6CP-20036-86490

2 vaccinations 3 coded responses 20 check-ins 3 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 068 / CT
Registered: 2021-02-27

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Headache

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Chills, Fatigue, Headache, Myalgia, Nausea, Neuralgia, Pyrexia, Rash, Vaccination site pain — Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I regret that this is coming today (Sunday), since I had the vaccination on Friday. Almost precisely 12 hours after the injection, I had a severe nerve pain from the vaccination site down to my left wrist. I then began chills, nausea, fever, fatigue, joint pains, muscle aches, and a facial rash. Today, I am left with only extreme fatigue, some muscle aches, and a small headache. I hope to be over it all by tomorrow.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Eye infection, Office visit — Feeling: Fair · 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: Symptoms: Eye infection, resisted antibiotic (Doxycycline); has seemed to respond to Erythromycin ointment, though not 100%, yet. · Healthcare visit (other): Emergency ophthalmology appointment twice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-06-25
Call successful
Does not wish to fill out VAERS report
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Clostridium difficile infection, Colitis ischaemic, Renal mass, Scan abnormal — 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, Emergency room or emergency department visit, Hospitalization

Free text: I have had C-diff since late July, and it caused ischemic colitis. I am still on Vancomycin for the C-diff. In a scan to look for diverticulitis, doctors found a mass on my right kidney.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
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

1 call case(s)
2021-09-20
Call 1 — Left Voicemail
2022-03-24
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): I regret that this is coming today (Sunday), since I had the vaccination on Friday. Almost precisely 12 hours after the injection, I had a severe nerve pain from the vaccination site down to my left wrist. I then began chills, nausea, fever, fatigue, joint pains, muscle aches, and a facial rash. Today, I am left with only extreme fatigue, some muscle aches, and a small headache. I hope to be over it all by tomorrow.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Eye infection, resisted antibiotic (Doxycycline); has seemed to respond to Erythromycin ointment, though not 100%, yet.

Healthcare visit (other): Emergency ophthalmology appointment twice

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: I have had C-diff since late July, and it caused ischemic colitis. I am still on Vancomycin for the C-diff. In a scan to look for diverticulitis, doctors found a mass on my right kidney.

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	✓	✓	✓
SD	Clostridium difficile infection	·	·	✓
SD	Colitis ischaemic	·	·	✓
SD	Eye infection	✓	✓	✓
SD	Renal mass	·	·	✓
SD	Scan abnormal	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Vaccination site pain	✓	✓	✓

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