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ZW2-26391-08234

5 vaccinations 29 coded responses 63 check-ins 29 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
277 / NC
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Registered in v-safe
  2. 2021-01-07
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-07
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oral herpes, Pain in extremity — Feeling: Good
    Free text: I did have a fever blister to pop out last night. I haven't had one in years. Don't know if there is any correlation but thought I would let you know. My arm was a little bit sore but not bad at all. Flu shots are much worse.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Good · Site: Itching
    Free text: One spell of shortness of breath this morning that did not last long
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal discomfort — Feeling: Good · Site: Itching · Fever · Headache
    Free text: Stomach discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-21
    Survey response — day 14, dose 1
    MedDRA: Musculoskeletal discomfort — Feeling: Fair
    Free text: My joints are bothering me more than usual, but I have been attributing that to the cold, rainy weather.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-27
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-27
    Survey response — day 0, dose 2
    MedDRA: Feeling hot, Pain in extremity — Feeling: Good
    Free text: Arm is warm and sore
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia, Limb discomfort — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Unable to sleep last night. Dont know if related to arm discomfort or vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Nausea
    Adult check-in
  16. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  17. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Swelling · Headache, Nausea
    Free text: Just a note to say that arm pain is enough to wake me up at night when I roll over onto the arm that received the vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-28
    Survey response — 3 months, dose 2
    MedDRA: Malaise, Nausea — Feeling: Good · Be unable to do your normal daily activities
    Free text: I was nauseated for about 1 week and did not feel well. I did not have a fever. Probably not related but it happened.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-08
    Dose 3 — Pfizer-BioNTech
  29. 2021-10-08
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-10-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Peripheral swelling — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Swelling of fingers on left hand (shot was in left arm) so I am unable to remove my rings
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains, Nausea · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-10-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain · Joint pains, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: My fasting blood sugars have been running higher than normal every morning since I received my booster shot. I just realized this was happening this morning. I just had not paid attention to the fact that it was elevated every day probably becaus
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea, Diarrhea
    Adult check-in
  35. 2021-10-14
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Headache, Joint pains, Nausea
    Free text: Just a note to say I probably will NOT take another Pfizer booster. This one was so much worse than the reaction to the second shot
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-10-15
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea · Be unable to do your normal daily activities
    Adult check-in
  37. 2021-10-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-29
    Survey response — day 21, dose 3
    MedDRA: Injection site pain, Office visit, Photopsia, Pre-existing disease, Tinnitus — Feeling: Fair
    Free text: My tinnitus is worse. I am also having small lights going around the the periphery of my right eye (from nasal area around to the outer side) not painful but don't know origin of lights nor did my ophthalmologist. I still have pains in shot area
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-11-05
    Survey response — day 28, dose 3
    MedDRA: Feeling abnormal, Pain in extremity, Tinnitus — Feeling: Good
    Free text: Tinnitus is worse, arm where injection was given still hurts intermittently. It would be nice to know if switching brands for next booster would have a better chance of not making me feel so d*** bad for two or three days and rotten for 3 or 4 more
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-11-12
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-20
    Survey response — day 42, dose 3
    MedDRA: Administration site pain, Eye inflammation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Inflammation in left eye. Also left arm still hurts intermittently where vaccine was administered. This has never happened after any other vaccination · Healthcare visit (other): Outpatient visit with Ophthalmologist
    MedDRA releases: 2024-11 · check-in free text available
  42. 2021-11-20
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  43. 2021-11-29
  44. 2021-11-29
    Call successful
    Does not wish to fill out VAERS report
  45. 2022-01-08
    Survey response — 3 months, dose 3
    MedDRA: Abdominal pain upper, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Stomach hurt and was nauseated all day yesterday but no fever. However, it could be due to the fact that I can no longer take Zantac to reduce the stomach pain/discomfort caused by metformin.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-01
    Dose 4 — Pfizer-BioNTech
  47. 2022-04-01
    Health check-in — day 0, dose 4
    Feeling: Fair · Fever · Chills, Muscle or body aches
    Adult check-in
  48. 2022-04-02
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abdominal pain upper — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Gastric pain. (Normal temp usually 97.9F-98.0 F)
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-04-03
    Survey response — days 1–6 daily, dose 4
    MedDRA: Body temperature increased, Feeling hot, Pre-existing disease, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: I've had tinnitus for a long time but today it got a lot worse than it's ever been. I felt feverish but no fever. Also, last night at 5:11pm my temp reached 100.0
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-04-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Eye irritation — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Eyes burning
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-04-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities
    Free text: SOB
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-04-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-04-08
    Survey response — day 7, dose 4
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: SOB
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-04-15
    Survey response — day 14, dose 4
    MedDRA: Conjunctivitis, Feeling abnormal, Headache, Lacrimation increased, Nasal congestion, Productive cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · 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: Stuffy nose,head, productive cough, headache, watery eyes, conjunctivitis, low grade fever, feel bad
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-04-15
    Report sent to call center — day 14, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  56. 2022-04-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  57. 2022-04-22
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  58. 2022-04-30
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  59. 2022-05-06
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  60. 2022-05-13
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  61. 2022-07-03
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  62. 2022-09-12
    Dose 5 — Pfizer-BioNTech
  63. 2022-09-12
    Survey response — day 0, dose 5
    MedDRA: Oropharyngeal pain, Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Sore throat, increased tinnitus
    MedDRA releases: 2024-11 · check-in free text available
  64. 2022-09-16
    Survey response — days 1–6 daily, dose 5
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Increased tinnitus (very annoying level of noise)
    MedDRA releases: 2024-11 · check-in free text available
  65. 2022-09-17
    Survey response — days 1–6 daily, dose 5
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Tinnitus
    MedDRA releases: 2024-11 · check-in free text available
  66. 2022-09-18
    Survey response — days 1–6 daily, dose 5
    MedDRA: Tinnitus — Feeling: Good · Site: Pain · Headache, Diarrhea · Be unable to do your normal daily activities
    Free text: Tinnitus
    MedDRA releases: 2024-11 · check-in free text available
  67. 2022-09-19
    Survey response — day 7, dose 5
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Tinnitus
    MedDRA releases: 2024-11 · check-in free text available
  68. 2022-09-26
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  69. 2022-10-03
    Survey response — day 21, dose 5
    MedDRA: Erythema, Pruritus, Rash pustular — Feeling: Fair
    Free text: Pustular rash and red splotchy skin that is associated with a maddening itch
    MedDRA releases: 2024-11 · check-in free text available
  70. 2022-10-10
    Survey response — day 28, dose 5
    MedDRA: Pre-existing disease, Tinnitus — Feeling: Good
    Free text: Tinnitus is worse
    MedDRA releases: 2024-11 · check-in free text available
  71. 2022-10-17
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  72. 2022-10-24
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  73. 2022-12-12
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  74. 2023-03-13
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Pfizer-BioNTech
22021-01-27Pfizer-BioNTech
32021-10-08Pfizer-BioNTech No
42022-04-01Pfizer-BioNTech No
52022-09-12Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): I did have a fever blister to pop out last night. I haven't had one in years. Don't know if there is any correlation but thought I would let you know. My arm was a little bit sore but not bad at all. Flu shots are much worse.

2021-01-11

Systemic reaction (other): One spell of shortness of breath this morning that did not last long

2021-01-12

Systemic reaction (other): Stomach discomfort

Release 2 — day 14, dose 1

2021-01-21

Symptoms: My joints are bothering me more than usual, but I have been attributing that to the cold, rainy weather.

Release 2 — day 0, dose 2

2021-01-27

Systemic reaction (other): Arm is warm and sore

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Unable to sleep last night. Dont know if related to arm discomfort or vaccination

2021-01-31

Systemic reaction (other): Just a note to say that arm pain is enough to wake me up at night when I roll over onto the arm that received the vaccination.

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: I was nauseated for about 1 week and did not feel well. I did not have a fever. Probably not related but it happened.

Release 10 — days 1–6 daily, dose 3

2021-10-10

Systemic reaction (other): Swelling of fingers on left hand (shot was in left arm) so I am unable to remove my rings

2021-10-12

Systemic reaction (other): My fasting blood sugars have been running higher than normal every morning since I received my booster shot. I just realized this was happening this morning. I just had not paid attention to the fact that it was elevated every day probably becaus cut off by CDC

2021-10-14

Systemic reaction (other): Just a note to say I probably will NOT take another Pfizer booster. This one was so much worse than the reaction to the second shot

Release 10 — day 21, dose 3

2021-10-29

Symptoms: My tinnitus is worse. I am also having small lights going around the the periphery of my right eye (from nasal area around to the outer side) not painful but don't know origin of lights nor did my ophthalmologist. I still have pains in shot area

Release 10 — day 28, dose 3

2021-11-05

Symptoms: Tinnitus is worse, arm where injection was given still hurts intermittently. It would be nice to know if switching brands for next booster would have a better chance of not making me feel so d*** bad for two or three days and rotten for 3 or 4 more cut off by CDC

Release 10 — day 42, dose 3

2021-11-20

Symptoms: Inflammation in left eye. Also left arm still hurts intermittently where vaccine was administered. This has never happened after any other vaccination
Healthcare visit (other): Outpatient visit with Ophthalmologist

Release 10 — 3 months, dose 3

2022-01-08

Symptoms: Stomach hurt and was nauseated all day yesterday but no fever. However, it could be due to the fact that I can no longer take Zantac to reduce the stomach pain/discomfort caused by metformin.

Release 11 — days 1–6 daily, dose 4

2022-04-02

Systemic reaction (other): Gastric pain. (Normal temp usually 97.9F-98.0 F)

2022-04-03

Systemic reaction (other): I've had tinnitus for a long time but today it got a lot worse than it's ever been. I felt feverish but no fever. Also, last night at 5:11pm my temp reached 100.0

2022-04-04

Systemic reaction (other): Eyes burning

2022-04-06

Systemic reaction (other): SOB

2022-04-07

Systemic reaction (other): Shortness of breath

Release 11 — day 7, dose 4

2022-04-08

Systemic reaction (other): SOB

Release 11 — day 14, dose 4

2022-04-15

Symptoms: Stuffy nose,head, productive cough, headache, watery eyes, conjunctivitis, low grade fever, feel bad

Release 12 — day 0, dose 5

2022-09-12

Systemic reaction (other): Sore throat, increased tinnitus

Release 12 — days 1–6 daily, dose 5

2022-09-16

Systemic reaction (other): Increased tinnitus (very annoying level of noise)

2022-09-17

Systemic reaction (other): Tinnitus

2022-09-18

Systemic reaction (other): Tinnitus

Release 12 — day 7, dose 5

2022-09-19

Systemic reaction (other): Tinnitus

Release 12 — day 21, dose 5

2022-10-03

Symptoms: Pustular rash and red splotchy skin that is associated with a maddening itch

Release 12 — day 28, dose 5

2022-10-10

Symptoms: Tinnitus is worse

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAbdominal pain upper · · ✓
SDAdministration site pain · · ✓
SDConjunctivitis · · ✓
SDErythema · · ✓
SDEye inflammation · · ✓
SDFeeling abnormal · · ✓
SDHeadache · · ✓
SDInjection site pain · · ✓
SDLacrimation increased · · ✓
SDMalaise ✓ ✓ ✓
SDMusculoskeletal discomfort ✓ ✓ ✓
SDNasal congestion · · ✓
SDNausea ✓ ✓ ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDPhotopsia · · ✓
SDPre-existing disease · · ✓
SDProductive cough · · ✓
SDPruritus · · ✓
SDPyrexia · · ✓
SDRash pustular · · ✓
SDRespiratory tract congestion · · ✓
SDTinnitus · · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROAbdominal pain upper · · ✓
SROAdverse reaction · · ✓
SROBlood glucose increased · · ✓
SROBody temperature increased · · ✓
SROCondition aggravated ○ ○ ○
SRODyspnoea ✓ ✓ ✓
SROEye irritation · · ✓
SROFeeling hot ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROOropharyngeal pain · · ✓
SROPain in extremity ✓ ✓ ✓
SROPeripheral swelling · · ✓
SROPre-existing disease · · ✓
SROReaction to previous exposure to any vaccine · · ✓
SROTinnitus · · ✓

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