Y8V-96862-05983

2 vaccinations 3 coded responses 13 check-ins 3 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 970 / OR
Registered: 2021-05-29

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

2021-05-08
Dose 1 — Pfizer-BioNTech
2021-05-29
Registered in v-safe
2021-05-29
Dose 2 — Pfizer-BioNTech
2021-05-29
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-04
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Malaise, Myalgia, Nausea, Office visit, Pre-existing disease, Secretion discharge, Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Intermittent queasiness versus severe nausea It just seems to come at times and I don't know if it's delayed reaction as my exhaustion and muscle ache seem to be to the damn second vaccine of Pfizer I got last Saturday or if it's from mucus that I occasionally hook up and spit into tissue due to allergies and I smoke and perhaps some of it got into my tummy. · Healthcare visit (other): I'm dealing now with a problem with RX I need to fill from my allergist office where I might annual exam yesterday and my Medicare insurance won't cover it but in a few minutes I'm going to call OHSU Family Medicine and leave message for Dr sherick and or Dr Jocelyn cuz of how poorly I felt starting 3 days after my second vaccine. Also because a bacterial infection in my big toe on my right foot after almost 2 full weeks on an antibiotic is no better but is actually spread further to the left on the toe so I'm very concerned!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-05
Survey response — day 7, dose 2
MedDRA: Anxiety, Rash — Feeling: Poor · Fever · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · 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: I'm going to OHSU Immediate Care for a 5:30 appointment I made earlier cuz I suddenly early a.m. or late last night developed a rash on both cheeks and now on my upper chest and I'm extremely concerned so I don't know what they'll determine or advise

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — day 7, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-12
Survey response — day 14, dose 2
MedDRA: Office visit, Rash, Rash erythematous — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Late night Friday of June 4th I suddenly developed eight red rash on my face on the front of both cheeks and angled down on the left side and on my collar area, & smaller red dots on my arms so I went to immediate care 6/5, got an shot w/Decadron & R · Healthcare visit (other): And appointment with nurse practitioner at my allergy clinic Tues 6/8 and w/my primary care Doctor Weds 6/9. on Tuesday 6

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call successful
Participant prefers to complete VAERS report online
2021-07-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-01
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-27
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-05-31
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-08	Pfizer-BioNTech
2	2021-05-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-04	Successful	Participant prefers to complete VAERS report online
2021-06-05	Successful	Participant prefers to complete VAERS report online
2021-06-12	Successful 2021-06-21	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): Intermittent queasiness versus severe nausea It just seems to come at times and I don't know if it's delayed reaction as my exhaustion and muscle ache seem to be to the damn second vaccine of Pfizer I got last Saturday or if it's from mucus that I occasionally hook up and spit into tissue due to allergies and I smoke and perhaps some of it got into my tummy.

Healthcare visit (other): I'm dealing now with a problem with RX I need to fill from my allergist office where I might annual exam yesterday and my Medicare insurance won't cover it but in a few minutes I'm going to call OHSU Family Medicine and leave message for Dr sherick and or Dr Jocelyn cuz of how poorly I felt starting 3 days after my second vaccine. Also because a bacterial infection in my big toe on my right foot after almost 2 full weeks on an antibiotic is no better but is actually spread further to the left on the toe so I'm very concerned!

Release 8 — day 7, dose 2

2021-06-05

Healthcare visit (other): I'm going to OHSU Immediate Care for a 5:30 appointment I made earlier cuz I suddenly early a.m. or late last night developed a rash on both cheeks and now on my upper chest and I'm extremely concerned so I don't know what they'll determine or advise

Release 9 — day 14, dose 2

2021-06-12

Symptoms: Late night Friday of June 4th I suddenly developed eight red rash on my face on the front of both cheeks and angled down on the left side and on my collar area, & smaller red dots on my arms so I went to immediate care 6/5, got an shot w/Decadron & R cut off by CDC

Healthcare visit (other): And appointment with nurse practitioner at my allergy clinic Tues 6/8 and w/my primary care Doctor Weds 6/9. on Tuesday 6

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	Anxiety	✓	✓	✓
HCVO	Malaise	✓	·	✓
HCVO	Office visit	✓	✓	✓
HCVO	Pre-existing disease	✓	·	✓
HCVO	Rash	✓	✓	✓
HCVO	Unevaluable event	○	✓	○
SD	Office visit	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rash erythematous	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	✓	·	✓
SRO	Secretion discharge	✓	✓	✓

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