Y3E-30621-75618

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 657 / MO
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Survey response — day 0, dose 1
MedDRA: Brain oedema, Energy increased, Taste disorder — Feeling: Good · Headache

Free text: Soon as I received the shot it had a taste in my mouth and my head felt like my brain was swelling. Then about an hour after the vaccine I felt like I was 18 again and was very energetic.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Aggression, Anxiety, Brain oedema, Cold sweat, Depressed level of consciousness, Depressed mood, Diplopia, Feeling cold, Head discomfort, Hyperhidrosis, Irritability, Pre-existing disease, Pyrexia, Self-medication, Tinnitus, Vision blurred — Feeling: Poor · Site: Pain · Fever · Chills, Headache, 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

Free text: It feels like you have swelling in your brain , I had double vision, ringing in my left ear that I usually cant hear out of , I was very energetic the day before and early morning today and around 11:20 am is when I had double vision and blurred vision, pressure in my head and then around 5 pm I got very depressed and feeling like gloom and doom and then I got very aggressive and snappy and thats not my normal behavior being snappy and very short with others . Then I ran a very of 103 I felt like my head was going to explode and this went on for hours and then my husband opened the window up and turned on a fan and I was still sweating and I kept drinking fluids and took aspirin and I finally got clammy and then cold now I only have ringing in my left ear and pressure in my head like my brain is still swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Depressed mood, Lymphadenopathy, Oropharyngeal pain, Tinnitus — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: My lymph nodes are swollen on the left side of my neck and in my right side by my private . I still have buzzing in my left ear . Sore throat . Im extremely depressed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash is on my neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Headache — Feeling: Fair · 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, Be unable to do your normal daily activities

Free text: My head hurts really bad

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-30
Health check-in — day 7, dose 1
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Joint pains, Diarrhea

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Head discomfort — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pressure in my head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Arthralgia, Eye pain, Fatigue, Headache, Malaise, Pain — Feeling: Poor · Be unable to work

Free text: I feel like Im dying and very fatigued and extremely exhausted and my body aches all over . Im extremely very tired . Im usually very energetic this is totally the opposite of my normal. My head hurts constantly and my eyes . Severe joint pa

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 2
MedDRA: Arthralgia, Fatigue, Head discomfort, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe headaches and fatigue, extreme tiredness, joint pain and severe pressure in my head and it comes and goes . Like today it came on quickly at 9:45am lasted until 8:44 pm .

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Arthralgia, Dyspepsia, Fatigue, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Severe indigestion and bloating and severe fatigue and severe joint pain and nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Survey response — day 35, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to work

Free text: I get severe headache and severe fatigue and severe joint pain and nausea. Indigestion constantly.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-13
Survey response — 6 months, dose 2
MedDRA: COVID-19, COVID-19 pneumonia — 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 · Emergency room or emergency department visit

Free text: I got covid and covid pneumonia in August.

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

Emergency room or emergency department visit · no matching call case
2022-04-15
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Breast mass, Fatigue — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Joint pain , lump in breast , fatigue and severe joint pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-15
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 · Emergency room or emergency department visit · 1 call case(s)
2022-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2022-04-15	Unsuccessful

1 report(s) with no call case — see the timeline.

Free text

Release 6 — day 0, dose 1

2021-03-23

Systemic reaction (other): Soon as I received the shot it had a taste in my mouth and my head felt like my brain was swelling. Then about an hour after the vaccine I felt like I was 18 again and was very energetic.

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): It feels like you have swelling in your brain , I had double vision, ringing in my left ear that I usually cant hear out of , I was very energetic the day before and early morning today and around 11:20 am is when I had double vision and blurred vision, pressure in my head and then around 5 pm I got very depressed and feeling like gloom and doom and then I got very aggressive and snappy and thats not my normal behavior being snappy and very short with others . Then I ran a very of 103 I felt like my head was going to explode and this went on for hours and then my husband opened the window up and turned on a fan and I was still sweating and I kept drinking fluids and took aspirin and I finally got clammy and then cold now I only have ringing in my left ear and pressure in my head like my brain is still swelling.

2021-03-25

Systemic reaction (other): My lymph nodes are swollen on the left side of my neck and in my right side by my private . I still have buzzing in my left ear . Sore throat . Im extremely depressed

2021-03-26

Systemic reaction (other): Rash is on my neck

2021-03-27

Systemic reaction (other): My head hurts really bad

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Pressure in my head

Release 8 — day 14, dose 2

2021-04-27

Symptoms: I feel like Im dying and very fatigued and extremely exhausted and my body aches all over . Im extremely very tired . Im usually very energetic this is totally the opposite of my normal. My head hurts constantly and my eyes . Severe joint pa

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Severe headaches and fatigue, extreme tiredness, joint pain and severe pressure in my head and it comes and goes . Like today it came on quickly at 9:45am lasted until 8:44 pm .

Release 8 — day 28, dose 2

2021-05-11

Symptoms: Severe indigestion and bloating and severe fatigue and severe joint pain and nausea

Release 8 — day 35, dose 2

2021-05-18

Symptoms: I get severe headache and severe fatigue and severe joint pain and nausea. Indigestion constantly.

Release 10 — 6 months, dose 2

2021-10-13

Symptoms: I got covid and covid pneumonia in August.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Joint pain , lump in breast , fatigue and severe joint pain.

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
SD	Abdominal distension	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast mass	·	·	✓
SD	COVID-19	·	·	✓
SD	COVID-19 pneumonia	·	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Eye pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Aggression	✓	✓	✓
SRO	Anxiety	✓	·	✓
SRO	Brain oedema	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Depressed level of consciousness	○	✓	○
SRO	Depressed mood	✓	✓	✓
SRO	Diplopia	✓	✓	✓
SRO	Energy increased	✓	✓	✓
SRO	Feeling cold	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hyperhidrosis	✓	·	✓
SRO	Irritability	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Self-medication	✓	·	✓
SRO	Taste disorder	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vision blurred	✓	·	✓

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