6U6-30395-20716

2 vaccinations 10 coded responses 25 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 492 / MI
Registered: 2021-03-12

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

Timeline

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

2021-03-12
Registered in v-safe
2021-03-12
Dose 1 — Pfizer-BioNTech
2021-03-12
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-13
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good

Free text: Mild fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 1
MedDRA: No adverse event — Feeling: Good

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-02
Dose 2 — Pfizer-BioNTech
2021-04-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Eye irritation, Paranasal sinus discomfort — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sinus pressure, eyes stinging, weakness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Malaise — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Yesterday temp reached 101.9 My normal. is 97.6. Felt HORRIBLE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Feel lightheaded and dizzy. Wish Id never got 2nd shot!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good

Free text: No, thank GOD! You need to consider my underlying health issues. I have rapid heart beats and this vaccine exacerbated my condition to an extreme. This is an important factor in the need for shot 2! Ive also experienced covid symptoms in 2020that had me sick for 6 weeks! I dont think I needed the 2nd shot. I suffered unnecessarily.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 21, dose 2
MedDRA: Headache, Lethargy, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache Lethargy and feverish for a day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-15
Survey response — day 42, dose 2
MedDRA: Breast mass, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lump in breast · Healthcare visit (other): Mammogram diagnostic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Survey response — 6 months, dose 2
MedDRA: Headache, Pre-existing disease — Feeling: Fair

Free text: Headache, due to allergies.

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities

Free text: Fever, cough, loss of taste and smell, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-12	Pfizer-BioNTech
2	2021-04-02	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Mild fatigue

2021-03-15

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Sinus pressure, eyes stinging, weakness

2021-04-04

Systemic reaction (other): Yesterday temp reached 101.9 My normal. is 97.6. Felt HORRIBLE

2021-04-05

Systemic reaction (other): Feel lightheaded and dizzy. Wish Id never got 2nd shot!

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): No, thank GOD! You need to consider my underlying health issues. I have rapid heart beats and this vaccine exacerbated my condition to an extreme. This is an important factor in the need for shot 2! Ive also experienced covid symptoms in 2020that had me sick for 6 weeks! I dont think I needed the 2nd shot. I suffered unnecessarily.

Release 7 — day 21, dose 2

2021-04-24

Symptoms: Headache Lethargy and feverish for a day.

Release 8 — day 42, dose 2

2021-05-15

Symptoms: Lump in breast

Healthcare visit (other): Mammogram diagnostic

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Headache, due to allergies.

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: Fever, cough, loss of taste and smell, fatigue

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	Unevaluable event	✓	✓	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Breast mass	✓	✓	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Lethargy	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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