3KF-21871-94437

3 vaccinations 10 coded responses 29 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 128 / NY
Registered: 2021-03-20

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus discomfort, Rhinorrhoea — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea

Free text: sinus pressure, runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Paranasal sinus discomfort — Feeling: Good · Headache

Free text: Sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — days 1–6 daily, dose 1
Feeling: Fair · Chills, Fatigue or tiredness, Nausea

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sinus infection

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

1 call case(s)
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — day 7, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 21, dose 2
MedDRA: Headache, Hypoaesthesia, Migraine, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Migraine headaches and numbness and tingling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-14
Call 1 — Left Voicemail
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-18
Dose 3 — Pfizer-BioNTech
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-11-25
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-02
Survey response — day 14, dose 3
MedDRA: Asthenia, Chills, Headache, Nausea, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Nauseous. Chills, weakness, headache · Healthcare visit (other): Dr office visit later today

MedDRA releases: 2024-11 · check-in free text available
2021-12-02
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-03
Call 1 — Left Voicemail
2021-12-03
Call successful
Participant prefers to complete VAERS report online
2021-12-09
Survey response — day 21, dose 3
MedDRA: Hyperacusis, Migraine, Nausea, Office visit, Photophobia, Tinnitus, Vertigo — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Vertigo, migraines, nauseous ringing ears, sensitivity to lights and noise · Healthcare visit (other): Doctors office

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Report sent to call center — day 21, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-10
Call successful
Participant prefers to complete VAERS report online
2021-12-16
Survey response — day 28, dose 3
MedDRA: Brain fog, Confusional state, Disturbance in attention, Dizziness, Fatigue, Migraine, Nausea, Office visit, Photophobia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Migraines, dizziness, nausea, sensitivity to light, Brain fog and confusion, Exhaustion. Unable to concentrate to read book. Feels like concussion. Had to see primary care doctor again for medication. It been 4 weeks since COVID booster

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-30
Survey response — day 42, dose 3
MedDRA: Dizziness, Migraine, Nausea, Photophobia, Reaction to previous exposure to any vaccine, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sensitivity to light and dizziness, doctors says it like vertigo. These symptoms started a day after COVID booster. I never had this problem before. With both vaccinations I had Migraines, nausea the booster was worse and conditions still exist

MedDRA releases: 2024-11 · check-in free text available
2022-02-17
Survey response — 3 months, dose 3
MedDRA: Ear discomfort, Tinnitus, Tremor — Feeling: Fair · Be unable to do your normal daily activities

Free text: Tinnitus-high pitch in both ears, (never had before) ear pressure. Shaky feeling in body and brain. Completed form and sent to VARS- about long lasting reactions to COVID vaccination and booster. Have not read any response.

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Survey response — 6 months, dose 3
MedDRA: Ear pain, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Tinnitus in ears do to vaccination, causes intense pain in ears. · Healthcare visit (other): Neurologist appointment then ENT appointment

MedDRA releases: 2024-11 · check-in free text available
2022-05-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-20
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-11-18	Pfizer-BioNTech

Call center

5 call center cases

5 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): sinus pressure, runny nose

2021-03-23

Systemic reaction (other): Sinus pressure

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Sinus infection

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Migraine headaches and numbness and tingling

Release 10 — day 14, dose 3

2021-12-02

Symptoms: Nauseous. Chills, weakness, headache

Healthcare visit (other): Dr office visit later today

Release 10 — day 21, dose 3

2021-12-09

Symptoms: Vertigo, migraines, nauseous ringing ears, sensitivity to lights and noise

Healthcare visit (other): Doctors office

Release 10 — day 28, dose 3

2021-12-16

Symptoms: Migraines, dizziness, nausea, sensitivity to light, Brain fog and confusion, Exhaustion. Unable to concentrate to read book. Feels like concussion. Had to see primary care doctor again for medication. It been 4 weeks since COVID booster

Release 10 — day 42, dose 3

2021-12-30

Symptoms: Sensitivity to light and dizziness, doctors says it like vertigo. These symptoms started a day after COVID booster. I never had this problem before. With both vaccinations I had Migraines, nausea the booster was worse and conditions still exist

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Tinnitus-high pitch in both ears, (never had before) ear pressure. Shaky feeling in body and brain. Completed form and sent to VARS- about long lasting reactions to COVID vaccination and booster. Have not read any response.

Release 11 — 6 months, dose 3

2022-05-19

Symptoms: Tinnitus in ears do to vaccination, causes intense pain in ears.

Healthcare visit (other): Neurologist appointment then ENT appointment

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Asthenia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Confusional state	·	·	✓
SD	Disturbance in attention	·	·	✓
SD	Dizziness	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Hyperacusis	·	·	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Nausea	·	·	✓
SD	Office visit	·	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Photophobia	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SD	Sinusitis	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Tremor	·	·	✓
SD	Vertigo	·	·	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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