6Y3-11170-80683

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 935 / CA
Registered: 2021-01-23

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

2021-01-18
Dose 1 — Pfizer-BioNTech
2021-01-23
Registered in v-safe
2021-01-23
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain, Diarrhoea — Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Free text: I had abdominal pain and diarrhea 1/22/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Good · Headache

Free text: Dull headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Pfizer-BioNTech
2021-02-08
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Diarrhea, Abdominal pain

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 28, dose 2
MedDRA: Ear pain, Headache, Photopsia, Unevaluable event, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild headaches, earache, and left eye floaters and flashing lights. Made an appointment to see doctor on Monday. · Healthcare visit (other): Primary doctor Monday 3/15

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-15
Survey response — day 35, dose 2
MedDRA: Chills, Headache, Muscle twitching, Photopsia, Vitreous floaters — Feeling: Fair

Free text: Eye floaters and flashing lights, lip trembling, headaches, chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Headache, Office visit, Photopsia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Headaches, flashing lights in left eye, fatigue, dry cough · Healthcare visit (other): Eye doctor, primary care doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call successful
Does not wish to fill out VAERS report
2021-08-09
Survey response — 6 months, dose 2
MedDRA: Fatigue, Headache, Office visit, Photopsia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Continue to have headaches off and on, being tired, and seeing light flashes in left eye. · Healthcare visit (other): Eye Institute, primary care physician

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

1 call case(s)
2022-02-08
Survey response — 12 months, dose 2
MedDRA: Chills, Cough, Rhinorrhoea — Feeling: Good

Free text: Chills, runny nose, dry cough

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-18	Pfizer-BioNTech
2	2021-02-08	Pfizer-BioNTech

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): I had abdominal pain and diarrhea 1/22/21.

2021-01-24

Systemic reaction (other): Dull headache

Release 5 — day 28, dose 2

2021-03-08

Symptoms: Mild headaches, earache, and left eye floaters and flashing lights. Made an appointment to see doctor on Monday.

Healthcare visit (other): Primary doctor Monday 3/15

Release 5 — day 35, dose 2

2021-03-15

Symptoms: Eye floaters and flashing lights, lip trembling, headaches, chills

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Headaches

Release 8 — 3 months, dose 2

2021-05-12

Symptoms: Headaches, flashing lights in left eye, fatigue, dry cough

Healthcare visit (other): Eye doctor, primary care doctor

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Continue to have headaches off and on, being tired, and seeing light flashes in left eye.

Healthcare visit (other): Eye Institute, primary care physician

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: Chills, runny nose, dry cough

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	Unevaluable event	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Photopsia	✓	✓	✓
SD	Rhinorrhoea	·	·	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Headache	✓	✓	✓

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