6LG-16319-99561

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 0 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 319 / GA
Registered: 2021-03-22

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-03
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-17
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-18
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe aching behind my left eyeball all day today...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Rhinalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Bad pain behind left eyeball and right nostril started to bleed out of nowhere then the pain behind ny left eyeball was not as severe...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Still experencing pain behind my left eyeball,it almost feels like the type of eye pain that accompanies the flu"not covid19"during the flu season!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dr says I have conjunctivitis in left eye!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-01
Survey response — day 14, dose 2
MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities

Free text: Have bad places on both my arms sort of like a bad rash but not sure because they do not itch!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 28, dose 2
MedDRA: Rash macular — Feeling: Fair · Be unable to do your normal daily activities

Free text: I keep getting these big reddish colored splotches on my left arm and it isn't a rash,i'm thinking that they could be from the covid 19 vaccines!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 35, dose 2
MedDRA: Headache, Rash macular — Feeling: Poor · Be unable to do your normal daily activities

Free text: I keep getting these red blotches on my arms and ive been throwing up either blue or black stuff plus green stuff all day yesterday and my head has been hurting!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-17	Pfizer-BioNTech

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): Severe aching behind my left eyeball all day today...

2021-04-19

Systemic reaction (other): Bad pain behind left eyeball and right nostril started to bleed out of nowhere then the pain behind ny left eyeball was not as severe...

2021-04-21

Systemic reaction (other): Still experencing pain behind my left eyeball,it almost feels like the type of eye pain that accompanies the flu"not covid19"during the flu season!!!

2021-04-23

Systemic reaction (other): Dr says I have conjunctivitis in left eye!!!

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Have bad places on both my arms sort of like a bad rash but not sure because they do not itch!!!

Release 8 — day 28, dose 2

2021-05-15

Symptoms: I keep getting these big reddish colored splotches on my left arm and it isn't a rash,i'm thinking that they could be from the covid 19 vaccines!!!

Release 8 — day 35, dose 2

2021-05-23

Symptoms: I keep getting these red blotches on my arms and ive been throwing up either blue or black stuff plus green stuff all day yesterday and my head has been hurting!!!

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	Headache	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash macular	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Rhinalgia	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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