4GL-29805-85192

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 480 / MI
Registered: 2020-12-28

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

2020-12-28
Registered in v-safe
2020-12-28
Dose 1 — Pfizer-BioNTech
2020-12-28
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-18
Dose 2 — Pfizer-BioNTech
2021-01-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — day 0, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Survey response — day 14, dose 2
MedDRA: Ear infection, Oropharyngeal pain — 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: Very bad right ear infection and sore throat.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Report sent to call center — day 14, 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)
2021-02-08
Survey response — day 21, dose 2
MedDRA: Bell's palsy, Dysphagia, Ear pain, Eye symptom, Facial pain, Headache, Speech disorder — 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, Emergency room or emergency department visit

Free text: I have severe Bells palsy affecting my right side of my face and eye. My eye does not blink, I have difficulty swallowing and speaking. My right ear hurts and I have face and head pain right sided.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
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)
2021-02-15
Survey response — day 28, dose 2
MedDRA: Pre-existing disease — 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: Continued issues with Bells palsy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
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)
2021-02-22
Survey response — day 35, dose 2
MedDRA: Bell's palsy, Condition aggravated, Ear pain, Pain in jaw, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in ear and jaw on side of face effected by bells palsy. Continued Bells palsy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-04-17
Pregnancy registry survey
Not pregnant at or since vaccination ·
2021-04-19
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-04-26
Call successful
Participant prefers to complete VAERS report online
2021-07-19
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-18
Survey response — 12 months, dose 2
MedDRA: COVID-19, Cough, Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had Covid which resulted in headaches lots of fatigue, congestion, body aches and cough

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-28	Pfizer-BioNTech
2	2021-01-18	Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 3 — day 14, dose 2

2021-02-01

Symptoms: Very bad right ear infection and sore throat.

Release 3 — day 21, dose 2

2021-02-08

Symptoms: I have severe Bells palsy affecting my right side of my face and eye. My eye does not blink, I have difficulty swallowing and speaking. My right ear hurts and I have face and head pain right sided.

Release 4 — day 28, dose 2

2021-02-15

Symptoms: Continued issues with Bells palsy

Release 4 — day 35, dose 2

2021-02-22

Symptoms: Pain in ear and jaw on side of face effected by bells palsy. Continued Bells palsy.

Release 10 — 12 months, dose 2

2022-01-18

Symptoms: I had Covid which resulted in headaches lots of fatigue, congestion, body aches and cough

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
SD	Bell's palsy	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Dysphagia	✓	✓	✓
SD	Ear infection	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Eye symptom	✓	✓	✓
SD	Facial pain	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Speech disorder	✓	✓	✓

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