3FT-16155-96084

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 604 / IL
Registered: 2021-03-19

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities

Free text: Cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

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 — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-16
Dose 2 — Pfizer-BioNTech
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-23
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-30
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Survey response — day 21, dose 2
MedDRA: Facial paralysis, Herpes zoster, Herpes zoster oticus — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit

Free text: I got diagnosed with Shingles on my left back side of neck. They spread to the ear & face causing Ramsay Hunt Syndrome. The left side of my face is paralyzed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
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)
2021-05-14
Survey response — day 28, dose 2
MedDRA: Herpes zoster, Herpes zoster oticus, Movement disorder, Pain — Feeling: Poor · 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: Still in a lot of pain from Shingles & developed Ramsay Hunt Syndrome with still no facial improvement or mobility yet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 28, 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)
2021-05-21
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Survey response — day 42, dose 2
MedDRA: Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Hear a beep on my lefy ear · Healthcare visit (other): Waiting to see an ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-15
Survey response — 6 months, dose 2
MedDRA: Facial paralysis, Herpes zoster, Mobility decreased, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: A week after 2nd dose, I got shingles 4/26 which affected my Left side front and back neck & L ear affecting the L facial nerve having Ramsey Hunt symdrome. May 1st I could not move L side of face. Still today I am struggling with movement.

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-18
Call 1 — Left Voicemail
2022-04-16
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-16	Pfizer-BioNTech

Call center

4 call center cases

4 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Cough

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Lightheaded

Release 8 — day 21, dose 2

2021-05-07

Symptoms: I got diagnosed with Shingles on my left back side of neck. They spread to the ear & face causing Ramsay Hunt Syndrome. The left side of my face is paralyzed

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Still in a lot of pain from Shingles & developed Ramsay Hunt Syndrome with still no facial improvement or mobility yet

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Hear a beep on my lefy ear

Healthcare visit (other): Waiting to see an ENT

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: A week after 2nd dose, I got shingles 4/26 which affected my Left side front and back neck & L ear affecting the L facial nerve having Ramsey Hunt symdrome. May 1st I could not move L side of face. Still today I am struggling with movement.

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	Unevaluable event	✓	✓	✓
SD	Facial paralysis	✓	✓	✓
SD	Herpes zoster	✓	✓	✓
SD	Herpes zoster oticus	✓	✓	✓
SD	Mobility decreased	·	·	✓
SD	Movement disorder	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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