6KF-31065-95237

2 vaccinations 11 coded responses 24 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 300 / GA
Registered: 2021-01-19

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-19
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Hypoacusis, Neuralgia — Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Free text: Ear pain, pain in my facial nerve that has been affected by shingles in the past, problems with hearing in that affected ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Deafness, Ear pain, Eyelid ptosis, Inflammation, Pre-existing disease, Sensory loss, Tinnitus — Feeling: Good

Free text: I still have some inflammation of the nerves that were once affected by shingles on the right side of my face--eyelid is a bit droopy, ear has some pain and tinnitus with some hearing loss, and some decreased sensation of the right cheek and right side of my mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Eye pain, Facial pain, Herpes zoster, Superficial injury of eye — Feeling: Good

Free text: Still pain and problems with facial nerves once affected with shingles. Also, eyes are really red, scratchy, and painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Eye pain, Facial nerve disorder, Facial pain, Pre-existing disease — Feeling: Good · Headache

Free text: Scratchy, red, painful eyes, and still having issues and pain in the facial nerves once affected by shingles.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Eye pain, Eyelid ptosis, Headache, Neuralgia, Tinnitus, Trigeminal neuralgia — Feeling: Good

Free text: Trigeminal nerve pain, ear pain and whooshing in my ear, drooping eyelid, eye pain, headache. Ulnar nerve pain, also where I had previous shingles virus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 7, dose 1
MedDRA: Ear pain, Trigeminal nerve disorder — Feeling: Good

Free text: Trigeminal nerve pain and ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Appetite disorder, Decreased appetite — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Anorexia--not hungry, no appetite

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-04-29
Survey response — day 14, dose 2
MedDRA: Facial paralysis, Neuralgia — Feeling: Good

Free text: Nerve pain from base of skull, down arm, elbow, wrist, hand, and pinky finger. Also, right side of face showing some drooping of eyelid.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 21, dose 2
MedDRA: Dry skin, Rash, Rash pruritic — Feeling: Good

Free text: Rash on face, scalp, chest, neck, back. Looks like measles but dry and itchy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Bell's palsy, Herpes zoster, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had shingles where I developed Bell's Palsy. Drs say when I had the Bell's Palsy with the first vaccine on March 18th, it was shingles with no rash.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-18
Survey response — 6 months, dose 2
MedDRA: Herpes zoster, Nerve block, Occipital neuralgia, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Occipital Neuralgia from shingles after the 2nd and 3rd vaccinations · Healthcare visit (other): I received an Occipital nerve block

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-20
Call 1 — Left Voicemail
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Ear pain, pain in my facial nerve that has been affected by shingles in the past, problems with hearing in that affected ear

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): I still have some inflammation of the nerves that were once affected by shingles on the right side of my face--eyelid is a bit droopy, ear has some pain and tinnitus with some hearing loss, and some decreased sensation of the right cheek and right side of my mouth.

2021-03-22

Systemic reaction (other): Still pain and problems with facial nerves once affected with shingles. Also, eyes are really red, scratchy, and painful.

2021-03-23

Systemic reaction (other): Scratchy, red, painful eyes, and still having issues and pain in the facial nerves once affected by shingles.

2021-03-24

Systemic reaction (other): Trigeminal nerve pain, ear pain and whooshing in my ear, drooping eyelid, eye pain, headache. Ulnar nerve pain, also where I had previous shingles virus.

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Trigeminal nerve pain and ear pain

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Anorexia--not hungry, no appetite

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Nerve pain from base of skull, down arm, elbow, wrist, hand, and pinky finger. Also, right side of face showing some drooping of eyelid.

Release 8 — day 21, dose 2

2021-05-06

Symptoms: Rash on face, scalp, chest, neck, back. Looks like measles but dry and itchy.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: I had shingles where I developed Bell's Palsy. Drs say when I had the Bell's Palsy with the first vaccine on March 18th, it was shingles with no rash.

Release 10 — 6 months, dose 2

2021-10-18

Symptoms: Occipital Neuralgia from shingles after the 2nd and 3rd vaccinations

Healthcare visit (other): I received an Occipital nerve block

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	Nerve block	·	·	✓
SD	Bell's palsy	✓	·	✓
SD	Dry skin	✓	✓	✓
SD	Facial paralysis	✓	✓	✓
SD	Herpes zoster	✓	·	✓
SD	Neuralgia	✓	✓	✓
SD	Occipital neuralgia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Reaction to previous exposure to any vaccine	✓	·	✓
SRO	Appetite disorder	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Eyelid ptosis	✓	✓	✓
SRO	Facial nerve disorder	✓	✓	✓
SRO	Facial pain	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Hypoacusis	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Sensory loss	✓	✓	✓
SRO	Superficial injury of eye	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Trigeminal nerve disorder	✓	✓	✓
SRO	Trigeminal neuralgia	✓	✓	✓

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