ZQQ-11197-85421

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 921 / CA
Registered: 2020-12-16

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2020-12-16
Registered in v-safe
2020-12-16
Dose 1 — Pfizer-BioNTech
2020-12-16
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2020-12-18
Survey response — days 1–6 daily, dose 1
MedDRA: Eye haemorrhage — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Blood in my left eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-19
Survey response — days 1–6 daily, dose 1
MedDRA: Ocular hyperaemia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Blood eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Eye haemorrhage — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Fatigue or tiredness

Free text: Blood in my eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains

Adult check-in
2020-12-23
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains

Adult check-in
2020-12-30
Survey response — day 14, dose 1
MedDRA: Eye haemorrhage, Eye pain — Feeling: Fair

Free text: Bloody eye, hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-08
Survey response — day 0, dose 2
MedDRA: Abnormal sensation in eye, Chills, Eye irritation, Eye pain, Peripheral coldness — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains

Free text: My left eye feels hot, it burns, and it hurts really bad. My left arm feels cold, and I get chills on it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Eye pain, Ocular hyperaemia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: My back hurts, my left eye hurts and is red

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Migraine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Pain in my left eye, migraine

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

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 2
Be unable to work

1 call case(s)
2021-01-13
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pain, Migraine — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Left eye hurt so much , migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-15
Survey response — day 7, dose 2
MedDRA: Ear pain, Eye pain, Ocular discomfort, Swelling face — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Diarrhea

Free text: Both of my eyes hurts , feeling they going to pop, my face feel swollen, my hears hurt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 14, dose 2
MedDRA: Headache, Migraine, Vomiting — Feeling: Fair · Be unable to work

Free text: Headache, migraine, vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-02-05
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-02-12
Survey response — day 35, dose 2
MedDRA: Headache, Ocular hyperaemia — Feeling: Fair

Free text: Headache , blood eye

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-11
Survey response — 6 months, dose 2
MedDRA: Fatigue — Feeling: Fair

Free text: Tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2022-01-08
Survey response — 12 months, dose 2
MedDRA: Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair

Free text: Headache, throat hurt, nose congestion

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-16	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-10	priority 2/3
2021-01-11	priority 2/3
2021-01-12	priority 2/3

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-18

Systemic reaction (other): Blood in my left eye

2020-12-19

Systemic reaction (other): Blood eye

2020-12-20

Systemic reaction (other): Blood in my eye

Release 1 — day 14, dose 1

2020-12-30

Symptoms: Bloody eye, hurts

Release 1 — day 0, dose 2

2021-01-08

Systemic reaction (other): My left eye feels hot, it burns, and it hurts really bad. My left arm feels cold, and I get chills on it

Release 1 — days 1–6 daily, dose 2

2021-01-10

Systemic reaction (other): My back hurts, my left eye hurts and is red

2021-01-11

Systemic reaction (other): Pain in my left eye, migraine

2021-01-13

Systemic reaction (other): Left eye hurt so much , migraine

Release 2 — day 7, dose 2

2021-01-15

Systemic reaction (other): Both of my eyes hurts , feeling they going to pop, my face feel swollen, my hears hurt

Release 2 — day 14, dose 2

2021-01-22

Symptoms: Headache, migraine, vomiting

Release 4 — day 35, dose 2

2021-02-12

Symptoms: Headache , blood eye

Release 9 — 6 months, dose 2

2021-07-11

Symptoms: Tiredness

Release 10 — 12 months, dose 2

2022-01-08

Symptoms: Headache, throat hurt, nose congestion

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
SD	Eye haemorrhage	✓	✓	✓
SD	Eye pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Ocular hyperaemia	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Vomiting	✓	✓	✓
SRO	Abnormal sensation in eye	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Eye haemorrhage	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Feeling cold	○	○	○
SRO	Migraine	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Ocular hyperaemia	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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