ZSF-20816-97264

2 vaccinations 12 coded responses 22 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 945 / CA
Registered: 2021-04-09

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

2021-04-08
Dose 1 — Pfizer-BioNTech
2021-04-09
Registered in v-safe
2021-04-10
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Emergency care, Metamorphopsia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): I had this yesterday. I went to the emergency and came home to late to fill yesterdays report in. Pixelated and distorted vision and increased blood pressure · Healthcare visit (other): Urgent care facility

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-11
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Ear discomfort, Visual impairment — Feeling: Fair · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The injection seems to have cause a rise in blood pressure may have cause ear and vision body confusion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Blood pressure increased, Vision blurred — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I do think the elevated pressure cause by the injection May be contributing to the blurred vision

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Fatigue — Feeling: Fair · Site: Swelling

Free text: I missed yesterdays check in because of being extra tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-29
Dose 2 — Pfizer-BioNTech
2021-04-29
Survey response — day 0, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: None

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: I felt pretty good yesterday after my shot but this morning I felt like something the cat dragged in

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vision blurred — Feeling: Good

Free text: Slight light headed/blurry vision after riding the elevator

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: I am doing ok... Thank you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Doing great ....Thank you

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I am happy to report all is good. God bless all who worked tirelessly to help all stay healthy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good · Site: Itching

Free text: I am happy to be doing well

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: I am happy all is going well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-29
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-06
Call 1 — Left Voicemail
2022-05-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-08	Pfizer-BioNTech
2	2021-04-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-10	Unsuccessful

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): I had this yesterday. I went to the emergency and came home to late to fill yesterdays report in. Pixelated and distorted vision and increased blood pressure

Healthcare visit (other): Urgent care facility

2021-04-11

Systemic reaction (other): The injection seems to have cause a rise in blood pressure may have cause ear and vision body confusion

2021-04-12

Systemic reaction (other): I do think the elevated pressure cause by the injection May be contributing to the blurred vision

2021-04-14

Systemic reaction (other): I missed yesterdays check in because of being extra tired

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): None

Release 8 — days 1–6 daily, dose 2

2021-04-30

Systemic reaction (other): I felt pretty good yesterday after my shot but this morning I felt like something the cat dragged in

2021-05-01

Systemic reaction (other): Slight light headed/blurry vision after riding the elevator

2021-05-02

Systemic reaction (other): I am doing ok... Thank you

2021-05-03

Systemic reaction (other): Doing great ....Thank you

2021-05-04

Systemic reaction (other): I am happy to report all is good. God bless all who worked tirelessly to help all stay healthy.

2021-05-05

Systemic reaction (other): I am happy to be doing well

Release 8 — day 7, dose 2

2021-05-06

Systemic reaction (other): I am happy all is going well.

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	✓	✓	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Metamorphopsia	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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