2C7-26392-06871

4 vaccinations 16 coded responses 39 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 850 / AZ
Registered: 2021-03-19

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dizziness — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness, little tightness in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness, have to be careful with balance

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 21, dose 2
MedDRA: Anxiety, Dizziness, Dyspnoea, Fatigue, Feeling abnormal — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness combined with loss of balance but not falling. Profound fatigue, and increasing brain fog. Anxiety and trouble breathing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 28, dose 2
MedDRA: Balance disorder, Dizziness, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activities

Free text: Light headedness and dizziness, fear loss of balance. Brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 35, dose 2
MedDRA: Balance disorder, Fatigue, Office visit, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo makes me nearly lose my balance; profound fatigue. · Healthcare visit (other): In person doctor appointment.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-30
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Tinnitus — Feeling: Fair

Free text: Sudden onset of Tinnitus.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-21
Dose 3 — Pfizer-BioNTech
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: All of above symptoms have increased in pain daily since vaccination.

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-27
Survey response — days 1–6 daily, dose 3
MedDRA: Condition aggravated, Fatigue, Mobility decreased, Pre-existing disease, Somnolence, Systemic lupus erythematosus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have Sjogren's/Lupus and vaccine triggered a much more profound can hardly move fall asleep if I sit down fatigue.

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Survey response — day 21, dose 3
MedDRA: Bone pain, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: More profound fatigue, bone aches in shins and hips that get worse at night and are very painful.

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-26
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-02
Survey response — day 42, dose 3
MedDRA: Depressed mood, Tinnitus — Feeling: Fair

Free text: Tinnitus is continuing constantly and is very disruptive and depressing. Constant ringing it never stops since it suddenly started on 5/19/21.

MedDRA releases: 2024-11 · check-in free text available
2022-02-20
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-06
Call successful
Participant prefers to complete VAERS report online
2022-05-03
Dose 4 — Pfizer-BioNTech
2022-05-03
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

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

Adult check-in
2022-05-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Aphasia, Brain fog, Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Progressive brain fog, forgetting words, more tired everyday.

MedDRA releases: 2024-11 · check-in free text available
2022-05-09
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Fatigue or tiredness

Adult check-in
2022-05-10
Health check-in — day 7, dose 4
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-17
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-24
Survey response — day 21, dose 4
MedDRA: Blood pressure increased, Dyspnoea, Palpitations — Feeling: Fair

Free text: Racing heart, high blood pressure, and breathlessness.

MedDRA releases: 2024-11 · check-in free text available
2022-05-31
Survey response — day 28, dose 4
MedDRA: Brain fog, Fatigue, Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Increased brain fog, migraines, profound fatigue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Survey response — day 35, dose 4
MedDRA: Dyspnoea, Fatigue, Migraine, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Extreme and debilitating fatigue, trouble getting a full breath, migraines. I'm going to my doctor next week. · Healthcare visit (other): In person doctor appointment

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-06-08
Call 1 — Requested Callback
2022-06-08
Call 1 — Requested Callback
2022-06-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-06-16
Callback requested for
03:00PM ET
2022-06-16
Callback requested for
03:00PM ET
2022-06-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-08-02
Survey response — 3 months, dose 4
MedDRA: Dyspnoea, Fatigue, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Unceasing breathlessness and fatigue. · Healthcare visit (other): In person doctor appointment

MedDRA releases: 2024-11 · check-in free text available
2022-08-02
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-08-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-01
Health check-in — 6 months, dose 4
Feeling: Fair

Adult check-in
2023-05-03
Survey response — 12 months, dose 4
MedDRA: COVID-19, Chronic fatigue syndrome, Office visit — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-11-21	Pfizer-BioNTech	No
4	2022-05-03	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Dizziness, little tightness in chest

2021-03-25

Systemic reaction (other): Dizziness, have to be careful with balance

Release 7 — day 21, dose 2

2021-04-09

Symptoms: Dizziness combined with loss of balance but not falling. Profound fatigue, and increasing brain fog. Anxiety and trouble breathing.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Light headedness and dizziness, fear loss of balance. Brain fog.

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Vertigo makes me nearly lose my balance; profound fatigue.

Healthcare visit (other): In person doctor appointment.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: Sudden onset of Tinnitus.

Release 10 — days 1–6 daily, dose 3

2021-11-25

Systemic reaction (other): All of above symptoms have increased in pain daily since vaccination.

2021-11-27

Systemic reaction (other): I have Sjogren's/Lupus and vaccine triggered a much more profound can hardly move fall asleep if I sit down fatigue.

Release 10 — day 21, dose 3

2021-12-12

Symptoms: More profound fatigue, bone aches in shins and hips that get worse at night and are very painful.

Release 10 — day 42, dose 3

2022-01-02

Symptoms: Tinnitus is continuing constantly and is very disruptive and depressing. Constant ringing it never stops since it suddenly started on 5/19/21.

Release 11 — days 1–6 daily, dose 4

2022-05-08

Systemic reaction (other): Progressive brain fog, forgetting words, more tired everyday.

Release 11 — day 21, dose 4

2022-05-24

Symptoms: Racing heart, high blood pressure, and breathlessness.

Release 11 — day 28, dose 4

2022-05-31

Symptoms: Increased brain fog, migraines, profound fatigue.

Release 11 — day 35, dose 4

2022-06-07

Symptoms: Extreme and debilitating fatigue, trouble getting a full breath, migraines. I'm going to my doctor next week.

Healthcare visit (other): In person doctor appointment

Release 12 — 3 months, dose 4

2022-08-02

Symptoms: Unceasing breathlessness and fatigue.

Healthcare visit (other): In person doctor appointment

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	Office visit	✓	✓	✓
SD	Anxiety	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Blood pressure increased	·	·	✓
SD	Bone pain	·	·	✓
SD	Brain fog	·	·	✓
SD	Chronic fatigue syndrome	·	·	✓
SD	COVID-19	·	·	✓
SD	Depressed mood	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Migraine	·	·	✓
SD	Office visit	·	·	✓
SD	Palpitations	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Aphasia	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Brain fog	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Condition aggravated	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	·	·	✓
SRO	Mobility decreased	·	·	✓
SRO	Pain	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Somnolence	·	·	✓
SRO	Systemic lupus erythematosus	·	·	✓

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