ZR3-10717-00633

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 323 / FL
Registered: 2021-03-06

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

2021-03-06
Registered in v-safe
2021-03-06
Dose 1 — Pfizer-BioNTech
2021-03-06
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenopia, Vision blurred — Feeling: Good · Site: Pain

Free text: Little bit of eye blurriness; tired eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Eye irritation, Lacrimation increased, Ocular discomfort — Feeling: Fair · Be unable to do your normal daily activities

Free text: My eyes are really bothering me; I used to be a welder and it feels like I have been arc-flashed. They are watering too. It does not seem like my usual allergy symptoms as they do not itch. They are irritated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Same issue with eyes; forgot to say have had fatigue other days. Expect to get better soon!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Eye symptom — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Still have eye symptoms...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-03-13
Health check-in — day 7, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-27
Dose 2 — Pfizer-BioNTech
2021-03-27
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Ironically, it seems like my seasonal allergies have not bothered me since I had the first shot!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-03
Health check-in — day 7, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-10
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 28, dose 2
MedDRA: Seasonal allergy — Feeling: Good

Free text: I went to Atlanta this past week and checked my seasonal allergy theory. I can walk outside (2 miles or more) WITHOUT wearing a mask. Usually, I am in agony. Some sort of immune response from vaccine put my allergies into remission . YaY!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Dyspnoea, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: UTI or kidney infection; some slight breathing issues-maybe asthma. Stomach pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Dyspnoea, Pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Body aches and pains with shortness of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-25
Survey response — 6 months, dose 2
MedDRA: Emergency care, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: High Blood Pressure · Healthcare visit (other): No room at ER

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-06	Pfizer-BioNTech
2	2021-03-27	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-09-25	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Little bit of eye blurriness; tired eyes

2021-03-09

Systemic reaction (other): My eyes are really bothering me; I used to be a welder and it feels like I have been arc-flashed. They are watering too. It does not seem like my usual allergy symptoms as they do not itch. They are irritated.

2021-03-10

Systemic reaction (other): Same issue with eyes; forgot to say have had fatigue other days. Expect to get better soon!

2021-03-11

Systemic reaction (other): Still have eye symptoms...

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Ironically, it seems like my seasonal allergies have not bothered me since I had the first shot!

Release 7 — day 28, dose 2

2021-04-24

Symptoms: I went to Atlanta this past week and checked my seasonal allergy theory. I can walk outside (2 miles or more) WITHOUT wearing a mask. Usually, I am in agony. Some sort of immune response from vaccine put my allergies into remission . YaY!

Release 8 — day 35, dose 2

2021-05-01

Symptoms: UTI or kidney infection; some slight breathing issues-maybe asthma. Stomach pain.

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Body aches and pains with shortness of breath

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: High Blood Pressure

Healthcare visit (other): No room at ER

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	Emergency care	·	·	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Pain	✓	✓	✓
SD	Seasonal allergy	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Asthenopia	✓	✓	✓
SRO	Eye irritation	✓	✓	✓
SRO	Eye symptom	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Lacrimation increased	✓	✓	✓
SRO	Ocular discomfort	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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