Y6F-20842-01896

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 805 / CO
Registered: 2021-02-09

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

2021-02-08
Dose 1 — Pfizer-BioNTech
2021-02-09
Registered in v-safe
2021-02-09
Survey response — days 1–6 daily, dose 1
MedDRA: Immediate post-injection reaction, Lip blister, Self-medication — Feeling: Good · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Lips blistered a bit 20 min after shot- took two Benadryl and subdued it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Dose 2 — Pfizer-BioNTech
2021-02-27
Survey response — day 0, dose 2
MedDRA: Dyspnoea, Heart rate increased, Immediate post-injection reaction — Feeling: Fair · Site: Pain

Free text: A little short of breath- flushed- increased heart rate for about 20 min. Started 5-10 minutes after shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — day 14, dose 1
MedDRA: Muscle twitching, Muscular weakness, Post procedural complication, Surgery, Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: I had surgery on a wrist one week after the Covid vaccine. Surgery 2/15 shot 2/8 I had complications after surgery from the nerve block tourniquet on the upper left arm- my bicep wasnt firing at all for over 8 days. Tiny muscle twitch at 11 day · Healthcare visit (other): MRI on arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
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)
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Crohn's disease, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: I have Crohns- feels like 1/6 of a flare- may not even be shot related

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Fatigue or tiredness

Free text: Mild cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Survey response — day 7, dose 2
MedDRA: Nerve block, Nerve injury, Procedural complication — Feeling: Good · Be unable to do your normal daily activities

Free text: While I am writing that I feel OK now - I am still curious about having a nerve block injury to my bicep during surgery a week after the first shot. My bicep is still going to need to repair from that nerve injury- and Im hearing it will take months so Im glad Ill get the use of my bicep back but Im curious about the relation to the Covid shots

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — day 14, dose 2
MedDRA: Injection site urticaria, Urticaria — Feeling: Fair

Free text: Hives at injection site- plus torso back and ankle

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-27
Survey response — day 28, dose 2
MedDRA: Chills, Myalgia, Nausea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Nausea chills muscle aches - same way I felt right after vaccine-its just come and gone and come and gone ALL month. :(

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — day 35, dose 2
MedDRA: Blister, Blood blister, Discharge, Ear haemorrhage, Eye pruritus, Fatigue, Musculocutaneous nerve injury, Nausea, Nerve injury, Rash, Skin weeping — 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, Outpatient clinic or urgent care clinic visit

Free text: Blisters in ears that ooze and bleed every few days-rash around my eyes. ConFirmed muscolocutameous nerve injury from surgical block on 2/15 1 week after 1st shot- nauseous on and off for the first four weeks after the 2ndvaccine and just exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
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)
2021-04-10
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-29
Survey response — 3 months, dose 2
MedDRA: Abdominal pain, Crohn's disease, Exposure to SARS-CoV-2, Headache, Ocular hyperaemia, Paranasal sinus discomfort, Pre-existing disease, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Exposed to confirmed Covid- red eyes headache sinus pressure rashes abdominal pain more crohns activity

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-29
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Pfizer-BioNTech
2	2021-02-27	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-02-27	Successful	Participant prefers to complete VAERS report online
2021-04-03	Successful	Participant prefers to complete VAERS report online
2021-05-29	Successful 2021-06-15	Participant prefers to complete VAERS report online

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-09

Systemic reaction (other): Lips blistered a bit 20 min after shot- took two Benadryl and subdued it.

Release 4 — day 14, dose 1

2021-02-27

Symptoms: I had surgery on a wrist one week after the Covid vaccine. Surgery 2/15 shot 2/8 I had complications after surgery from the nerve block tourniquet on the upper left arm- my bicep wasnt firing at all for over 8 days. Tiny muscle twitch at 11 day

Healthcare visit (other): MRI on arm

Release 4 — day 0, dose 2

2021-02-27

Systemic reaction (other): A little short of breath- flushed- increased heart rate for about 20 min. Started 5-10 minutes after shot

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): I have Crohns- feels like 1/6 of a flare- may not even be shot related

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Mild cough

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): While I am writing that I feel OK now - I am still curious about having a nerve block injury to my bicep during surgery a week after the first shot. My bicep is still going to need to repair from that nerve injury- and Im hearing it will take months so Im glad Ill get the use of my bicep back but Im curious about the relation to the Covid shots

Release 5 — day 14, dose 2

2021-03-13

Symptoms: Hives at injection site- plus torso back and ankle

Release 6 — day 28, dose 2

2021-03-27

Symptoms: Nausea chills muscle aches - same way I felt right after vaccine-its just come and gone and come and gone ALL month. :(

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Blisters in ears that ooze and bleed every few days-rash around my eyes. ConFirmed muscolocutameous nerve injury from surgical block on 2/15 1 week after 1st shot- nauseous on and off for the first four weeks after the 2ndvaccine and just exhausted cut off by CDC

Release 8 — 3 months, dose 2

2021-05-29

Symptoms: Exposed to confirmed Covid- red eyes headache sinus pressure rashes abdominal pain more crohns activity

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	Unevaluable event	✓	✓	✓
SD	Abdominal pain	✓	✓	✓
SD	Blister	✓	✓	✓
SD	Blood blister	✓	·	○
SD	Chills	✓	✓	✓
SD	Crohn's disease	✓	✓	✓
SD	Discharge	✓	·	○
SD	Ear haemorrhage	·	·	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Eye pruritus	○	✓	○
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Injection site urticaria	✓	✓	✓
SD	Muscle twitching	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculocutaneous nerve injury	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Nerve injury	○	✓	○
SD	Ocular hyperaemia	✓	✓	✓
SD	Paranasal sinus discomfort	✓	✓	✓
SD	Post procedural complication	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin weeping	·	·	✓
SD	Surgery	✓	✓	✓
SD	Urticaria	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Crohn's disease	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Lip blister	✓	✓	✓
SRO	Nerve block	✓	✓	✓
SRO	Nerve injury	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Procedural complication	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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