42X-21315-73510

4 vaccinations 7 coded responses 26 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 946 / CA
Registered: 2021-02-12

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

2021-02-08
Dose 1 — Pfizer-BioNTech
2021-02-12
Registered in v-safe
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-22
Survey response — day 14, dose 1
MedDRA: Ataxia, Headache, Hypertension, Migraine, Migraine with aura — 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, Emergency room or emergency department visit

Free text: Hypertension, headache, ataxiaMigraine aura & headche(3 incidents)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
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)
2021-03-01
Survey response — day 21, dose 1
MedDRA: Dizziness, Headache, Migraine with aura — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine aura mild headache, feeling fsint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-03-11
Dose 2 — Pfizer-BioNTech
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Chills, Confusional state, Hypertensive emergency, Migraine with aura, Office visit — Feeling: Fair · Site: Pain · 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: Systemic reaction (other): 6 hrs after dose 2 I had migraine aura, blood pressure spike to over 160, chills, teeth chattering. A week after dose #1 I had migraine auras and blood pressure over 200/ 110 and was taken to ER. Diagnosis : hypertensive emergency . I had no history of high blood pressure.I had some mental confusion. · Healthcare visit (other): Follow-up with primary care dictor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 21, dose 2
MedDRA: Blood pressure increased, Migraine with aura — Feeling: Good · Be unable to do your normal daily activities

Free text: 2 episodes of migraine aura without headache. These were the 3rd & 4th episodes since my 2nd dose of Pfizer vaccine on 3/11/22. Accompanied by rise in blood pressure and followed by migraine hangover

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Migraine with aura, Monoclonal gammopathy — Feeling: Good · 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: Monoclonal gammopathyMigraine aura

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

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2021-10-17
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2022-04-04
Dose 4 — Pfizer-BioNTech
2022-04-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-25
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-04
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-04
Survey response — 3 months, dose 4
MedDRA: Blood pressure increased, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Blood pressure spike on 6/12/22 · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-07-04
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-07-05
Call 1 — Could Not Reach Participant
2022-07-05
Call successful
Participant prefers to complete VAERS report online
2022-07-05
Call successful
Participant prefers to complete VAERS report online
2022-07-05
Call successful
Participant prefers to complete VAERS report online
2022-07-05
Call successful
Participant prefers to complete VAERS report online
2022-10-03
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-04
Survey response — 12 months, dose 4
MedDRA: Cough, Oropharyngeal pain, Pyrexia, Rhinorrhoea, Rhinovirus infection, Sinus congestion — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-08	Pfizer-BioNTech
2	2021-03-11	Pfizer-BioNTech
3	2021-10-17	Pfizer-BioNTech	Flu
4	2022-04-04	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-22

Symptoms: Hypertension, headache, ataxiaMigraine aura & headche(3 incidents)

Release 4 — day 21, dose 1

2021-03-01

Symptoms: Migraine aura mild headache, feeling fsint

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): 6 hrs after dose 2 I had migraine aura, blood pressure spike to over 160, chills, teeth chattering. A week after dose #1 I had migraine auras and blood pressure over 200/ 110 and was taken to ER. Diagnosis : hypertensive emergency . I had no history of high blood pressure.I had some mental confusion.

Healthcare visit (other): Follow-up with primary care dictor

Release 6 — day 21, dose 2

2021-04-01

Symptoms: 2 episodes of migraine aura without headache. These were the 3rd & 4th episodes since my 2nd dose of Pfizer vaccine on 3/11/22. Accompanied by rise in blood pressure and followed by migraine hangover

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Monoclonal gammopathyMigraine aura

Release 12 — 3 months, dose 4

2022-07-04

Symptoms: Blood pressure spike on 6/12/22

Healthcare visit (other): Office visit

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	Ataxia	✓	✓	✓
SD	Blood pressure increased	✓	✓	✓
SD	Cough	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Migraine with aura	✓	✓	✓
SD	Monoclonal gammopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Rhinovirus infection	·	·	✓
SD	Sinus congestion	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Confusional state	✓	✓	✓
SRO	Hypertensive emergency	✓	✓	✓
SRO	Migraine with aura	✓	✓	✓

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