ZJH-22898-25878

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 187 / PA
Registered: 2021-06-05

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-06-01
Dose 1 — Pfizer-BioNTech
2021-06-05
Registered in v-safe
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Hypersensitivity, Medical counselling — Feeling: Fair · Site: Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Allergies · Healthcare visit (other): Phone call from my doctors nurse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-06
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion, Fatigue, Hypersensitivity — Feeling: Fair · Site: Swelling, Itching · Diarrhea · Be unable to do your normal daily activities

Free text: Bruising injection arm, very tired, low iron, meat protein allergy, seasonal allergies, penicillin, Cipro allergies, dairy allergies, gelatin allergies

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 1
MedDRA: Medical counselling, Pre-existing disease — Feeling: Good · Site: Swelling, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): None today. Bad experience with the first vaccine. I may have to decline the second vaccine. Next time create a VEGAN vaccine. Too many allergies. · Healthcare visit (other): Talked to the nurse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-08
Health check-in — day 7, dose 1
Feeling: Fair · None

Adult check-in
2021-06-15
Survey response — day 14, dose 1
MedDRA: Contusion, Decreased appetite, Fatigue, Nausea — Feeling: Fair

Free text: Fatigue, nausea, bruising and loss of appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Dose 2 — Pfizer-BioNTech
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Fatigue — Feeling: Fair · Diarrhea

Free text: Eat ache, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Cough, Fatigue, Pruritus, Sneezing, Wheezing — Feeling: Fair · Site: Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Itching, sneezing, coughing, fatigue, anxious feeling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-07-02
Survey response — day 14, dose 2
MedDRA: Asthenia, Fatigue, Injection site pain, Injection site pruritus — Feeling: Fair

Free text: Itchy slight pain in the injection arm. Fatigued, very weak.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — day 28, dose 2
MedDRA: Abdominal distension, Gastrointestinal disorder, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities

Free text: Bloating and Intestinal issues from the vaccine. I should never had the vaccine due to my allergy to meat protein and gelatin. It is wrong to force anyone to get vaccinated. The ingredients to the vaccine should be made public to make decisions

MedDRA releases: 2024-11 · check-in free text available
2021-07-24
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-01
Survey response — day 42, dose 2
MedDRA: Contusion, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Bruises and fatigue.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Call 1 — Could Not Reach Participant
2021-09-11
Call 2 — Could Not Reach Participant
2021-09-18
Survey response — 3 months, dose 2
MedDRA: Office visit, Pruritus, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Hives tat wont go away. Very itchy. I would be more than happy to show you a picture o my hives at the worse · Healthcare visit (other): In person visit to my allergy doctor.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
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)
2021-09-21
Call successful
Participant prefers to complete VAERS report online
2021-09-21
Call successful
Participant prefers to complete VAERS report online
2022-06-18
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-01	Pfizer-BioNTech
2	2021-06-18	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-05	Successful	Participant prefers to complete VAERS report online
2021-06-07	Successful 2021-09-21	Participant prefers to complete VAERS report online
2021-09-18	Successful 2021-09-21	Participant prefers to complete VAERS report online

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-05

Systemic reaction (other): Allergies

Healthcare visit (other): Phone call from my doctors nurse

2021-06-06

Systemic reaction (other): Bruising injection arm, very tired, low iron, meat protein allergy, seasonal allergies, penicillin, Cipro allergies, dairy allergies, gelatin allergies

2021-06-07

Systemic reaction (other): None today. Bad experience with the first vaccine. I may have to decline the second vaccine. Next time create a VEGAN vaccine. Too many allergies.

Healthcare visit (other): Talked to the nurse.

Release 9 — day 14, dose 1

2021-06-15

Symptoms: Fatigue, nausea, bruising and loss of appetite.

Release 9 — days 1–6 daily, dose 2

2021-06-23

Systemic reaction (other): Eat ache, fatigue

2021-06-24

Systemic reaction (other): Itching, sneezing, coughing, fatigue, anxious feeling.

Release 9 — day 14, dose 2

2021-07-02

Symptoms: Itchy slight pain in the injection arm. Fatigued, very weak.

Release 9 — day 28, dose 2

2021-07-17

Symptoms: Bloating and Intestinal issues from the vaccine. I should never had the vaccine due to my allergy to meat protein and gelatin. It is wrong to force anyone to get vaccinated. The ingredients to the vaccine should be made public to make decisions

Release 9 — day 42, dose 2

2021-08-01

Symptoms: Bruises and fatigue.

Release 9 — 3 months, dose 2

2021-09-18

Symptoms: Hives tat wont go away. Very itchy. I would be more than happy to show you a picture o my hives at the worse

Healthcare visit (other): In person visit to my allergy doctor.

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	Office visit	·	·	✓
SD	Abdominal distension	·	·	✓
SD	Asthenia	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Decreased appetite	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pruritus	·	·	✓
SD	Urticaria	·	·	✓
SRO	Anxiety	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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