6HR-22014-28831

3 vaccinations 15 coded responses 36 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 641 / MO
Registered: 2021-07-13

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-07-13
Registered in v-safe
2021-07-13
Dose 1 — Pfizer-BioNTech
2021-07-13
Health check-in — day 0, dose 1
Feeling: Good · Site: Swelling · Diarrhea

Adult check-in
2021-07-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-07-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-16
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus problems

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-17
Survey response — days 1–6 daily, dose 1
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus problems

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-07-19
Survey response — days 1–6 daily, dose 1
MedDRA: Productive cough, Rhinorrhoea, Secretion discharge, Sinus disorder — Feeling: Good

Free text: Sinus problems. Lots of thick mucus in nasals & coughing mucus

MedDRA releases: 2024-11 · check-in free text available
2021-07-20
Survey response — day 7, dose 1
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus problems

MedDRA releases: 2024-11 · check-in free text available
2021-07-27
Survey response — day 14, dose 1
MedDRA: Epistaxis, Increased viscosity of upper respiratory secretion, Productive cough, Sputum discoloured — Feeling: Good

Free text: Harking up real thick white mucus (thick as slime) with a tinge of blood in it several times throughout the day. Sometimes its hold to get it out but feels like I might choke if I dont so I keep trying.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Dose 2 — Pfizer-BioNTech
2021-08-03
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-08-04
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Cough, Secretion discharge — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: A little weak, a feeling of being a little off balance & coughing up & blowing out mucus through my sinuses

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-08-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-08-11
Survey response — day 7, dose 2
MedDRA: Sinus disorder — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sinus

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-17
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-08-31
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-09-07
Survey response — day 35, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Slight sore throat

MedDRA releases: 2024-11 · check-in free text available
2021-09-14
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-02-01
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-07
Dose 3 — Pfizer-BioNTech
2022-03-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-03-11
Survey response — days 1–6 daily, dose 3
MedDRA: Sinus disorder — Feeling: Good

Free text: Sinus issues

MedDRA releases: 2024-11 · check-in free text available
2022-03-12
Survey response — days 1–6 daily, dose 3
MedDRA: Rash papular — Feeling: Good · Fatigue or tiredness

Free text: Small raised bumps

MedDRA releases: 2024-11 · check-in free text available
2022-03-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-03-14
Survey response — day 7, dose 3
MedDRA: Rash — Feeling: Good · Fatigue or tiredness

Free text: Small bumps, just a few

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-03-28
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-04-04
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-04-11
Survey response — day 35, dose 3
MedDRA: Eyelid cyst, Eyelid irritation, Swelling of eyelid — Feeling: Fair · Be unable to do your normal daily activities

Free text: My eyelids, top and bottom, have cysts, swollen and irritated

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Survey response — day 42, dose 3
MedDRA: Erythema of eyelid, Eyelid cyst, Swelling of eyelid, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Both eyes have cysts on the lid. There were swollen, irradiated and red for 2 weeks but today seem to be getting better today.

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — day 42, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-04-19
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-06
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-09-05
Survey response — 6 months, dose 3
MedDRA: Rash, Rash papular — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Raised bumps on my scalp & Face (maybe acne like bumps). It has happened twice but has cleared almost up. Only notice 1-2 on my scalp

MedDRA releases: 2024-11 · check-in free text available
2022-09-05
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)
2022-09-07
Call successful
Does not wish to fill out VAERS report
2023-03-07
Survey response — 12 months, dose 3
MedDRA: Chest pain, Dysphonia — Feeling: Good

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-13	Pfizer-BioNTech	No
2	2021-08-03	Pfizer-BioNTech	No
3	2022-03-07	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-16

Systemic reaction (other): Sinus problems

2021-07-17

Systemic reaction (other): Sinus problems

2021-07-19

Systemic reaction (other): Sinus problems. Lots of thick mucus in nasals & coughing mucus

Release 9 — day 7, dose 1

2021-07-20

Systemic reaction (other): Sinus problems

Release 9 — day 14, dose 1

2021-07-27

Symptoms: Harking up real thick white mucus (thick as slime) with a tinge of blood in it several times throughout the day. Sometimes its hold to get it out but feels like I might choke if I dont so I keep trying.

Release 9 — days 1–6 daily, dose 2

2021-08-04

Systemic reaction (other): A little weak, a feeling of being a little off balance & coughing up & blowing out mucus through my sinuses

Release 9 — day 7, dose 2

2021-08-11

Systemic reaction (other): Sinus

Release 9 — day 35, dose 2

2021-09-07

Symptoms: Slight sore throat

Release 11 — days 1–6 daily, dose 3

2022-03-11

Systemic reaction (other): Sinus issues

2022-03-12

Systemic reaction (other): Small raised bumps

Release 11 — day 7, dose 3

2022-03-14

Systemic reaction (other): Small bumps, just a few

Release 11 — day 35, dose 3

2022-04-11

Symptoms: My eyelids, top and bottom, have cysts, swollen and irritated

Release 11 — day 42, dose 3

2022-04-18

Symptoms: Both eyes have cysts on the lid. There were swollen, irradiated and red for 2 weeks but today seem to be getting better today.

Release 12 — 6 months, dose 3

2022-09-05

Symptoms: Raised bumps on my scalp & Face (maybe acne like bumps). It has happened twice but has cleared almost up. Only notice 1-2 on my scalp

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	Chest pain	·	·	✓
SD	Dysphonia	·	·	✓
SD	Epistaxis	✓	·	✓
SD	Erythema of eyelid	·	·	✓
SD	Eyelid cyst	·	·	✓
SD	Eyelid irritation	·	·	✓
SD	Increased viscosity of upper respiratory secretion	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Productive cough	✓	·	✓
SD	Rash	·	·	✓
SD	Rash papular	·	·	✓
SD	Sputum discoloured	✓	·	✓
SD	Swelling of eyelid	·	·	✓
SD	Unevaluable event	·	·	✓
SRO	Asthenia	✓	·	✓
SRO	Balance disorder	✓	·	✓
SRO	Cough	✓	·	✓
SRO	Productive cough	·	·	✓
SRO	Rash	·	·	✓
SRO	Rash papular	·	·	✓
SRO	Rhinorrhoea	·	·	✓
SRO	Secretion discharge	✓	·	✓
SRO	Sinus disorder	✓	·	✓

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