YWS-15738-25109

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 494 / MI
Registered: 2021-03-31

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-31
Registered in v-safe
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Hot flush, Hypopnoea, Painful respiration, Vaccine positive rechallenge — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Severe piles since first injection. Hot rushes since first injection, less with 2nd so far, but still presenting. Breathing more shallow but perfectly clear. Lungs burned this am, now just a bit painful to breath deep, same as first injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Severe piles continue unchanged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 2
MedDRA: Haemorrhoids, Pain, Swelling — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe piles brought on by first dose continue unabated. I will be seeking out a specialist now through my GP to address courses of action to remove them. The pain is extraordinary, as is the swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 7, dose 2
MedDRA: Haemorrhoids — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Severe piles unchanged since developing day after first jab. In process of getting appt to see General Surgeon to address what can be done.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — day 21, dose 2
MedDRA: Constipation, Haemorrhoids, Immediate post-injection reaction, Swelling, Vaccine positive rechallenge — Feeling: Fair · Be unable to work, 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: Colorectal swelling causing inability to great difficulty clearing colon due to swelling and severe piles. All symptoms not present prior to first shot. Unchang d and even worsening since immediately following first shot. In fact the very next day.

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

1 call case(s)
2021-04-28
Survey response — day 28, dose 2
MedDRA: Large intestinal obstruction — Feeling: Fair · Be unable to work, 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: Colorectal and piles issues escalating in incredible ways. Internal colon and rectum are swollen severely, combined with extraordinary piles never before experienced. Cannot pass even has without extraordinary measures. Very very bad crisis for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 35, dose 2
MedDRA: Gastrointestinal inflammation, Headache, Swelling, Unevaluable event — Feeling: Fair · Be unable to work, 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: Symptoms: Internal inflammation and swelling of organs, mainly colon. Piles continue unchanged. Have appt with colorectal surgeon end of month for evaluation. Headaches persist as well. · Healthcare visit (other): In person appt scheduled end of May

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-30
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-01
Call 1 — Left Voicemail
2022-04-02
Survey response — 12 months, dose 2
MedDRA: Mass, Office visit, Swelling, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Extremely swollen neck and face over months. Many large lumps. Gradual onset over about 4 months. · Healthcare visit (other): Office Visit with GP after urgent care visit

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Unsuccessful
2021-04-28	Unsuccessful
2021-05-05	Unsuccessful
2022-04-02	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Severe piles since first injection. Hot rushes since first injection, less with 2nd so far, but still presenting. Breathing more shallow but perfectly clear. Lungs burned this am, now just a bit painful to breath deep, same as first injection.

2021-04-03

Systemic reaction (other): Severe piles continue unchanged.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Severe piles brought on by first dose continue unabated. I will be seeking out a specialist now through my GP to address courses of action to remove them. The pain is extraordinary, as is the swelling.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Severe piles unchanged since developing day after first jab. In process of getting appt to see General Surgeon to address what can be done.

Release 7 — day 21, dose 2

2021-04-21

Symptoms: Colorectal swelling causing inability to great difficulty clearing colon due to swelling and severe piles. All symptoms not present prior to first shot. Unchang d and even worsening since immediately following first shot. In fact the very next day. cut off by CDC

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Colorectal and piles issues escalating in incredible ways. Internal colon and rectum are swollen severely, combined with extraordinary piles never before experienced. Cannot pass even has without extraordinary measures. Very very bad crisis for me. cut off by CDC

Release 8 — day 35, dose 2

2021-05-05

Symptoms: Internal inflammation and swelling of organs, mainly colon. Piles continue unchanged. Have appt with colorectal surgeon end of month for evaluation. Headaches persist as well.

Healthcare visit (other): In person appt scheduled end of May

Release 11 — 12 months, dose 2

2022-04-02

Symptoms: Extremely swollen neck and face over months. Many large lumps. Gradual onset over about 4 months.

Healthcare visit (other): Office Visit with GP after urgent care visit

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	Unevaluable event	✓	✓	✓
SD	Constipation	✓	✓	✓
SD	Gastrointestinal inflammation	✓	✓	✓
SD	Haemorrhoids	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Large intestinal obstruction	✓	✓	✓
SD	Mass	·	·	✓
SD	Swelling	✓	✓	✓
SD	Swelling face	·	·	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Haemorrhoids	✓	✓	✓
SRO	Hot flush	✓	✓	✓
SRO	Hypopnoea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Swelling	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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