Y8M-92459-43577

3 vaccinations 11 coded responses 25 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 334 / FL
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
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Nausea

Free text: Lightheaded for 40 minutes after injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Re-calibrating the system to merge with the vaccine. Its a rather surreal experience.

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: Adverse reaction — Feeling: Good · Headache, Joint pains, Fatigue or tiredness

Free text: The body is Beginning to assimilate the vaccine with existing systems

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Im primary immune compromised: important for the research. It takes much longer for the body to reach-balance, if possible

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: As someone with PI, only the fatigue remains- which overall, is quite good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness

Free text: Just a reminder: this is important research for those of us immune compromised

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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: Blood immunoglobulin G decreased, Fatigue, Office visit, Pruritus, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Rash and itchingProlonged fatigueIgG count has dropped ( important for PI patients ) · Healthcare visit (other): In house with primary care physician, lab work ordered

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
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-04
Dose 2 — Pfizer-BioNTech
2021-05-04
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Highly unusual for a temperature abov 97.1 Remember this information comes from an Immune deficient IgG and IgA individual.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pruritus, Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Lymph nodes have reduced. Itching, rashes and odd skin occurrences on face, eyelid and upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-11
Survey response — day 7, dose 2
MedDRA: Pruritus, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: I forgot to take Hydroxyzine today and the rash and itching returned...yesterdays report will state no itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-18
Dose 3 — Pfizer-BioNTech
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-18
Survey response — 6 months, dose 3
MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Important note: there has been an overall decrease in immunity as the booster's effectiveness declined. Energy, blood counts dropping. Being immune compromised looking forward to the 4th booster. They work & improve overall immunity!!!

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-03
Call 1 — Left Voicemail
2022-08-21
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-13	Pfizer-BioNTech
2	2021-05-04	Pfizer-BioNTech
3	2021-08-18	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-27	Unsuccessful
2022-02-18	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-13

Systemic reaction (other): Lightheaded for 40 minutes after injection

Release 7 — days 1–6 daily, dose 1

2021-04-14

Systemic reaction (other): Re-calibrating the system to merge with the vaccine. Its a rather surreal experience.

2021-04-15

Systemic reaction (other): The body is Beginning to assimilate the vaccine with existing systems

2021-04-16

Systemic reaction (other): Im primary immune compromised: important for the research. It takes much longer for the body to reach-balance, if possible

2021-04-17

Systemic reaction (other): As someone with PI, only the fatigue remains- which overall, is quite good

2021-04-19

Systemic reaction (other): Just a reminder: this is important research for those of us immune compromised

Release 8 — day 14, dose 1

2021-04-27

Symptoms: Rash and itchingProlonged fatigueIgG count has dropped ( important for PI patients )

Healthcare visit (other): In house with primary care physician, lab work ordered

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Highly unusual for a temperature abov 97.1 Remember this information comes from an Immune deficient IgG and IgA individual.

2021-05-07

Systemic reaction (other): Lymph nodes have reduced. Itching, rashes and odd skin occurrences on face, eyelid and upper back

Release 8 — day 7, dose 2

2021-05-11

Systemic reaction (other): I forgot to take Hydroxyzine today and the rash and itching returned...yesterdays report will state no itching

Release 11 — 6 months, dose 3

2022-02-18

Symptoms: Important note: there has been an overall decrease in immunity as the booster's effectiveness declined. Energy, blood counts dropping. Being immune compromised looking forward to the 4th booster. They work & improve overall immunity!!!

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	Blood immunoglobulin G decreased	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Unevaluable event	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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