YUE-28902-12815

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 542 / WI
Registered: 2021-08-12

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

2021-08-10
Dose 1 — Pfizer-BioNTech
2021-08-12
Registered in v-safe
2021-08-12
Survey response — days 1–6 daily, dose 1
MedDRA: Visual impairment — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Vision affected, like usual whenever Im sick

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — days 1–6 daily, dose 1
MedDRA: Decreased appetite, Visual impairment — Feeling: Good · Fever · Headache, Fatigue or tiredness

Free text: Vision affected; no appetite at all

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-14
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Free text: Vision/eyes fuzzy

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fever · Headache, Muscle or body aches

Free text: Dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-08-17
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-08-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-08-31
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-09-01
Dose 2 — Pfizer-BioNTech
2021-09-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-09-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea

Adult check-in
2021-09-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Dizziness

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

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-09-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-09-15
Survey response — day 14, dose 2
MedDRA: Headache, Pre-existing disease — Feeling: Good

Free text: Seem to have more headaches than usual

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Survey response — day 21, dose 2
MedDRA: Lip swelling — Feeling: Good

Free text: Swelling on inside of my lips

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Survey response — day 28, dose 2
MedDRA: Angioedema, Drug hypersensitivity, Emergency care, Lip swelling, Mouth swelling, Throat tightness — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Swollen lips, swelling inside front of mouth, tightening throat. ER visit today with diagnosis of angioedema caused by allergic reaction to lisinopril (following years of being on that medication)

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2021-10-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-10-06
Call 2 — Requested Callback
2021-10-11
Call successful
Does not wish to fill out VAERS report
2021-10-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-12-02
Survey response — 3 months, dose 2
MedDRA: Angioedema, Drug hypersensitivity, Hypersensitivity, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Additional items related to anosmia/parosmia since Covid19 in November 2020. Activated allergies to some items; new to me. Angioedema and allergy to ACE inhibitors after 20+ years medicated. · Healthcare visit (other): Ongoing medical care to resolve issues

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-03
Call 2 — Left Voicemail
2022-06-10
Dose 3 — Pfizer-BioNTech
2022-09-01
Survey response — 12 months, dose 2
MedDRA: Fatigue, Mobility decreased, Oedema, Office visit, Pre-existing disease — Feeling: Fair · 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: Edema, fatigue, decrease in mobility, IgE allergy to dairy and eggs · Healthcare visit (other): Chiropractic

MedDRA releases: 2024-11 · check-in free text available
2022-09-01
Report sent to call center — 12 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-02
Call 1 — Left Voicemail
2022-09-02
Call 1 — Left Voicemail
2022-09-13
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-12-11
Survey response — 6 months, dose 3
MedDRA: Emergency care, Mammogram abnormal, Vitreous disorder — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Posterior vitreous tear; breast abnormalities in mammogram · Healthcare visit (other): Emergency ophthalmologist appointment for eye. Breast biopsy for breast.

MedDRA releases: 2024-11 · check-in free text available
2022-12-11
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-12-12
Call 3 — Left Voicemail
2022-12-12
Call 2 — Left Voicemail
2022-12-12
Call 1 — Left Voicemail
2023-06-11
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-10	Pfizer-BioNTech	No
2	2021-09-01	Pfizer-BioNTech	No
3	2022-06-10	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-29	Successful 2021-10-11	Does not wish to fill out VAERS report
2021-12-02	Unsuccessful
2022-09-01	Unsuccessful
2022-12-11	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-12

Systemic reaction (other): Vision affected, like usual whenever Im sick

2021-08-13

Systemic reaction (other): Vision affected; no appetite at all

2021-08-14

Systemic reaction (other): Vision/eyes fuzzy

2021-08-15

Systemic reaction (other): Dizziness

Release 9 — days 1–6 daily, dose 2

2021-09-03

Systemic reaction (other): Dizziness

Release 9 — day 14, dose 2

2021-09-15

Symptoms: Seem to have more headaches than usual

Release 9 — day 21, dose 2

2021-09-22

Symptoms: Swelling on inside of my lips

Release 9 — day 28, dose 2

2021-09-29

Symptoms: Swollen lips, swelling inside front of mouth, tightening throat. ER visit today with diagnosis of angioedema caused by allergic reaction to lisinopril (following years of being on that medication)

Release 10 — 3 months, dose 2

2021-12-02

Symptoms: Additional items related to anosmia/parosmia since Covid19 in November 2020. Activated allergies to some items; new to me. Angioedema and allergy to ACE inhibitors after 20+ years medicated.

Healthcare visit (other): Ongoing medical care to resolve issues

Release 12 — 12 months, dose 2

2022-09-01

Symptoms: Edema, fatigue, decrease in mobility, IgE allergy to dairy and eggs

Healthcare visit (other): Chiropractic

Release 12 — 6 months, dose 3

2022-12-11

Symptoms: Posterior vitreous tear; breast abnormalities in mammogram

Healthcare visit (other): Emergency ophthalmologist appointment for eye. Breast biopsy for breast.

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	Emergency care	·	·	✓
HCVO	Office visit	·	·	✓
SD	Angioedema	·	·	✓
SD	Drug hypersensitivity	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	·	·	✓
SD	Lip swelling	·	·	✓
SD	Mammogram abnormal	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Mouth swelling	·	·	✓
SD	Oedema	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Throat tightness	·	·	✓
SD	Vitreous disorder	·	·	✓
SRO	Decreased appetite	✓	·	✓
SRO	Dizziness	✓	·	✓
SRO	Vision blurred	✓	·	✓
SRO	Visual impairment	✓	·	✓

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