6G9-15315-10326

2 vaccinations 13 coded responses 26 check-ins 13 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 606 / IL
Registered: 2021-02-19

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-02-19
Registered in v-safe
2021-02-19
Dose 1 — Pfizer-BioNTech
2021-02-19
Survey response — day 0, dose 1
MedDRA: Erythema, Hypertension, Lip erythema, Lip swelling, Medical observation, Swelling face — Feeling: Fair · Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Extremely high blood pressure / redness and swelling of my face and lip · Healthcare visit (other): Fire department where I got the vaccine had a nurse gave me an EKG and gave me a Benadryl injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Report sent to call center — day 0, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Hypertension, Medical counselling — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): High blood pressure · Healthcare visit (other): Called doctor had conversation

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Hypertension — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Blood pressure higher than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Sneezing — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing all day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 7, dose 1
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Rash on chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — day 14, dose 1
MedDRA: Eye infection, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Eye infection and sore throat continues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — day 21, dose 1
MedDRA: Eye infection, Headache — Feeling: Fair

Free text: Random headaches and still have eye infection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Sneezing — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Nausea

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

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

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph nodes under right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph node under right arm continues and new swollen lymph node on right side of jaw bone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-02
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-20
Survey response — 3 months, dose 2
MedDRA: Hordeolum — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Stye in each eye returned. Never had a stye before vaccine . Now I have one in each eye that never seem to clear up completely.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-25
Call 1 — Could Not Reach Participant
2021-06-30
Call 2 — Left Voicemail
2021-09-19
Survey response — 6 months, dose 2
MedDRA: Eye pain, Meibomian gland dysfunction, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: I had strep throat a month ago. I dont remember having this since I was a child. Still have right-eye lid glands clogged that if not careful leads to a painful eye/s.

MedDRA releases: 2024-11 · check-in free text available
2021-09-19
Report sent to call center — 6 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

1 call case(s)
2021-09-21
Call 1 — Requested Callback
2021-09-21
Callback requested for
02:00PM
2021-09-22
Call successful
Participant prefers to complete VAERS report online
2022-03-19
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

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

Call center

4 call center cases

1 successful · 3 unsuccessful

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-19

Systemic reaction (other): Extremely high blood pressure / redness and swelling of my face and lip

Healthcare visit (other): Fire department where I got the vaccine had a nurse gave me an EKG and gave me a Benadryl injection.

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): Dizzy

2021-02-22

Systemic reaction (other): High blood pressure

Healthcare visit (other): Called doctor had conversation

2021-02-24

Systemic reaction (other): Blood pressure higher than usual

2021-02-25

Systemic reaction (other): Sneezing all day

Release 4 — day 7, dose 1

2021-02-26

Systemic reaction (other): Rash on chest

Release 5 — day 14, dose 1

2021-03-05

Symptoms: Eye infection and sore throat continues

Release 5 — day 21, dose 1

2021-03-12

Symptoms: Random headaches and still have eye infection.

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Sneezing

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Swollen lymph nodes under right arm

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Swollen lymph node under right arm continues and new swollen lymph node on right side of jaw bone.

Release 9 — 3 months, dose 2

2021-06-20

Symptoms: Stye in each eye returned. Never had a stye before vaccine . Now I have one in each eye that never seem to clear up completely.

Release 9 — 6 months, dose 2

2021-09-19

Symptoms: I had strep throat a month ago. I dont remember having this since I was a child. Still have right-eye lid glands clogged that if not careful leads to a painful eye/s.

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	Medical counselling	✓	✓	✓
HCVO	Medical observation	✓	✓	✓
SD	Eye infection	✓	✓	✓
SD	Eye pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Hordeolum	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Meibomian gland dysfunction	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Blood pressure increased	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Lip erythema	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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