3J7-13231-52254

5 vaccinations 23 coded responses 53 check-ins 23 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 121 / NY
Registered: 2021-03-23

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-23
Registered in v-safe
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Survey response — day 0, dose 2
MedDRA: Injection site warmth — Feeling: Good · Site: Pain

Free text: Warm at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Feeling abnormal — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzy, brain fog, disequilibrium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Vertigo — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Vertigo, disequilibrium

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Balance disorder, Office visit, Vertigo — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vertigo, disequilibrium · Healthcare visit (other): Primary care physician (in person - not telehealth)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 7, 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)
2021-04-06
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-04-27
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Tinnitus — Feeling: Poor · 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

Free text: Tinnitus is louder and vestibular issues are worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
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)
2021-06-25
Call 1 — Left Voicemail
2021-09-23
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-11-10
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-29
Survey response — 6 months, dose 3
MedDRA: Condition aggravated, Disability, Pre-existing disease, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: It seems that my tinnitus and disequilibrium has been worse since the booster. I'm on disability right now, so I can rest when I need to, but it would definitely be disruptive if I were working.

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Dose 4 — Moderna
2022-04-16
Survey response — day 0, dose 4
MedDRA: Dizziness — Feeling: Poor · Fatigue or tiredness, Nausea

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — days 1–6 daily, dose 4
MedDRA: Hypoacusis, Pre-existing disease, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: After the first 2 hours after the injection, I noticed my hearing was worse. By the morning, I had lost the majority of my hearing and my tinnitus was much louder than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-04-19
Survey response — days 1–6 daily, dose 4
MedDRA: Hypoacusis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: My hearing has mostly recovered, but not completely back to baseline.

MedDRA releases: 2024-11 · check-in free text available
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — day 7, dose 4
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-07
Health check-in — day 21, dose 4
Feeling: Poor

Adult check-in
2022-05-14
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-05-22
Survey response — day 35, dose 4
MedDRA: Tinnitus — Feeling: Fair

Free text: I have a new tinnitus tone. It actually started a few weeks ago. I thought it would go away, but it hasn't.

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — day 42, dose 4
MedDRA: Toothache — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tooth pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — day 42, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-16
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2022-10-12
Dose 5 — Moderna
2022-10-13
Survey response — days 1–6 daily, dose 5
MedDRA: Paraesthesia, Tinnitus — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Skin is tingling all over. Tinnitus is much worse than usual - very loud.

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Survey response — days 1–6 daily, dose 5
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Tinnitus is louder than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — days 1–6 daily, dose 5
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea

Free text: Tinnitus isn't as loud as it was the previous two days.

MedDRA releases: 2024-11 · check-in free text available
2022-10-16
Survey response — days 1–6 daily, dose 5
MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Nausea

Free text: Tinnitus is still slightly louder than usual.

MedDRA releases: 2024-11 · check-in free text available
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Fatigue or tiredness, Nausea

Adult check-in
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-10-19
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2022-10-26
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-02
Health check-in — day 21, dose 5
Feeling: Fair

Adult check-in
2022-11-09
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-16
Health check-in — day 35, dose 5
Feeling: Fair

Adult check-in
2022-11-23
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2023-01-11
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-04-12
Health check-in — 6 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-04-16	Moderna	No
5	2022-10-12	Moderna	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 6 — day 0, dose 2

2021-03-23

Systemic reaction (other): Warm at the injection site.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Dizzy, brain fog, disequilibrium

2021-03-29

Systemic reaction (other): Vertigo, disequilibrium

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Vertigo, disequilibrium

Healthcare visit (other): Primary care physician (in person - not telehealth)

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Tinnitus is louder and vestibular issues are worse.

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): Dizzy

2021-10-03

Systemic reaction (other): Dizzy

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Dizzy

Release 10 — day 7, dose 3

2021-10-05

Systemic reaction (other): Dizzy

Release 11 — 6 months, dose 3

2022-03-29

Symptoms: It seems that my tinnitus and disequilibrium has been worse since the booster. I'm on disability right now, so I can rest when I need to, but it would definitely be disruptive if I were working.

Release 11 — day 0, dose 4

2022-04-16

Systemic reaction (other): Dizzy

Release 11 — days 1–6 daily, dose 4

2022-04-17

Systemic reaction (other): After the first 2 hours after the injection, I noticed my hearing was worse. By the morning, I had lost the majority of my hearing and my tinnitus was much louder than usual.

2022-04-19

Systemic reaction (other): My hearing has mostly recovered, but not completely back to baseline.

2022-04-20

Systemic reaction (other): Dizzy

2022-04-21

Systemic reaction (other): Dizzy

2022-04-22

Systemic reaction (other): Dizzy

Release 11 — day 7, dose 4

2022-04-23

Systemic reaction (other): Dizzy

Release 11 — day 35, dose 4

2022-05-22

Symptoms: I have a new tinnitus tone. It actually started a few weeks ago. I thought it would go away, but it hasn't.

Release 11 — day 42, dose 4

2022-05-28

Symptoms: Tooth pain

Release 12 — days 1–6 daily, dose 5

2022-10-13

Systemic reaction (other): Skin is tingling all over. Tinnitus is much worse than usual - very loud.

2022-10-14

Systemic reaction (other): Tinnitus is louder than usual.

2022-10-15

Systemic reaction (other): Tinnitus isn't as loud as it was the previous two days.

2022-10-16

Systemic reaction (other): Tinnitus is still slightly louder than usual.

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	Condition aggravated	·	·	✓
SD	Disability	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Toothache	·	·	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Hypoacusis	·	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Paraesthesia	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Tinnitus	·	·	✓
SRO	Vertigo	✓	✓	✓

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