YW7-14028-37817

2 vaccinations 11 coded responses 18 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 770 / TX
Registered: 2021-04-02

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-27
Dose 1 — Pfizer-BioNTech
2021-04-02
Registered in v-safe
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Abdominal pain

Adult check-in
2021-04-05
Survey response — day 7, dose 1
MedDRA: Dysphonia, Rhinorrhoea — Feeling: Fair

Free text: Running nose, hoarseness of voice

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-18
Dose 2 — Pfizer-BioNTech
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — days 1–6 daily, dose 2
MedDRA: Rash pruritic — Feeling: Fair

Free text: Itchy rash on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Survey response — days 1–6 daily, dose 2
MedDRA: Rash pruritic — Feeling: Good · Site: Itching

Free text: Itchy rash on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — day 7, dose 2
MedDRA: Rash pruritic — Feeling: Good

Free text: Itchy rash on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Survey response — day 21, dose 2
MedDRA: Abscess, Dysphonia, Lymphadenopathy, Neck pain, Pain in jaw, Tonsillitis — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Now, I have tonsillitis with abcess and neck pain and lymph nodes enlargement. Back of tongue has inflamed some areas. Primary care physician gave me antibiotic again and refer to ENT. I also have hoarseness of voice and angle of jaw pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Survey response — day 35, dose 2
MedDRA: Oral mucosal blistering — Feeling: Fair

Free text: I noticed the blister in the mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Rash, Rash pruritic — Feeling: Fair · Be unable to do your normal daily activities

Free text: Two days ago, I had got severe sorethroat at right side of the neck for 3 days following after itchy rash on the trunk for one day. I tried to gurgle with Betadine, Listerine and salty water. After 3days,symptoms were relieved.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-18
Survey response — 3 months, dose 2
MedDRA: Autoimmune eye disorder, Dry eye, Eye irritation, Eye pain, Lacrimation increased, Office visit, Photophobia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I have dry eye problems such as photophobia,burning, eye pain,watery eyes and went to ophthalmologist. He said dry eye problem caused by autoimmune. He referred me to another eye doctor who specializes on dry eye. · Healthcare visit (other): Ophthalmologist

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Call 1 — Left Voicemail
2021-07-25
Call 1 — Left Voicemail
2021-10-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-04-18
Survey response — 12 months, dose 2
MedDRA: Chronic tonsillitis, Office visit, Peritonsillar abscess, Tonsillectomy — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: I have had peritonailar abcess with chronic tonsillitis after Covid-19 vaccine first and second dose since last year and 3 weeks ago I had tonsillectomy and now I have another abcess below the left tonsil bed. · Healthcare visit (other): ENT doctor and tonsillectomy

MedDRA releases: 2024-11 · check-in free text available
2022-04-18
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-19
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-18	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-11	Unsuccessful
2021-07-18	Unsuccessful
2022-04-18	Unsuccessful

Free text

Release 6 — day 7, dose 1

2021-04-05

Systemic reaction (other): Running nose, hoarseness of voice

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Dizziness

2021-04-22

Systemic reaction (other): Dizziness

2021-04-23

Systemic reaction (other): Itchy rash on and off

2021-04-24

Systemic reaction (other): Itchy rash on and off

Release 7 — day 7, dose 2

2021-04-25

Systemic reaction (other): Itchy rash on and off

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Now, I have tonsillitis with abcess and neck pain and lymph nodes enlargement. Back of tongue has inflamed some areas. Primary care physician gave me antibiotic again and refer to ENT. I also have hoarseness of voice and angle of jaw pain.

Release 8 — day 35, dose 2

2021-05-23

Symptoms: I noticed the blister in the mouth.

Release 8 — day 42, dose 2

2021-05-30

Symptoms: Two days ago, I had got severe sorethroat at right side of the neck for 3 days following after itchy rash on the trunk for one day. I tried to gurgle with Betadine, Listerine and salty water. After 3days,symptoms were relieved.

Release 9 — 3 months, dose 2

2021-07-18

Symptoms: I have dry eye problems such as photophobia,burning, eye pain,watery eyes and went to ophthalmologist. He said dry eye problem caused by autoimmune. He referred me to another eye doctor who specializes on dry eye.

Healthcare visit (other): Ophthalmologist

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: I have had peritonailar abcess with chronic tonsillitis after Covid-19 vaccine first and second dose since last year and 3 weeks ago I had tonsillectomy and now I have another abcess below the left tonsil bed.

Healthcare visit (other): ENT doctor and tonsillectomy

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	·	·	✓
HCVO	Tonsillectomy	·	·	✓
SD	Abscess	✓	✓	✓
SD	Autoimmune eye disorder	·	·	✓
SD	Chronic tonsillitis	·	·	✓
SD	Dry eye	·	·	✓
SD	Dysphonia	✓	✓	✓
SD	Eye irritation	·	·	✓
SD	Eye pain	·	·	✓
SD	Lacrimation increased	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oral mucosal blistering	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Peritonsillar abscess	·	·	✓
SD	Photophobia	·	·	✓
SD	Rash	✓	✓	✓
SD	Rash pruritic	✓	✓	✓
SD	Tonsillectomy	·	·	✓
SD	Tonsillitis	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysphonia	✓	✓	✓
SRO	Rash pruritic	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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