37T-33926-99744

2 vaccinations 11 coded responses 15 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 080 / NJ
Registered: 2021-06-11

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

2021-05-25
Dose 1 — Pfizer-BioNTech
2021-06-11
Registered in v-safe
2021-06-11
Dose 2 — Pfizer-BioNTech
2021-06-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work or attend school

Free text: BRAIN FOG CANT CONCENTRATE

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Headache, Joint pains, Muscle or body aches

Free text: Brain fog cant concentrate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Brain fog cant concentrate

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Disturbance in attention — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Brain fog cant concentrate!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-06-25
Survey response — day 14, dose 2
MedDRA: Confusional state, Disturbance in attention — Feeling: Fair

Free text: Is confusion trouble concentrating

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 21, dose 2
MedDRA: Alopecia, Sluggishness — Feeling: Fair

Free text: Sluggish & HAIR IS FALLING OUT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — day 28, dose 2
MedDRA: Alopecia, Brain fog — Feeling: Fair

Free text: Trouble concentratung brain fog! HAIR IS COMING OUT!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-16
Survey response — day 35, dose 2
MedDRA: Alopecia, Fatigue, Insomnia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue tired cant sleep hair falling out in lumps

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-23
Survey response — day 42, dose 2
MedDRA: Alopecia, Asthenia, Fatigue, Headache, Vision blurred, Vitreous floaters — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Hair still falling out bad! I will have to cut it real short soon. Fatigue, tired & NO ENERGY & vision very strange the last 2 weeks blurry & floating grey spots headaches everyday last 2 weeks

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-25
Call 1 — Left Voicemail
2021-09-10
Survey response — 3 months, dose 2
MedDRA: Alopecia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hair falling out!!!!!!

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 1 — Left Voicemail
2021-09-22
Call successful
Participant prefers to complete VAERS report online
2021-12-12
Survey response — 6 months, dose 2
MedDRA: Fatigue, Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Fatigue tired Heart palpitations · Healthcare visit (other): Family doctor, tests radiology & going to specialist in 2 weeks

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-25	Pfizer-BioNTech
2	2021-06-11	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-06-14

Systemic reaction (other): BRAIN FOG CANT CONCENTRATE

2021-06-15

Systemic reaction (other): Brain fog cant concentrate

2021-06-16

Systemic reaction (other): Brain fog cant concentrate

2021-06-17

Systemic reaction (other): Brain fog cant concentrate!

Release 9 — day 14, dose 2

2021-06-25

Symptoms: Is confusion trouble concentrating

Release 9 — day 21, dose 2

2021-07-02

Symptoms: Sluggish & HAIR IS FALLING OUT

Release 9 — day 28, dose 2

2021-07-09

Symptoms: Trouble concentratung brain fog! HAIR IS COMING OUT!

Release 9 — day 35, dose 2

2021-07-16

Symptoms: Fatigue tired cant sleep hair falling out in lumps

Release 9 — day 42, dose 2

2021-07-23

Symptoms: Hair still falling out bad! I will have to cut it real short soon. Fatigue, tired & NO ENERGY & vision very strange the last 2 weeks blurry & floating grey spots headaches everyday last 2 weeks

Release 9 — 3 months, dose 2

2021-09-10

Symptoms: Hair falling out!!!!!!

Release 10 — 6 months, dose 2

2021-12-12

Symptoms: Fatigue tired Heart palpitations

Healthcare visit (other): Family doctor, tests radiology & going to specialist in 2 weeks

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	Alopecia	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Brain fog	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Disturbance in attention	✓	✓	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Insomnia	✓	·	✓
SD	Palpitations	·	·	✓
SD	Sluggishness	✓	✓	✓
SD	Vision blurred	✓	·	✓
SD	Vitreous floaters	✓	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓

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