ZJ5-24831-73834

2 vaccinations 13 coded responses 18 check-ins 13 free-text entries 12 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 187 / PA
Registered: 2020-12-23

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

2020-12-23
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-25
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good

Free text: Both hands, more specifically the left are on and off numb and tingling down the left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Survey response — days 1–6 daily, dose 1
MedDRA: Neuropathy peripheral — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Hand neuropathy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-26
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-27
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Paraesthesia, Sinus disorder, Throat irritation — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Tingling and numbness in hands and possible sinus issues as well as burning in my throat that comes and goes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-28
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-29
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue, Hypersomnia, Hypoaesthesia, Nasal congestion, Paraesthesia, Vision blurred — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Blurred vision today which is very odd. Both arms on & off tingling or numb. Sinus issues where suddenly its more difficult to breathe out of my nose. I never run fevers though so you won't get me there but have turned the A/C on and iff several times. Slept 18 hours yesterday through to today which is NOT GOOD!! I can't deal with this fatigue. Its crippling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-29
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — day 7, dose 1
MedDRA: Arthralgia, Fatigue, Pain in extremity, Paraesthesia — Feeling: Poor · Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Unbelievable fatigue and NO I haven't contacted a Doctor because our Doctor if 20 years left (b)(6) and the new doctor doesn't know us and will as I do, chalk it up to the vaccine. Also, my son and I do not run fevers, never have. I wonder every day ifI have Covid. My legs hurt from the knees down, my hands tingle NONSTOP and the fatigue is brutal!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-06
Survey response — day 14, dose 1
MedDRA: Fatigue, Gait disturbance, Lymphadenopathy, Medical observation, Neuropathy peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Fatigue and neuropathy is still present. My ankles into my feet seem to be having some intermittent issue in regards to walking like they don't wish to work. The most troubling a highly visible swollen lymph gland in my neck that won't go away. · Healthcare visit (other): I had our ER doctor look at it. I have one more day before I have to call my doctor for further testing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-06
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-13
Dose 2 — Pfizer-BioNTech
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Malaise, Medical counselling — Feeling: Good · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, 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: Systemic reaction (other): These were all approximateky 15 hours after the shot and then lasted 18 hours. I feel better today but yesterday was brutal. I went to the doctors and got blood work as I have never been that sick! Also, the swollen lymph node has still not gone away so I am going tosee a specialist. · Healthcare visit (other): I called the doctor and received bloodwork.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, 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)
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Vision blurred — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Blurred vision

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 work · Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness

Adult check-in
2021-01-22
Survey response — day 7, dose 2
MedDRA: Constipation, Respiratory tract congestion, Sinusitis — Feeling: Poor · Fever · Headache, Fatigue or tiredness · 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: Constipation & conjestion with sinus infection - severe

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)
2021-01-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-03
Survey response — day 21, dose 2
MedDRA: Fatigue, Musculoskeletal stiffness, Neck mass, Neck pain, Odynophagia — Feeling: Fair · Be unable to work, 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: Severe fatigue. Still have lumps on side of my neck which were ultr sounded and are believed to be result of shot. Now hirts and makesxme feel only one side of my throat works when swallowing, pain and stiff neck.

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
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)
2021-02-08
Call 1 — Left Voicemail
2021-02-08
Call successful
Participant prefers to complete VAERS report online
2021-02-12
Survey response — day 28, dose 2
MedDRA: Alopecia, Musculoskeletal stiffness, Nodule — Feeling: Fair

Free text: My hair is falling out. My neck feels stiff where the lumps are.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Survey response — day 42, dose 2
MedDRA: Fatigue, Pelvic pain — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pelvic pain. Have doctors appt tmrw. · Healthcare visit (other): Dr Visit scheduled Still way too much fatigue

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)
2021-06-01
Call 1 — Left Voicemail
2021-07-15
Survey response — 6 months, dose 2
MedDRA: Fatigue, Visual impairment — 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 · Outpatient clinic or urgent care clinic visit

Free text: Vision issues and very CHRONIC FATIGUE

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 6 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

1 call case(s)
2021-07-22
Call 1 — Left Voicemail
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2022-01-13
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2020-12-26	Successful	Participant prefers to complete VAERS report online
2020-12-27	Successful	Participant prefers to complete VAERS report online
2020-12-28	Successful	Participant prefers to complete VAERS report online
2020-12-29	Successful	Participant prefers to complete VAERS report online
2020-12-31	Successful	Participant prefers to complete VAERS report online
2021-01-06	Successful	Participant prefers to complete VAERS report online
2021-01-15	Successful	Participant prefers to complete VAERS report online
2021-01-17	Successful 2021-02-08	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
2021-02-24	Unsuccessful
2021-07-15	Successful 2021-07-29	Participant prefers to complete VAERS report online

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): Both hands, more specifically the left are on and off numb and tingling down the left arm.

2020-12-26

Systemic reaction (other): Hand neuropathy

2020-12-27

Systemic reaction (other): Tingling and numbness in hands and possible sinus issues as well as burning in my throat that comes and goes

2020-12-29

Systemic reaction (other): Blurred vision today which is very odd. Both arms on & off tingling or numb. Sinus issues where suddenly its more difficult to breathe out of my nose. I never run fevers though so you won't get me there but have turned the A/C on and iff several times. Slept 18 hours yesterday through to today which is NOT GOOD!! I can't deal with this fatigue. Its crippling

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Unbelievable fatigue and NO I haven't contacted a Doctor because our Doctor if 20 years left (b)(6) and the new doctor doesn't know us and will as I do, chalk it up to the vaccine. Also, my son and I do not run fevers, never have. I wonder every day ifI have Covid. My legs hurt from the knees down, my hands tingle NONSTOP and the fatigue is brutal!

redacted (b)(6)

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Fatigue and neuropathy is still present. My ankles into my feet seem to be having some intermittent issue in regards to walking like they don't wish to work. The most troubling a highly visible swollen lymph gland in my neck that won't go away.

Healthcare visit (other): I had our ER doctor look at it. I have one more day before I have to call my doctor for further testing.

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): These were all approximateky 15 hours after the shot and then lasted 18 hours. I feel better today but yesterday was brutal. I went to the doctors and got blood work as I have never been that sick! Also, the swollen lymph node has still not gone away so I am going tosee a specialist.

Healthcare visit (other): I called the doctor and received bloodwork.

2021-01-17

Systemic reaction (other): Blurred vision

Release 2 — day 7, dose 2

2021-01-22

Systemic reaction (other): Constipation & conjestion with sinus infection - severe

Release 3 — day 21, dose 2

2021-02-03

Symptoms: Severe fatigue. Still have lumps on side of my neck which were ultr sounded and are believed to be result of shot. Now hirts and makesxme feel only one side of my throat works when swallowing, pain and stiff neck.

Release 4 — day 28, dose 2

2021-02-12

Symptoms: My hair is falling out. My neck feels stiff where the lumps are.

Release 4 — day 42, dose 2

2021-02-24

Symptoms: Pelvic pain. Have doctors appt tmrw.

Healthcare visit (other): Dr Visit scheduled Still way too much fatigue

Release 9 — 6 months, dose 2

2021-07-15

Symptoms: Vision issues and very CHRONIC FATIGUE

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	Fatigue	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
HCVO	Medical observation	✓	✓	✓
SD	Alopecia	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gait disturbance	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Musculoskeletal stiffness	✓	✓	✓
SD	Neck mass	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Odynophagia	✓	✓	✓
SD	Pelvic pain	✓	✓	✓
SD	Visual impairment	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Constipation	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Malaise	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neuropathy peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Pyrexia	○	○	○
SRO	Respiratory tract congestion	✓	✓	✓
SRO	Sinus disorder	✓	✓	✓
SRO	Sinusitis	✓	✓	✓
SRO	Throat irritation	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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