6V6-11750-18442

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 290 / SC
Registered: 2021-02-01

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-02-01
Registered in v-safe
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — day 7, dose 1
MedDRA: Flatulence — Feeling: Good

Free text: Very gassy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Bone pain, Sleep disorder — Feeling: Fair

Free text: Bones ached which woke me up and upset stomach.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-02-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — day 14, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Loose bowels not totally diarrhea. Maybe something I ate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-20
Survey response — day 28, dose 2
MedDRA: Anaemia, Cardiac murmur, Peripheral swelling, Unevaluable event, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Symptoms: Swollen legs UtiHeart murmur Anemia · Healthcare visit (other): Colonoscopy endoscopy. Ultra sounds for heart liver lungs etc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-27
Survey response — day 35, dose 2
MedDRA: Angiopathy, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Hospitalized with vascular ecstasies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — day 42, dose 2
MedDRA: Anaemia, Cardiac murmur, Gastric antral vascular ectasia, Hospitalisation, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Swollen legs, anemia, heart murmur, vascular estastia. Hospitalized for1 week and received 2 blood transfusions and one iron infusion.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-22
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Have vascular estasia, liver and kidney issues

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-21
Survey response — 6 months, dose 2
MedDRA: Ammonia increased, Cardiac disorder, Frustration tolerance decreased, Hospitalisation, Liver disorder, Platelet count decreased, Renal disorder — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: High ammonia levels, low platelets, liver and kidney issues. Ive been hospitalized and nice there is a heart problem. Frustrating

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-24
Call successful
Participant prefers to complete VAERS report online
2022-02-20
Survey response — 12 months, dose 2
MedDRA: Hepatic cancer, Office visit, Radiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Hospitalization

Free text: Symptoms: Cancer if the liver · Healthcare visit (other): Radiation , more doctor visits and lab work

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
2022-02-21
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-20	Pfizer-BioNTech

Call center

6 call center cases

5 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — day 7, dose 1

2021-02-05

Systemic reaction (other): Very gassy

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Bones ached which woke me up and upset stomach.

Release 5 — day 14, dose 2

2021-03-06

Symptoms: Loose bowels not totally diarrhea. Maybe something I ate

Release 6 — day 28, dose 2

2021-03-20

Symptoms: Swollen legs UtiHeart murmur Anemia

Healthcare visit (other): Colonoscopy endoscopy. Ultra sounds for heart liver lungs etc

Release 6 — day 35, dose 2

2021-03-27

Symptoms: Hospitalized with vascular ecstasies

Release 6 — day 42, dose 2

2021-04-03

Symptoms: Swollen legs, anemia, heart murmur, vascular estastia. Hospitalized for1 week and received 2 blood transfusions and one iron infusion.

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Have vascular estasia, liver and kidney issues

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: High ammonia levels, low platelets, liver and kidney issues. Ive been hospitalized and nice there is a heart problem. Frustrating

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Cancer if the liver

Healthcare visit (other): Radiation , more doctor visits and lab work

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	Office visit	·	·	✓
HCVO	Radiotherapy	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Ammonia increased	✓	·	✓
SD	Anaemia	✓	✓	✓
SD	Angiopathy	✓	✓	✓
SD	Bone pain	✓	✓	✓
SD	Cardiac disorder	✓	·	✓
SD	Cardiac murmur	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Frustration tolerance decreased	✓	·	✓
SD	Gastric antral vascular ectasia	✓	✓	✓
SD	Hepatic cancer	·	·	✓
SD	Hospitalisation	✓	✓	✓
SD	Liver disorder	✓	·	✓
SD	Peripheral swelling	✓	✓	✓
SD	Platelet count decreased	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Renal disorder	✓	·	✓
SD	Sleep disorder	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Flatulence	✓	✓	✓

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