ZAU-27438-52023

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 857 / AZ
Registered: 2021-01-21

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

2021-01-20
Dose 1 — Pfizer-BioNTech
2021-01-21
Registered in v-safe
2021-01-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal pain upper — Feeling: Good · Site: Pain, Redness · Diarrhea

Free text: stomach ache mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Good · Abdominal pain

Free text: same rumbling gi symptom...wont drive cause conc we rned about bathroom need

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort — Feeling: Good

Free text: st9mach less grumbly

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-03
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good

Free text: late 27th injection site arm swling. itching. light pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-10
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: eyes hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Nasal discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: eye pain. .my nose was irritated..like a burn from drip when high fevers. definitely like a burn. not cold sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain — Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: myveyes hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Survey response — day 7, dose 2
MedDRA: Eye pain, Swelling face — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: eyes hurt..still facial swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-24
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-08-11
Survey response — 6 months, dose 2
MedDRA: Blood pressure increased, Eye haemorrhage, Office visit, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: aftercthe fever..after 2nd shot..w elevated blood pressure..resulted in intraocular bleeding.still getting checked · Healthcare visit (other): retina specialist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-17
Call 1 — Left Voicemail
2022-02-10
Survey response — 12 months, dose 2
MedDRA: Thyroid function test abnormal — Feeling: Good

Free text: high thyroid numbers

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-20	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-08-11	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): stomach ache mild

2021-01-25

Systemic reaction (other): same rumbling gi symptom...wont drive cause conc we rned about bathroom need

2021-01-26

Systemic reaction (other): st9mach less grumbly

Release 3 — day 14, dose 1

2021-02-03

Symptoms: late 27th injection site arm swling. itching. light pain

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): eye pain

2021-02-12

Systemic reaction (other): eyes hurt

2021-02-13

Systemic reaction (other): eye pain

2021-02-14

Systemic reaction (other): eyes

2021-02-15

Systemic reaction (other): eye pain. .my nose was irritated..like a burn from drip when high fevers. definitely like a burn. not cold sore

2021-02-16

Systemic reaction (other): myveyes hurt

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): eyes hurt..still facial swelling

Release 9 — 6 months, dose 2

2021-08-11

Symptoms: aftercthe fever..after 2nd shot..w elevated blood pressure..resulted in intraocular bleeding.still getting checked

Healthcare visit (other): retina specialist

Release 11 — 12 months, dose 2

2022-02-10

Symptoms: high thyroid numbers

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	✓	·	✓
SD	Blood pressure increased	✓	·	✓
SD	Eye haemorrhage	✓	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Pyrexia	✓	·	✓
SD	Thyroid function test abnormal	·	·	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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