2GU-19550-29720

5 vaccinations 12 coded responses 19 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 040 / ME
Registered: 2021-04-07

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-04-07
Registered in v-safe
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Fair

Free text: Just had shot 3 pm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Morning vertigo

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

Free text: Morning dizziness, afternoon eye tick (forgot to mention the latter in previous responses.)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Slight dizziness and eye tick

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain lower, Dizziness, Self-medication — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Still dizzy when get up after easy floor exercise. Pain in lower abdomen, same as a week after first shot. Took Bentyl to avoid bad IBS had last time.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tic — Feeling: Fair · Fatigue or tiredness, Abdominal pain

Free text: Dizziness and eye tick remain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 2
MedDRA: Blepharospasm, Dizziness — Feeling: Good

Free text: Eye tick, only slight dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Survey response — day 28, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Finally after 3 weeks, my eye tic stopped. The vertigo from the first day after the first shot continues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 35, dose 2
MedDRA: Vertigo — Feeling: Good

Free text: Finally after many weeks, the vertigo, experienced since the first day after the first shot, has disappeared.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-07
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2022-04-08
Survey response — 12 months, dose 2
MedDRA: Exercise tolerance decreased, Fatigue, Limb injury, Pain in extremity — Feeling: Good

Free text: Tired from lack of aerobic exercise due to leg injury and pain. Nit related to COVID.

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Dose 4 — Moderna
2022-10-18
Dose 5 — Moderna
2022-10-22
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2023-01-17
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-18
Survey response — 6 months, dose 5
MedDRA: Knee arthroplasty, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

MedDRA releases: 2024-11
2023-04-18
Report sent to call center — 6 months, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2023-04-20
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-06-17	Moderna	No
5	2022-10-18	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Just had shot 3 pm

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Vertigo

2021-04-10

Systemic reaction (other): Morning vertigo

2021-04-11

Systemic reaction (other): Morning dizziness, afternoon eye tick (forgot to mention the latter in previous responses.)

2021-04-12

Systemic reaction (other): Slight dizziness and eye tick

2021-04-13

Systemic reaction (other): Still dizzy when get up after easy floor exercise. Pain in lower abdomen, same as a week after first shot. Took Bentyl to avoid bad IBS had last time.

2021-04-14

Systemic reaction (other): Dizziness and eye tick remain

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Eye tick, only slight dizziness

Release 8 — day 28, dose 2

2021-05-06

Symptoms: Finally after 3 weeks, my eye tic stopped. The vertigo from the first day after the first shot continues.

Release 8 — day 35, dose 2

2021-05-13

Symptoms: Finally after many weeks, the vertigo, experienced since the first day after the first shot, has disappeared.

Release 11 — 12 months, dose 2

2022-04-08

Symptoms: Tired from lack of aerobic exercise due to leg injury and pain. Nit related to COVID.

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	Surgery	·	·	✓
SD	Exercise tolerance decreased	·	·	✓
SD	Fatigue	·	·	✓
SD	Knee arthroplasty	·	·	✓
SD	Limb injury	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Abdominal pain lower	✓	✓	✓
SRO	Blepharospasm	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Tic	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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