23N-26260-17237

4 vaccinations 9 coded responses 41 check-ins 9 free-text entries 0 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 787 / TX
Registered: 2021-03-01

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-03-01
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Survey response — day 0, dose 1
MedDRA: Balance disorder, Clumsiness, Halo vision, Vision blurred — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Feeling a little wobbly (not dizzy, not like Im going to faint, just clumsy and unsteady), and my vision is not entirely clear (halos around text on screens in particular)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Nausea

Free text: I started my period today, so its possible that some of these symptoms are related to that instead

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-13
Survey response — day 0, dose 2
MedDRA: Balance disorder, Tunnel vision, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: My period just started, so its hard to separate those symptoms. I got the same wobbly feeling and weird vision tunneling as I did with the first dose, but it seems to have gone away already.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Chromatopsia, Visual field defect, Visual impairment — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Free text: Ive had a weird thing happen with my vision where my field of vision narrows, and parts of what I look at have an orange tinge like what happens after looking at the sun and then looking away. Comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Visual impairment — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Same weird vision problem that comes and goes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Eye pruritus, Hypersensitivity, Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Not related to the vaccine, seems like allergies to something in the aireyes are scratching, sneezing, mild coughing, runny nose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — day 7, dose 2
MedDRA: Eye pruritus, Hypersensitivity, Sneezing — Feeling: Good

Free text: Still suffering from allergies (sneezing, itchy eyes), but not related to vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-10
Dose 3 — Pfizer-BioNTech
2022-04-15
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-03
Dose 4 — Moderna
2022-06-04
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-06-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2022-06-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-08
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-06-10
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-17
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-24
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-01
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-08
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-02
Survey response — 3 months, dose 4
MedDRA: Cough, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fever and coughing

MedDRA releases: 2024-11 · check-in free text available
2022-12-02
Survey response — 6 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Minor cold symptoms

MedDRA releases: 2024-11 · check-in free text available
2023-06-03
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2021-12-10	Pfizer-BioNTech	No
4	2022-06-03	Moderna	No

Free text

Release 5 — day 0, dose 1

2021-03-17

Systemic reaction (other): Feeling a little wobbly (not dizzy, not like Im going to faint, just clumsy and unsteady), and my vision is not entirely clear (halos around text on screens in particular)

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): I started my period today, so its possible that some of these symptoms are related to that instead

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): My period just started, so its hard to separate those symptoms. I got the same wobbly feeling and weird vision tunneling as I did with the first dose, but it seems to have gone away already.

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Ive had a weird thing happen with my vision where my field of vision narrows, and parts of what I look at have an orange tinge like what happens after looking at the sun and then looking away. Comes and goes.

2021-04-16

Systemic reaction (other): Same weird vision problem that comes and goes.

2021-04-19

Systemic reaction (other): Not related to the vaccine, seems like allergies to something in the aireyes are scratching, sneezing, mild coughing, runny nose.

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): Still suffering from allergies (sneezing, itchy eyes), but not related to vaccine

Release 12 — 3 months, dose 4

2022-09-02

Symptoms: Fever and coughing

Release 12 — 6 months, dose 4

2022-12-02

Symptoms: Minor cold symptoms

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	Cough	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pyrexia	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Chromatopsia	✓	✓	✓
SRO	Clumsiness	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Halo vision	✓	✓	✓
SRO	Hypersensitivity	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sneezing	✓	✓	✓
SRO	Tunnel vision	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓
SRO	Vision blurred	✓	✓	✓
SRO	Visual field defect	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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