1
MedDRA: Eye swelling, Joint swelling, Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea

Free text: Swollen ankles, swollen eyes, heart palpitations,

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Survey response — day 7, dose 1
MedDRA: Anxiety, Eye swelling, Joint swelling, Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Heart palpitations, Swollen ankles, swollen eyes, severe anxiety

MedDRA releases: 2024-11 · check-in free text available
2021-09-24
Survey response — day 14, dose 1
MedDRA: Abdominal pain upper, Anxiety, Diarrhoea, Joint swelling, Migraine, Palpitations, Unevaluable event, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ive been having heart palpitations, severe anxiety, swelling of the ankles, eyes, severe migraines, vomiting everyday, stomach pains, diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — day 21, dose 1
MedDRA: Abdominal pain upper, Joint swelling, Migraine, Pain, Palpitations, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have heart palpitations all thru out the day every day, i I have NEVER EVER had any heart problems. I vomit everyday, have severe stomach pains, swollen joints, still very achy, and having severe migraines almost daily.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — day 28, dose 1
MedDRA: Abdominal pain upper, Arthralgia, Back pain, Insomnia, Joint swelling, Migraine, Mobility decreased, Palpitations, Peripheral swelling, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have severe daily stomach pains, i vomit daily, been having heart palpitations on & off during day everyday, my joints are swollen & achy, my feet & ankles swollen, i have severe migraines, my back hurts so bad i can hardly bend over, & insomnia

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — day 35, dose 1
MedDRA: Abdominal pain upper, Anxiety, Arthralgia, Bone pain, Migraine, Muscle spasms, Nausea, Palpitations, Vomiting — Feeling: Fair · Be unable to do your normal daily activities

Free text: Heart palpitations, severe migraines, bone/joint pains, anxiety attacks, muscle spasms, nausea, vomiting daily, stomach pains.

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — 3 months, dose 1
MedDRA: Migraine, Pain, Palpitations, Vomiting — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Having daily heart palpitations NEVER HAD ANY HEART PROBLEMS BEFORE THIS HORRIBLE SHOT!! Vomiting daily Migraines Body aches

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — 3 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-03-11
Survey response — 6 months, dose 1
MedDRA: Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: DAILY HEART PALPITATIONS FROM THAT STUPID POISONOUS SHOT

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-10	Pfizer-BioNTech	No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 9 — day 0, dose 1

2021-09-10

Systemic reaction (other): Migraine

Release 9 — days 1–6 daily, dose 1

2021-09-11

Systemic reaction (other): Swelling of ankles, twitching eyelids, severe migraine, swollen eyes

2021-09-12

Systemic reaction (other): Swollen ankles, swollen eyes, severe migraine.

2021-09-13

Systemic reaction (other): Swollen eyes, swollen ankles, twitching eye lids

2021-09-14

Systemic reaction (other): Swollen ankles, swollen eyes, twitching eye lids

2021-09-15

Systemic reaction (other): Swollen ankles, swollen eyes, eye twitching, migraine

2021-09-16

Systemic reaction (other): Swollen ankles, swollen eyes, heart palpitations,

Release 9 — day 7, dose 1

2021-09-17

Systemic reaction (other): Heart palpitations, Swollen ankles, swollen eyes, severe anxiety

Release 9 — day 14, dose 1

2021-09-24

Symptoms: Ive been having heart palpitations, severe anxiety, swelling of the ankles, eyes, severe migraines, vomiting everyday, stomach pains, diarrhea.

Release 9 — day 21, dose 1

2021-10-03

Symptoms: I have heart palpitations all thru out the day every day, i I have NEVER EVER had any heart problems. I vomit everyday, have severe stomach pains, swollen joints, still very achy, and having severe migraines almost daily.

Release 10 — day 28, dose 1

2021-10-08

Symptoms: I have severe daily stomach pains, i vomit daily, been having heart palpitations on & off during day everyday, my joints are swollen & achy, my feet & ankles swollen, i have severe migraines, my back hurts so bad i can hardly bend over, & insomnia cut off by CDC

Release 10 — day 35, dose 1

2021-10-17

Symptoms: Heart palpitations, severe migraines, bone/joint pains, anxiety attacks, muscle spasms, nausea, vomiting daily, stomach pains.

Release 10 — 3 months, dose 1

2021-12-10

Symptoms: Having daily heart palpitations NEVER HAD ANY HEART PROBLEMS BEFORE THIS HORRIBLE SHOT!! Vomiting daily Migraines Body aches

Release 11 — 6 months, dose 1

2022-03-11

Symptoms: DAILY HEART PALPITATIONS FROM THAT STUPID POISONOUS SHOT

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
SD	Abdominal pain upper	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Bone pain	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Insomnia	·	·	✓
SD	Joint swelling	·	·	✓
SD	Migraine	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Nausea	·	·	✓
SD	Pain	·	·	✓
SD	Palpitations	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Vomiting	·	·	✓
SRO	Anxiety	·	·	✓
SRO	Blepharospasm	·	·	✓
SRO	Eye swelling	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Migraine	·	·	✓
SRO	Palpitations	·	·	✓

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