3DC-15694-26972

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 6 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 191 / PA
Registered: 2021-03-12

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-10
Dose 1 — Pfizer-BioNTech
2021-03-12
Registered in v-safe
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Pain — Feeling: Good

Free text: slight soreness if you push on that area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-19
Survey response — day 7, dose 1
MedDRA: Fatigue, Nasal congestion, Pain, Sneezing — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: body aches, tiredness, stuffy nose & alittle sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Survey response — day 14, dose 1
MedDRA: Emergency care, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: mild temp, went to ER was tested fir covid19. test came back positive. my disabled clients at work were hospitalized with covid19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 14, dose 1
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Dose 2 — Pfizer-BioNTech
2021-03-31
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: alittle dizziness

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

Free text: still alittle tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-09
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-04-21
Survey response — day 21, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 21, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-05
Survey response — day 35, dose 2
MedDRA: Balance disorder, Dizziness, Office visit — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: dizziness & balance off · Healthcare visit (other): ENT , referred me for physical

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 35, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-12
Survey response — day 42, dose 2
MedDRA: Dizziness, Office visit, Vertigo — Feeling: Fair · Be unable to work, 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: Symptoms: dizziness, vertigo · Healthcare visit (other): therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 42, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-10
Call successful
Participant prefers to complete VAERS report online
2021-06-30
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Dizziness, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: dizziness, swaying, balance issues, almost falls. · Healthcare visit (other): Dr referred ENT, ENT referred me to physical therapy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-06
Call 1 — Requested Callback
2021-07-08
Callback requested for
10:30AM ET
2021-07-08
Call successful
Does not wish to fill out VAERS report
2021-09-29
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-03
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-10	Pfizer-BioNTech
2	2021-03-31	Pfizer-BioNTech

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): slight soreness if you push on that area.

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): body aches, tiredness, stuffy nose & alittle sneezing

Release 6 — day 14, dose 1

2021-03-24

Symptoms: mild temp, went to ER was tested fir covid19. test came back positive. my disabled clients at work were hospitalized with covid19

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): dizziness

2021-04-03

Systemic reaction (other): alittle dizziness

2021-04-04

Systemic reaction (other): still alittle tired

Release 7 — day 21, dose 2

2021-04-21

Symptoms: dizziness

Release 8 — day 35, dose 2

2021-05-05

Symptoms: dizziness & balance off

Healthcare visit (other): ENT , referred me for physical

Release 8 — day 42, dose 2

2021-05-12

Symptoms: dizziness, vertigo

Healthcare visit (other): therapy

Release 9 — 3 months, dose 2

2021-06-30

Symptoms: dizziness, swaying, balance issues, almost falls.

Healthcare visit (other): Dr referred ENT, ENT referred me to physical therapy

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	Balance disorder	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test positive	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Sneezing	✓	✓	✓

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