7MF-32179-98500

4 vaccinations 12 coded responses 30 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 785 / TX
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-21
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-11
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Skin discolouration — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Dark spot on both cheeck and dark spot on the forehead area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chloasma, Skin discolouration — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Dark spot on cheeck and dark spot on the top forehead

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-16
Survey response — day 28, dose 2
MedDRA: Palpitations, Vision blurred — Feeling: Fair

Free text: Chest pulpation and right eye blurr vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 35, dose 2
MedDRA: Chest pain, Palpitations — Feeling: Good

Free text: Chest pulpations with a sting feeling around chest area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 42, dose 2
MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Very strong headaches, · Healthcare visit (other): Dr.visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Chest pain, Cough, Muscular weakness — Feeling: Fair

Free text: Sharp random pain on right chest and random weakness on legs random cough , sometimes coughing persistent.

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Dose 3 — Pfizer-BioNTech
2022-04-15
Dose 4 — Pfizer-BioNTech
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Fatigue, Memory impairment, Respiratory disorder, Skin discolouration — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have dark dots spots more in my feet ,a few thru out my body, my Breathing is better , I still get tired easily and tend to forget things .

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-19
Call 1 — Could Not Reach Participant
2022-04-22
Call 2 — Could Not Reach Participant
2022-04-25
Survey response — day 7, dose 4
MedDRA: Asthenia, Fatigue, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): With some fatigue and not much strength · Healthcare visit (other): Dr. Visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Report sent to call center — day 7, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-26
Call 1 — Left Voicemail
2022-04-29
Survey response — day 14, dose 4
MedDRA: Dysphonia, Dyspnoea, Fatigue, Office visit, Skin discolouration — Feeling: Fair · Be unable to work or attend school

Free text: Black dots over and under my feet, still fatigue and voice horse. I went to Dr. They explained some people get pro long symptoms. I get tired easily and run out breath

MedDRA releases: 2024-11 · check-in free text available
2022-05-06
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-14
Survey response — day 28, dose 4
MedDRA: Alopecia, Dysphonia, Muscle spasms, Nodule, Pain, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: My voice fades, soreness to talk clearly. My hair is thinning out. I been getting cramps and I feel the knots on my legs. Painful pain..I want say the painful knot moves thru the leg. · Healthcare visit (other): Went to get a muscle relaxer shot @(b)(6)

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 28, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-20
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-05-27
Survey response — day 42, dose 4
MedDRA: Office visit, Vein disorder — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: My veins on my body are showing very green.not in pain,I can follow my veins that's how visible they are. · Healthcare visit (other): Clinic for check up.

MedDRA releases: 2024-11 · check-in free text available
2022-05-27
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-31
Call 1 — Requested Callback
2022-06-01
Callback requested for
2022-06-01
Call successful
Does not wish to fill out VAERS report
2022-07-19
Survey response — 3 months, dose 4
MedDRA: Alopecia, Dysphonia, Muscle spasms — Feeling: Fair · Be unable to work or attend school

Free text: Severely hair loss, and my voice cracks while talking and my muscle spasms don't stop

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech
3	2021-10-30	Pfizer-BioNTech	No
4	2022-04-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-30	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-18	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-25	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-14	Successful 2022-05-16	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-27	Successful 2022-06-01	Does not wish to fill out VAERS report

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-23

Systemic reaction (other): Dark spot on both cheeck and dark spot on the forehead area

2021-04-24

Systemic reaction (other): Dark spot on cheeck and dark spot on the top forehead

Release 8 — day 28, dose 2

2021-05-16

Symptoms: Chest pulpation and right eye blurr vision

Release 8 — day 35, dose 2

2021-05-23

Symptoms: Chest pulpations with a sting feeling around chest area

Release 8 — day 42, dose 2

2021-05-30

Symptoms: Very strong headaches,

Healthcare visit (other): Dr.visit

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: Sharp random pain on right chest and random weakness on legs random cough , sometimes coughing persistent.

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: I have dark dots spots more in my feet ,a few thru out my body, my Breathing is better , I still get tired easily and tend to forget things .

Release 11 — day 7, dose 4

2022-04-25

Systemic reaction (other): With some fatigue and not much strength

Healthcare visit (other): Dr. Visit

Release 11 — day 14, dose 4

2022-04-29

Symptoms: Black dots over and under my feet, still fatigue and voice horse. I went to Dr. They explained some people get pro long symptoms. I get tired easily and run out breath

Release 11 — day 28, dose 4

2022-05-14

Symptoms: My voice fades, soreness to talk clearly. My hair is thinning out. I been getting cramps and I feel the knots on my legs. Painful pain..I want say the painful knot moves thru the leg.

Healthcare visit (other): Went to get a muscle relaxer shot @(b)(6)

redacted (b)(6)

Release 11 — day 42, dose 4

2022-05-27

Symptoms: My veins on my body are showing very green.not in pain,I can follow my veins that's how visible they are.

Healthcare visit (other): Clinic for check up.

Release 12 — 3 months, dose 4

2022-07-19

Symptoms: Severely hair loss, and my voice cracks while talking and my muscle spasms don't stop

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	Alopecia	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Memory impairment	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Muscular weakness	·	·	✓
SD	Nodule	·	·	✓
SD	Office visit	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Palpitations	✓	✓	✓
SD	Respiratory disorder	·	·	✓
SD	Skin discolouration	·	·	✓
SD	Vein disorder	·	·	✓
SD	Vision blurred	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Chloasma	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Skin discolouration	✓	✓	✓

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