Y7D-22769-64194

5 vaccinations 9 coded responses 56 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 633 / MO
Registered: 2021-01-29

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

2021-01-28
Dose 1 — Pfizer-BioNTech
2021-01-29
Registered in v-safe
2021-01-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Slight soreness at injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-01
Survey response — days 1–6 daily, dose 1
MedDRA: Epistaxis — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe Nose Bleed

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-22
Dose 2 — Pfizer-BioNTech
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Pre-existing disease — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Very itchy eyes but could be my allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Itchy eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Eyes still itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 7, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-22
Survey response — day 28, dose 2
MedDRA: Epistaxis — Feeling: Fair

Free text: Nosebleed...its the third since start of Vaccine... I reported two previous ones after first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 35, dose 2
MedDRA: Epistaxis — Feeling: Fair

Free text: Had my 4th nosebleed on 3/26/21 since started Pfizer Vaccine on 1/28/21. I reported the others.

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

Free text: 5th Nosebleed on 4/4/21 Since 1st Pfizer Vaccine, on 1/28/21 . I reported the other 4.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — 3 months, dose 2
MedDRA: Epistaxis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Had left nostril cauterized 4 weeks ago. I reported earlier that I had 10 nosebleeds Since 4 days after 1st vaccine. No nosebleeds since cauterized. · Healthcare visit (other): ENT office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-20
Dose 3 — Pfizer-BioNTech
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-11
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-18
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-01
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-23
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-11
Call 1 — Left Voicemail
2022-06-06
Dose 4 — Pfizer-BioNTech
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-06-10
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-06-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-06-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · None

Adult check-in
2022-06-13
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-06-20
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-07-03
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-04
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-07-11
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-19
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-09-05
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-06
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-06
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Redness · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-13
Health check-in — day 7, dose 5
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-10-20
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-27
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-03
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-10
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-19
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-07
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-07
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-28	Pfizer-BioNTech
2	2021-02-22	Pfizer-BioNTech
3	2021-09-20	Pfizer-BioNTech	No
4	2022-06-06	Pfizer-BioNTech	No
5	2022-10-06	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-05-24	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Slight soreness at injection site

2021-02-01

Systemic reaction (other): Severe Nose Bleed

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Very itchy eyes but could be my allergies

2021-02-27

Systemic reaction (other): Itchy eyes

2021-02-28

Systemic reaction (other): Eyes still itching

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Nosebleed...its the third since start of Vaccine... I reported two previous ones after first dose.

Release 6 — day 35, dose 2

2021-03-29

Symptoms: Had my 4th nosebleed on 3/26/21 since started Pfizer Vaccine on 1/28/21. I reported the others.

Release 6 — day 42, dose 2

2021-04-05

Symptoms: 5th Nosebleed on 4/4/21 Since 1st Pfizer Vaccine, on 1/28/21 . I reported the other 4.

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: Had left nostril cauterized 4 weeks ago. I reported earlier that I had 10 nosebleeds Since 4 days after 1st vaccine. No nosebleeds since cauterized.

Healthcare visit (other): ENT office visit

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	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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