Y2S-22254-45287

2 vaccinations 8 coded responses 19 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 980 / WA
Registered: 2021-04-13

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

2021-04-13
Registered in v-safe
2021-04-13
Dose 1 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Pain, Pulmonary pain — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Feeling much better today. Wanted to share (in case it helps) that my doctor is 99.9% sure I had COVID in early March 2020. I live in (b)(6) where there was an early outbreak but no testing at the time. In March of 2020 I ended up on prednisone for 2 months for the shortness of breath and inhaled steroids for 8 months. And, interestingly/oddly, when I was super achy yesterday, it felt like my lungs ached in a way Ive never felt before. (Kinda like my lung muscles were achy). It only lasted like 12 hours and is better now, but it was so strange that I thought it might be helpful to report to you all. I heard one other person who had the shot after COVID share a similar thing happened.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Survey response — day 14, dose 1
MedDRA: Cold sweat, Culture positive, Fatigue, Headache, Herpes simplex test positive, Lymphadenopathy, Nasal ulcer, Office visit, Oral herpes, Oropharyngeal pain, Pain, Papilloma viral infection, Pharyngeal ulceration, Pre-existing disease, Stomatitis, Systemic infection — 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: Last week, about 10 days after 1st shot, I started cold sweats, aches, fatigue, sore throat, headache and swollen neck lymph. On Friday, I started getting sores inside my mouth, throat and nose. Dr cultured and its systemic HPV1. I have autoimmu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Report sent to call center — day 14, dose 1
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)
2021-05-04
Survey response — day 21, dose 1
MedDRA: Herpes simplex, Pre-existing disease, Systemic infection — Feeling: Fair · 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: Continued battle w/ HSV1 outbreak/systemic infection started 10 days afte 1st Pfizer shot. On valcyclovir still. My doc delayed my 2nd shot a week so I could heal. And they are thinking I stay on valcyclovir during the 2nd shot. I have autoimmune

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Dose 2 — Pfizer-BioNTech
2021-05-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work

Free text: Ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — days 1–6 daily, dose 2
MedDRA: Rash erythematous — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a red rash all over my body, especially my chest and back.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Health check-in — day 7, dose 2
Feeling: Poor · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-06-02
Survey response — day 21, dose 2
MedDRA: Eyelid rash, Herpes simplex, Pre-existing disease — Feeling: Fair · 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: More HSV1 and about 11 bumps that kinda look like chicken pox too, including on my eyelid. Note that I have autoimmune stuff, including connective tissue disorder. My doc is doing a blood draw today to check on chicken pox.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-11
Survey response — day 28, dose 2
MedDRA: Herpes simplex, Herpes simplex reactivation, Herpes simplex test positive, Pre-existing disease, Rash, Rash vesicular, Varicella — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: I had a couple weeks of a rash on my skin that looked like chicken pox. I have autoimmune issues - Connective tissue disorder and the vaccine also sparked HSV1 · Healthcare visit (other): Blood and cultures for HSV1 (positive) and variecella

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Could Not Reach Participant
2021-06-22
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Successful	Participant prefers to complete VAERS report online
2021-05-04	Successful	Participant prefers to complete VAERS report online
2021-05-14	Successful	Participant prefers to complete VAERS report online
2021-06-02	Successful	Participant prefers to complete VAERS report online
2021-06-11	Successful 2021-06-22	Participant prefers to complete VAERS report online

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Ears ringing

2021-04-15

Systemic reaction (other): Feeling much better today. Wanted to share (in case it helps) that my doctor is 99.9% sure I had COVID in early March 2020. I live in (b)(6) where there was an early outbreak but no testing at the time. In March of 2020 I ended up on prednisone for 2 months for the shortness of breath and inhaled steroids for 8 months. And, interestingly/oddly, when I was super achy yesterday, it felt like my lungs ached in a way Ive never felt before. (Kinda like my lung muscles were achy). It only lasted like 12 hours and is better now, but it was so strange that I thought it might be helpful to report to you all. I heard one other person who had the shot after COVID share a similar thing happened.

redacted (b)(6)

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Last week, about 10 days after 1st shot, I started cold sweats, aches, fatigue, sore throat, headache and swollen neck lymph. On Friday, I started getting sores inside my mouth, throat and nose. Dr cultured and its systemic HPV1. I have autoimmu

Release 8 — day 21, dose 1

2021-05-04

Symptoms: Continued battle w/ HSV1 outbreak/systemic infection started 10 days afte 1st Pfizer shot. On valcyclovir still. My doc delayed my 2nd shot a week so I could heal. And they are thinking I stay on valcyclovir during the 2nd shot. I have autoimmune cut off by CDC

Release 8 — days 1–6 daily, dose 2

2021-05-13

Systemic reaction (other): Ears ringing

2021-05-14

Systemic reaction (other): I have a red rash all over my body, especially my chest and back.

Release 8 — day 21, dose 2

2021-06-02

Symptoms: More HSV1 and about 11 bumps that kinda look like chicken pox too, including on my eyelid. Note that I have autoimmune stuff, including connective tissue disorder. My doc is doing a blood draw today to check on chicken pox.

Release 9 — day 28, dose 2

2021-06-11

Symptoms: I had a couple weeks of a rash on my skin that looked like chicken pox. I have autoimmune issues - Connective tissue disorder and the vaccine also sparked HSV1

Healthcare visit (other): Blood and cultures for HSV1 (positive) and variecella

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	Herpes simplex	○	✓	○
HCVO	Herpes simplex test positive	✓	·	✓
HCVO	Varicella	○	✓	○
SD	Cold sweat	✓	✓	✓
SD	Culture positive	○	✓	○
SD	Eyelid rash	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes simplex	✓	✓	✓
SD	Herpes simplex reactivation	○	✓	○
SD	Herpes simplex test positive	✓	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Nasal ulcer	✓	·	✓
SD	Office visit	✓	✓	✓
SD	Oral herpes	○	✓	○
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Papilloma viral infection	○	✓	○
SD	Pharyngeal ulceration	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	○	✓	○
SD	Rash vesicular	✓	·	✓
SD	Stomatitis	✓	·	✓
SD	Systemic infection	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Rash erythematous	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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