Y5J-21194-38781

2 vaccinations 8 coded responses 20 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 374 / TN
Registered: 2021-02-27

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Rhinorrhoea, Sinus congestion, Somnolence — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness

Free text: sinus congestion, runny nose, sleepiness and chilled

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Survey response — day 0, dose 2
MedDRA: Respiratory tract congestion, Sneezing — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Congestion and sneezing (flu shots do this to me sometimes)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Poor quality sleep — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Not sleeping well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Daydreaming, Feeling abnormal, Hypersensitivity — Feeling: Fair · Fatigue or tiredness

Free text: Brain fog-very absent minded and clumsy. Allergies are really bad but not nec

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Daydreaming — Feeling: Good · Joint pains

Free text: Have been very absent minded all week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Disorientation, Exercise lack of, Feeling abnormal, Memory impairment, Myalgia, Pain, Poor quality sleep — Feeling: Good · Joint pains, Muscle or body aches

Free text: Muscle and body aches are typical for me. Related to poor sleep and lack of exercise. Today is a good day. I have had a good bit of brain fogginess since second vaccine. Forgetfulness and some disorientation.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — day 14, dose 2
MedDRA: Arthritis, Condition aggravated, Epilepsy, Inflammation, Pre-existing disease — Feeling: Good

Free text: I have temporal lobe epilepsy from a 1982 head injury. Since Pfizer shot #2 I am having more auras and minor seizures than before. Thinking its part of the inflammatory immune response. Also having more arthritis and nerve pain than usual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-21
Survey response — 3 months, dose 2
MedDRA: Back disorder, Office visit, Periarthritis, Physiotherapy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Frozen shoulder. Back issues. · Healthcare visit (other): Dr visit and physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-21	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): sinus congestion, runny nose, sleepiness and chilled

Release 5 — day 0, dose 2

2021-03-19

Systemic reaction (other): Congestion and sneezing (flu shots do this to me sometimes)

Release 6 — days 1–6 daily, dose 2

2021-03-22

Systemic reaction (other): Not sleeping well

2021-03-23

Systemic reaction (other): Brain fog-very absent minded and clumsy. Allergies are really bad but not nec

2021-03-24

Systemic reaction (other): Have been very absent minded all week.

2021-03-25

Systemic reaction (other): Muscle and body aches are typical for me. Related to poor sleep and lack of exercise. Today is a good day. I have had a good bit of brain fogginess since second vaccine. Forgetfulness and some disorientation.

Release 6 — day 14, dose 2

2021-04-02

Symptoms: I have temporal lobe epilepsy from a 1982 head injury. Since Pfizer shot #2 I am having more auras and minor seizures than before. Thinking its part of the inflammatory immune response. Also having more arthritis and nerve pain than usual.

Release 9 — 3 months, dose 2

2021-06-21

Symptoms: Frozen shoulder. Back issues.

Healthcare visit (other): Dr visit and physical therapy

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	Physiotherapy	✓	✓	✓
SD	Arthritis	✓	✓	✓
SD	Back disorder	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Epilepsy	✓	✓	✓
SD	Inflammation	✓	✓	✓
SD	Periarthritis	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Daydreaming	✓	✓	✓
SRO	Disorientation	✓	✓	✓
SRO	Exercise lack of	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Memory impairment	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Poor quality sleep	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Somnolence	✓	✓	✓

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