YTQ-94042-97730

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 281 / NC
Registered: 2020-12-28

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Flushing, Headache, Immediate post-injection reaction — Feeling: Good · Site: Pain, Redness, Swelling · Headache

Free text: Headache immediately after the injection w a flushed feeling that stopped in a minute or two

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · Muscle or body aches

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Redness · Fatigue or tiredness

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

Adult check-in
2021-01-04
Health check-in — day 7, dose 1
Feeling: Fair · Diarrhea

Adult check-in
2021-01-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Joint pains

Adult check-in
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Rash pruritic — Feeling: Good · Site: Itching · Joint pains

Free text: And an itchy rash on elbow, right side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Right elbow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-02-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-18
Survey response — day 28, dose 2
MedDRA: Arthralgia, Asthenia, Dehydration, Diarrhoea, Headache, Nausea, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Nausea, vomiting, diarrhea and headache. Extreme joint pain. Weakness ? Secondary to dehydration.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Dose 3 — Pfizer-BioNTech
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-09-08
Survey response — days 1–6 daily, dose 3
MedDRA: Cataract, Vision blurred — Feeling: Good

Free text: S/P Right cataract sx. Vision blurry since 3rd shot No other persistent problem.

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Survey response — day 7, dose 3
MedDRA: Vision blurred — Feeling: Good

Free text: Still blurred vision.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-24
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-17
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-02
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-07
Survey response — 6 months, dose 3
MedDRA: Blood glucose increased, Fatigue, Headache, Medical counselling, Office visit, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Elevated blood glucose, persistent congestion, extreme fatigue no fever, headaches, all this happened in Dec after a family member,'s funeral. Texted negative for COVID-19, PCR testing. · Healthcare visit (other): Outdoor testing, then phone triage and follow up care.

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-03-10
Call 1 — Left Voicemail
2022-04-22
Dose 4 — Pfizer-BioNTech
2022-05-03
Health check-in — day 7, dose 4
Feeling: Good · Muscle or body aches, Diarrhea

Adult check-in
2022-05-10
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-31
Survey response — day 35, dose 4
MedDRA: Diarrhoea, Headache, Malaise, Nausea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Nausea, headache, malaise and frequent loose stools

MedDRA releases: 2024-11 · check-in free text available
2022-07-28
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-22
Survey response — 6 months, dose 4
MedDRA: Injection site pain, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe left arm pain. Little response to Tylenol or heat or rest. It is intermittent and doesn't seem to have a cause. It is mostly just below the injection site. I am trying to rest it, no heavy lifting.

MedDRA releases: 2024-11 · check-in free text available
2023-04-24
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-09-02	Pfizer-BioNTech	No
4	2022-04-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-07	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Headache immediately after the injection w a flushed feeling that stopped in a minute or two

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): And an itchy rash on elbow, right side

2021-01-25

Systemic reaction (other): Right elbow

Release 4 — day 28, dose 2

2021-02-18

Symptoms: Nausea, vomiting, diarrhea and headache. Extreme joint pain. Weakness ? Secondary to dehydration.

Release 9 — days 1–6 daily, dose 3

2021-09-08

Systemic reaction (other): S/P Right cataract sx. Vision blurry since 3rd shot No other persistent problem.

Release 9 — day 7, dose 3

2021-09-09

Systemic reaction (other): Still blurred vision.

Release 11 — 6 months, dose 3

2022-03-07

Symptoms: Elevated blood glucose, persistent congestion, extreme fatigue no fever, headaches, all this happened in Dec after a family member,'s funeral. Texted negative for COVID-19, PCR testing.

Healthcare visit (other): Outdoor testing, then phone triage and follow up care.

Release 11 — day 35, dose 4

2022-05-31

Symptoms: Nausea, headache, malaise and frequent loose stools

Release 12 — 6 months, dose 4

2022-10-22

Symptoms: Severe left arm pain. Little response to Tylenol or heat or rest. It is intermittent and doesn't seem to have a cause. It is mostly just below the injection site. I am trying to rest it, no heavy lifting.

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Asthenia	✓	✓	✓
SD	Blood glucose increased	·	·	✓
SD	Dehydration	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Malaise	·	·	✓
SD	Nausea	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Cataract	·	·	✓
SRO	Flushing	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	·	·	✓

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