YZW-31694-36817

2 vaccinations 10 coded responses 13 check-ins 10 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 352 / AL
Registered: 2021-01-14

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

2020-12-21
Dose 1 — Pfizer-BioNTech
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-14
Registered in v-safe
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have DM 2 and normal BP. Since vaccine my BS has been 220-155 and BP 195/105-165/87

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose, Blood glucose abnormal, Blood pressure increased, Hypertension — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Elevated BP 178/98. Glucose better 148

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Blood glucose increased, Hypertension — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Blood glucose 188; BP 167/96. Had to start BP med

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 2
MedDRA: Blood pressure increased — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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: BP 187/106

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
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)
2021-01-29
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-03
Survey response — day 21, dose 2
MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: BP continues to run high. Dr increased Losartan from 50 mg (started 2 days after 2nd vaccine) to 100 mg. BS continues to run unusually high.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-10
Survey response — day 28, dose 2
MedDRA: Blood glucose increased, Fatigue, Headache, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: My blood sugar and blood pressure continue to run high. My left arm (injected arm) continues to hurt. Headaches and fatigue continue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-18
Survey response — day 35, dose 2
MedDRA: Blood glucose increased, Blood pressure increased, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Not worse but not better. BP. And BS still abnormally high. Still on 100 mg Losartan. Left arm still hurts, enough to make me want Advil for relief.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 42, dose 2
MedDRA: Blood glucose increased, Blood pressure increased, Hypertension, Medical counselling, Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Blood sugar still running higher. BP - still on meds and it is running above normal. Left arm still hurts. · Healthcare visit (other): Patient portal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-22
Call 1 — Left Voicemail
2021-04-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Call 1 — Left Voicemail
2021-07-19
Survey response — 6 months, dose 2
MedDRA: Bronchospasm, Chest pain, Headache, Heart rate irregular, Pain in extremity, Pneumonia, Pyrexia, Taste disorder — Feeling: Fair · Be unable to work or attend school

Free text: Fever, headache, pneumonia, bronchial spasms, vaccine injected arm pain, irregular pulse, chest pain, altered sense of taste.

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Survey response — 12 months, dose 2
MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, 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: Headache, congestion, cough, fatigue, tested CIVID positive 1/10/2022

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-17	Successful	Participant prefers to complete VAERS report online
2021-01-18	Successful	Participant prefers to complete VAERS report online
2021-01-22	Successful	Participant prefers to complete VAERS report online
2021-02-03	Successful	Participant prefers to complete VAERS report online
2021-02-10	Successful	Participant prefers to complete VAERS report online
2021-02-24	Successful	Participant prefers to complete VAERS report online
2022-01-13	Successful 2022-01-14	Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-17

Systemic reaction (other): I have DM 2 and normal BP. Since vaccine my BS has been 220-155 and BP 195/105-165/87

2021-01-18

Systemic reaction (other): Elevated BP 178/98. Glucose better 148

2021-01-19

Systemic reaction (other): Blood glucose 188; BP 167/96. Had to start BP med

Release 2 — day 7, dose 2

2021-01-22

Systemic reaction (other): BP 187/106

Release 3 — day 21, dose 2

2021-02-03

Symptoms: BP continues to run high. Dr increased Losartan from 50 mg (started 2 days after 2nd vaccine) to 100 mg. BS continues to run unusually high.

Release 4 — day 28, dose 2

2021-02-10

Symptoms: My blood sugar and blood pressure continue to run high. My left arm (injected arm) continues to hurt. Headaches and fatigue continue.

Release 4 — day 35, dose 2

2021-02-18

Symptoms: Not worse but not better. BP. And BS still abnormally high. Still on 100 mg Losartan. Left arm still hurts, enough to make me want Advil for relief.

Release 4 — day 42, dose 2

2021-02-24

Symptoms: Blood sugar still running higher. BP - still on meds and it is running above normal. Left arm still hurts.

Healthcare visit (other): Patient portal

Release 9 — 6 months, dose 2

2021-07-19

Symptoms: Fever, headache, pneumonia, bronchial spasms, vaccine injected arm pain, irregular pulse, chest pain, altered sense of taste.

Release 10 — 12 months, dose 2

2022-01-13

Symptoms: Headache, congestion, cough, fatigue, tested CIVID positive 1/10/2022

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	Unevaluable event	○	✓	○
SD	Blood glucose increased	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Bronchospasm	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate irregular	·	·	✓
SD	Hypertension	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Self-medication	✓	✓	✓
SD	Taste disorder	·	·	✓
SRO	Blood glucose	○	✓	○
SRO	Blood glucose abnormal	✓	·	✓
SRO	Blood glucose increased	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Hypertension	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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