F8R-17448-90322

2 vaccinations 14 coded responses 24 check-ins 14 free-text entries 12 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 787 / TX
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 1
MedDRA: Discomfort — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Sensation of pressure and feeling but not looking flush in face.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Facial discomfort, Feeling abnormal, Head discomfort — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Pressure in my face and head, brain fog, neurologically out of sync.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Diarrhea

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention, Feeling abnormal, Lymphadenopathy, Swelling, Swelling face — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Face, lymph nodes, neck and body swelling. Extreme brain fog. Difficulty staring at screens.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal, Nervous system disorder, Thinking abnormal — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, 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: Brain fog, neurological issues, can't keep thoughts in head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Bradyphrenia, Brain oedema, Cognitive disorder, Ear discomfort, Memory impairment, Nausea, Thinking abnormal, Vertigo — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, 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: Cognitive issues, slow thinking, difficulty organizing, forgetful, can't hold onto thoughts, dull swollen feeling in brain, vertigo and nausea linked, balance issues, pressure in ears

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Feeling abnormal, Immunisation reaction, Vertigo — Feeling: Poor · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, 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): Brain fog and vertigo, dizziness · Healthcare visit (other): I was diagnosed as having a hyper-reaction to Phizer vaccine on 4/9/2021. I am under care to restore my health with vitamins D & C and PrP.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-04-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Aphasia, Disorganised speech, Dysphemia, Ear pain, Feeling abnormal, Head discomfort, Neurological symptom, Swelling, Thinking abnormal, Tremor, Vertigo — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, 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: Brain fog, vertigo, thinking and speech affected, neurological issues, shaky and speaking with stutter and mixed up words. I checked the box for headache but it's not really a headache in the usual sense. Dull swollen sensation instead of pain. Ears ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-14
Survey response — day 7, dose 2
MedDRA: Bradyphrenia, Cognitive disorder, Disorganised speech, Dysarthria, Dysphemia, Feeling abnormal, Nervous system disorder, Nervousness, Slow speech, Vertigo — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, 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: Cognitive, neurological and speech issues. I have slow thinking and speaking issues include slow speech, word salad mix-ups, stutters and slurs. I have vertigo and it's tough look at screens for long. I am shaky all over.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — day 7, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — day 14, dose 2
MedDRA: Amblyopia, Amnesia, Balance disorder, Cognitive disorder, Dysarthria, Dysphemia, Fatigue, Feeling abnormal, Medical counselling, Nervous system disorder, Vertigo — Feeling: Poor · Be unable to work, 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: Cognitive, neurological and balance issues. Communication is strained through speech and typing. I mix up and combine words, use the wrong words, stutter and slur speech, can't hold a thought, memory loss, vertigo. Lazy eye. Fatigue. · Healthcare visit (other): Frequent contact with doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 14, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — day 21, dose 2
MedDRA: Cognitive disorder, Dysgraphia, Hypoaesthesia, Loss of proprioception, Memory impairment, Nerve injury, Neurological symptom, Speech disorder — Feeling: Poor · Be unable to work, 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

Free text: Numb feeling in my arms, particularly the outer fingers through arms. I continue to have cognitive and nearological problems. My doctor has identified nerve damage affecting my proprioception, speech, writing, organizational and memory issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-05-12
Survey response — day 35, dose 2
MedDRA: Acupuncture, Hypoaesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Numbness of outside two fingers and forearms, especially on the right side of body. · Healthcare visit (other): Acupuncture

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-21
Health check-in — day 42, dose 2
Feeling: Poor

Adult check-in
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Chills, Diarrhoea, Gastrointestinal viral infection, Headache, Nausea, Office visit, Pyrexia, Vomiting — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Symptoms: GI virus that kept me in bed for two weeks nausea, diarrhea, vomiting). First couple days I had chills and fever and big headache. · Healthcare visit (other): Lab work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 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

1 call case(s)
2021-07-28
Call 1 — Left Voicemail
2021-10-13
Survey response — 6 months, dose 2
MedDRA: Acupuncture, Diarrhoea, Emergency care, Inflammation, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Misdiagnosed in an emergency room this summer as having gastroenteritis. Labs show elevated inflammation levels and chronic diarrhea has worsened. I have it throughput the day and around the clock. · Healthcare visit (other): Doctor visits, prescribed supplements, acupuncture and herbs

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
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

1 call case(s)
2021-11-12
Call 1 — Left Voicemail
2022-04-09
Survey response — 12 months, dose 2
MedDRA: Acupuncture, Amnesia, Cough, Diarrhoea, Fatigue, Hypersensitivity, Nausea, Pre-existing disease, Respiratory tract congestion, Visual impairment — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Stronger fatigue. Nausea. Seasonal allergies affecting me more than previous years, turning into congestion with deep cough. Ongoing: chronic diarrhea throughout day and night. Vision issues with right eye. Memory loss. · Healthcare visit (other): Acupuncture and herbs, Naturopathic supplements

MedDRA releases: 2024-11 · check-in free text available
2022-04-09
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

1 call case(s)
2022-04-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Unsuccessful
2021-04-10	Unsuccessful
2021-04-11	Unsuccessful
2021-04-12	Unsuccessful
2021-04-13	Unsuccessful
2021-04-14	Unsuccessful
2021-04-21	Unsuccessful
2021-04-29	Unsuccessful
2021-05-12	Unsuccessful
2021-07-09	Unsuccessful
2021-10-13	Unsuccessful
2022-04-09	Unsuccessful

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Sensation of pressure and feeling but not looking flush in face.

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Pressure in my face and head, brain fog, neurologically out of sync.

Release 7 — days 1–6 daily, dose 2

2021-04-08

Systemic reaction (other): Face, lymph nodes, neck and body swelling. Extreme brain fog. Difficulty staring at screens.

2021-04-09

Systemic reaction (other): Brain fog, neurological issues, can't keep thoughts in head

2021-04-10

Systemic reaction (other): Cognitive issues, slow thinking, difficulty organizing, forgetful, can't hold onto thoughts, dull swollen feeling in brain, vertigo and nausea linked, balance issues, pressure in ears

2021-04-11

Systemic reaction (other): Brain fog and vertigo, dizziness

Healthcare visit (other): I was diagnosed as having a hyper-reaction to Phizer vaccine on 4/9/2021. I am under care to restore my health with vitamins D & C and PrP.

2021-04-13

Systemic reaction (other): Brain fog, vertigo, thinking and speech affected, neurological issues, shaky and speaking with stutter and mixed up words. I checked the box for headache but it's not really a headache in the usual sense. Dull swollen sensation instead of pain. Ears ache.

Release 7 — day 7, dose 2

2021-04-14

Systemic reaction (other): Cognitive, neurological and speech issues. I have slow thinking and speaking issues include slow speech, word salad mix-ups, stutters and slurs. I have vertigo and it's tough look at screens for long. I am shaky all over.

Release 7 — day 14, dose 2

2021-04-21

Symptoms: Cognitive, neurological and balance issues. Communication is strained through speech and typing. I mix up and combine words, use the wrong words, stutter and slur speech, can't hold a thought, memory loss, vertigo. Lazy eye. Fatigue.

Healthcare visit (other): Frequent contact with doctor.

Release 8 — day 21, dose 2

2021-04-29

Symptoms: Numb feeling in my arms, particularly the outer fingers through arms. I continue to have cognitive and nearological problems. My doctor has identified nerve damage affecting my proprioception, speech, writing, organizational and memory issues.

Release 8 — day 35, dose 2

2021-05-12

Symptoms: Numbness of outside two fingers and forearms, especially on the right side of body.

Healthcare visit (other): Acupuncture

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: GI virus that kept me in bed for two weeks nausea, diarrhea, vomiting). First couple days I had chills and fever and big headache.

Healthcare visit (other): Lab work

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: Misdiagnosed in an emergency room this summer as having gastroenteritis. Labs show elevated inflammation levels and chronic diarrhea has worsened. I have it throughput the day and around the clock.

Healthcare visit (other): Doctor visits, prescribed supplements, acupuncture and herbs

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Stronger fatigue. Nausea. Seasonal allergies affecting me more than previous years, turning into congestion with deep cough. Ongoing: chronic diarrhea throughout day and night. Vision issues with right eye. Memory loss.

Healthcare visit (other): Acupuncture and herbs, Naturopathic supplements

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	Acupuncture	✓	✓	✓
HCVO	Immunisation reaction	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	·	·	✓
SD	Amblyopia	✓	✓	✓
SD	Amnesia	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cognitive disorder	✓	✓	✓
SD	Cough	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Dysarthria	✓	✓	✓
SD	Dysgraphia	✓	✓	✓
SD	Dysphemia	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Gastrointestinal viral infection	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypersensitivity	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Loss of proprioception	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Nerve injury	✓	✓	✓
SD	Nervous system disorder	✓	✓	✓
SD	Neurological symptom	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Speech disorder	✓	✓	✓
SD	Vertigo	✓	✓	✓
SD	Visual impairment	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Aphasia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Bradyphrenia	✓	✓	✓
SRO	Brain oedema	✓	✓	✓
SRO	Cognitive disorder	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Disorganised speech	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysarthria	✓	✓	✓
SRO	Dysphemia	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Facial discomfort	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Nervous system disorder	✓	✓	✓
SRO	Nervousness	✓	✓	✓
SRO	Neurological symptom	✓	✓	✓
SRO	Slow speech	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Swelling face	✓	✓	✓
SRO	Thinking abnormal	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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