D8S-10197-77221

2 vaccinations 21 coded responses 24 check-ins 20 free-text entries 12 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 490 / MI
Registered: 2022-01-04

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

2022-01-04
Registered in v-safe
2022-01-04
Dose 1 — Pfizer-BioNTech
2022-01-04
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Metal taste in mouth

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Survey response — days 1–6 daily, dose 1
MedDRA: Blepharitis, Bone pain, Condition aggravated, Hepatic pain, Inflammation, Pre-existing disease, Renal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: My liver in front and kidney on my backside hurt today. I have MCAS and had covid in March of 2021. My eyelids and body have responded with an increase in the inflammation from MCAS. I ache to the bone.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Back pain, Hepatomegaly, Mast cell activation syndrome, Medical counselling, Palpitations, Pre-existing disease, Renal pain — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Liver is swollen and I'm having blood work done tomorrow at the Dr.'s office. Heart palpitations and lower back (kidney) aches. I have a diagnosis of MCAS (diagnosed 6/20) and previously had covid 3/21. · Healthcare visit (other): Phone call to nurse and Dr. Is ordering a liver panel for blood work.

MedDRA releases: 2024-11 · check-in free text available
2022-01-06
Report sent to call center — days 1–6 daily, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Intermenstrual bleeding, Postmenopausal haemorrhage — Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain

Free text: Break through me steal bleeding and cramps. Been in menopause for 10 years.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dysmenorrhoea, Hepatic enzyme increased, Intermenstrual bleeding, Medical counselling, Muscle spasms, Postmenopausal haemorrhage, Pre-existing disease, Vaginal discharge — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Cramping and break through bleeding. I've been in menopause for years. Now I'm experiencing period cramping and bleeding. However my break through bleeding is yellow as I've had abalation on my uterus over a decade ago. · Healthcare visit (other): Called Dr. to have reaction noted in my chart. Liver enzymes were within the normal range, but on the higher end of normal. This is indicative of MCAS, tests show normal, thus think nothing is wrong. However it's my MCAS that's causing this adverse r

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-11
Survey response — day 7, dose 1
MedDRA: Back pain, Muscle tightness, Tension headache — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Free text: Lower back ache on both sides as well as tension at the base of my skull and muscles on the left side of my neck.

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Call 1 — Left Voicemail
2022-01-18
Survey response — day 14, dose 1
MedDRA: Adverse reaction, Postmenopausal haemorrhage, Uterine spasm — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Menstrual cramps and break through bleeding. However, I've been beyond menopause for years. The cramping and spotting happens off and on throughout the day and night. · Healthcare visit (other): I called and made an appointment, but can't get in until 2/16/22. That will be over a month since this has surfaced. Due to covid, they are backed up for appointments.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-25
Dose 2 — Pfizer-BioNTech
2022-01-25
Survey response — day 0, dose 2
MedDRA: Swelling of eyelid, Swollen tongue — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Free text: Swollen eyelids and tongue

MedDRA releases: 2024-11 · check-in free text available
2022-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Dizziness, Hepatic pain — Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in my liver and pain in my stomach. Dizziness.

MedDRA releases: 2024-11 · check-in free text available
2022-01-27
Report sent to call center — days 1–6 daily, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Hepatic pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Aching in my liver and sharp stomach pain

MedDRA releases: 2024-11 · check-in free text available
2022-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Mobility decreased — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have no energy and no strength to get out of bed.

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Balance disorder, Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness - off balance and complete weakness of body

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dysstasia, Impaired driving ability, Muscular weakness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Muscle weakness. Hard to drive. Difficult to stand.

MedDRA releases: 2024-11 · check-in free text available
2022-01-31
Call 1 — Left Voicemail
2022-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-02-08
Survey response — day 14, dose 2
MedDRA: Constipation, Diarrhoea, Feeling abnormal, Somnolence, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I'm having bouts of diarrhea now after having been constipated for a week. It's horrible. I would have expected more bowel, not pure liquid. After I eat anything, I immediately become drowsy. It's very concerning. · Healthcare visit (other): Appointment is set for next week.

MedDRA releases: 2024-11 · check-in free text available
2022-02-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-09
Call 1 — Left Voicemail
2022-02-15
Survey response — day 21, dose 2
MedDRA: Abnormal sleep-related event, Bone pain, Brain fog, Fatigue, Palpitations, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Sheer exhaustion. Falling asleep during dinner. Heart racing/pounding. Ache to the bone. Brain fog is HORRIBLE!!! · Healthcare visit (other): Tomorrow

MedDRA releases: 2024-11 · check-in free text available
2022-02-15
Report sent to call center — day 21, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-18
Call 1 — Left Voicemail
2022-02-22
Survey response — day 28, dose 2
MedDRA: Alanine aminotransferase increased, Blood test abnormal, Hepatic pain, Inflammation, Office visit — 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

Free text: Symptoms: My liver hurts and bloodwork shows that my ALT is elevated. · Healthcare visit (other): In person with rheumatologist. Received depomedrol shot to help reduce inflammation

MedDRA releases: 2024-11 · check-in free text available
2022-02-22
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-02-23
Call successful
Completed over the phone
2022-03-01
Survey response — day 35, dose 2
MedDRA: Palpitations, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Tried walking for 10 minutes for the first time since my vaccinations. Heart began racing. Have an appointment with Dr. Wilson on Thursday. · Healthcare visit (other): Appointment on Thursday.

MedDRA releases: 2024-11 · check-in free text available
2022-03-01
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)
2022-03-04
Call 2 — Left Voicemail
2022-03-08
Survey response — day 42, dose 2
MedDRA: Erythema, Office visit, Palpitations, Skin discolouration — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Odd purple/red spot on the base of my throat where my collar bones meet. Same type of spot on the right cheek, close to the nose. · Healthcare visit (other): Dr. appointments for the heart racing and gynecologist last week in addition to the appt today.

MedDRA releases: 2024-11 · check-in free text available
2022-03-08
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-10
Call 2 — Left Voicemail
2022-04-27
Survey response — 3 months, dose 2
MedDRA: Hepatomegaly, Intermenstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Still having break through bleeding. I'm scheduled for a D&C on May 11th. I have occasional swelling of my liver.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-04-29
Call 2 — Left Voicemail
2022-07-26
Survey response — 6 months, dose 2
MedDRA: COVID-19, Diarrhoea, Emergency care, Intermenstrual bleeding, Surgery, Uterine dilation and curettage, Vomiting — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: I am positive again for covid, second time. I had break through bleeding and a D & C done in May. It's unknown what caused the breakthrough. All tests came back normal. After surgery, was in the ER twice w/uncontrollable vomiting & diarrhea.

MedDRA releases: 2024-11 · check-in free text available
2022-07-26
Report sent to call center — 6 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-07-27
Call 1 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2022-07-27
Call 1 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2022-07-27
Call 3 — Left Voicemail
2022-07-27
Call 3 — Left Voicemail
2022-07-27
Call 3 — Left Voicemail
2022-07-27
Call 2 — Left Voicemail
2023-01-03
Call 1 — Left Voicemail
2023-01-25
Survey response — 12 months, dose 2
MedDRA: Dizziness, Dyspnoea, Fatigue, Orbital swelling, Palpitations, Swelling face, Swelling of eyelid — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-01-25
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-01-26
Call 1 — Left Voicemail
2023-01-26
Call 1 — Left Voicemail
2023-01-26
Call 1 — Left Voicemail
2023-01-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2022-01-04	Pfizer-BioNTech	No
2	2022-01-25	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-06	Successful	Completed over the phone
2022-01-10	Successful	Completed over the phone
2022-01-18	Successful 2022-02-23	Completed over the phone
2022-01-27	Successful	Does not wish to fill out VAERS report
2022-02-08	Successful	Does not wish to fill out VAERS report
2022-02-15	Successful	Does not wish to fill out VAERS report
2022-02-22	Successful	Does not wish to fill out VAERS report
2022-03-01	Unsuccessful
2022-03-08	Unsuccessful
2022-04-27	Unsuccessful
2022-07-26	Unsuccessful
2023-01-25	Unsuccessful

Free text

Release 10 — day 0, dose 1

2022-01-04

Systemic reaction (other): Metal taste in mouth

Release 10 — days 1–6 daily, dose 1

2022-01-05

Systemic reaction (other): My liver in front and kidney on my backside hurt today. I have MCAS and had covid in March of 2021. My eyelids and body have responded with an increase in the inflammation from MCAS. I ache to the bone.

2022-01-06

Systemic reaction (other): Liver is swollen and I'm having blood work done tomorrow at the Dr.'s office. Heart palpitations and lower back (kidney) aches. I have a diagnosis of MCAS (diagnosed 6/20) and previously had covid 3/21.

Healthcare visit (other): Phone call to nurse and Dr. Is ordering a liver panel for blood work.

2022-01-09

Systemic reaction (other): Break through me steal bleeding and cramps. Been in menopause for 10 years.

2022-01-10

Systemic reaction (other): Cramping and break through bleeding. I've been in menopause for years. Now I'm experiencing period cramping and bleeding. However my break through bleeding is yellow as I've had abalation on my uterus over a decade ago.

Healthcare visit (other): Called Dr. to have reaction noted in my chart. Liver enzymes were within the normal range, but on the higher end of normal. This is indicative of MCAS, tests show normal, thus think nothing is wrong. However it's my MCAS that's causing this adverse r cut off by CDC

Release 10 — day 7, dose 1

2022-01-11

Systemic reaction (other): Lower back ache on both sides as well as tension at the base of my skull and muscles on the left side of my neck.

Release 10 — day 14, dose 1

2022-01-18

Symptoms: Menstrual cramps and break through bleeding. However, I've been beyond menopause for years. The cramping and spotting happens off and on throughout the day and night.

Healthcare visit (other): I called and made an appointment, but can't get in until 2/16/22. That will be over a month since this has surfaced. Due to covid, they are backed up for appointments.

Release 11 — day 0, dose 2

2022-01-25

Systemic reaction (other): Swollen eyelids and tongue

Release 11 — days 1–6 daily, dose 2

2022-01-27

Systemic reaction (other): Pain in my liver and pain in my stomach. Dizziness.

2022-01-28

Systemic reaction (other): Aching in my liver and sharp stomach pain

2022-01-29

Systemic reaction (other): I have no energy and no strength to get out of bed.

2022-01-30

Systemic reaction (other): Dizziness - off balance and complete weakness of body

2022-01-31

Systemic reaction (other): Muscle weakness. Hard to drive. Difficult to stand.

Release 11 — day 14, dose 2

2022-02-08

Symptoms: I'm having bouts of diarrhea now after having been constipated for a week. It's horrible. I would have expected more bowel, not pure liquid. After I eat anything, I immediately become drowsy. It's very concerning.

Healthcare visit (other): Appointment is set for next week.

Release 11 — day 21, dose 2

2022-02-15

Symptoms: Sheer exhaustion. Falling asleep during dinner. Heart racing/pounding. Ache to the bone. Brain fog is HORRIBLE!!!

Healthcare visit (other): Tomorrow

Release 11 — day 28, dose 2

2022-02-22

Symptoms: My liver hurts and bloodwork shows that my ALT is elevated.

Healthcare visit (other): In person with rheumatologist. Received depomedrol shot to help reduce inflammation

Release 11 — day 35, dose 2

2022-03-01

Symptoms: Tried walking for 10 minutes for the first time since my vaccinations. Heart began racing. Have an appointment with Dr. Wilson on Thursday.

Healthcare visit (other): Appointment on Thursday.

Release 11 — day 42, dose 2

2022-03-08

Symptoms: Odd purple/red spot on the base of my throat where my collar bones meet. Same type of spot on the right cheek, close to the nose.

Healthcare visit (other): Dr. appointments for the heart racing and gynecologist last week in addition to the appt today.

Release 11 — 3 months, dose 2

2022-04-27

Symptoms: Still having break through bleeding. I'm scheduled for a D&C on May 11th. I have occasional swelling of my liver.

Release 12 — 6 months, dose 2

2022-07-26

Symptoms: I am positive again for covid, second time. I had break through bleeding and a D & C done in May. It's unknown what caused the breakthrough. All tests came back normal. After surgery, was in the ER twice w/uncontrollable vomiting & diarrhea.

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	Adverse reaction	·	·	✓
HCVO	Hepatic enzyme increased	·	·	✓
HCVO	Inflammation	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Palpitations	·	·	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abnormal sleep-related event	·	·	✓
SD	Alanine aminotransferase increased	·	·	✓
SD	Blood test abnormal	·	·	✓
SD	Bone pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Constipation	·	·	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Erythema	·	·	✓
SD	Fatigue	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Hepatic pain	·	·	✓
SD	Hepatomegaly	·	·	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Orbital swelling	·	·	✓
SD	Palpitations	·	·	✓
SD	Postmenopausal haemorrhage	·	·	✓
SD	Skin discolouration	·	·	✓
SD	Somnolence	·	·	✓
SD	Surgery	·	·	✓
SD	Swelling face	·	·	✓
SD	Swelling of eyelid	·	·	✓
SD	Uterine dilation and curettage	·	·	✓
SD	Uterine spasm	·	·	✓
SD	Vomiting	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Asthenia	·	·	✓
SRO	Back pain	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Blepharitis	·	·	✓
SRO	Bone pain	·	·	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Dysmenorrhoea	·	·	✓
SRO	Dysstasia	·	·	✓
SRO	Hepatic pain	·	·	✓
SRO	Hepatomegaly	·	·	✓
SRO	Impaired driving ability	·	·	✓
SRO	Inflammation	·	·	✓
SRO	Intermenstrual bleeding	·	·	✓
SRO	Mast cell activation syndrome	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Muscle spasms	·	·	✓
SRO	Muscle tightness	·	·	✓
SRO	Muscular weakness	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Postmenopausal haemorrhage	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Renal pain	·	·	✓
SRO	Swelling of eyelid	·	·	✓
SRO	Swollen tongue	·	·	✓
SRO	Tension headache	·	·	✓
SRO	Vaginal discharge	·	·	✓

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