4HV-12634-69310

1 vaccination 11 coded responses 14 check-ins 11 free-text entries 9 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 700 / LA
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-06
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness

Adult check-in
2021-01-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Mobility decreased — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · 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: Left leg won't work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-14
Survey response — day 7, dose 1
MedDRA: Headache, Hospitalisation, Seizure — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Hospitalization

Free text: Systemic reaction (other): Seizures and headaches I was hospitalized for 5 days · Healthcare visit (other): For 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-19
Health check-in — day 14, dose 1
Feeling: Poor

Adult check-in
2021-01-26
Survey response — day 21, dose 1
MedDRA: Headache, Laboratory test abnormal, Magnetic resonance imaging head abnormal, Magnetic resonance imaging head normal, Muscular weakness, Seizure — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Symptoms: Severe headaches, convulsions, muscle weakness · Healthcare visit (other): MRI of brain and labs are abnormal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Report sent to call center — day 21, 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)
2021-02-02
Survey response — day 28, dose 1
MedDRA: Headache, Seizure — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Headaches, convulsions, muscle w

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Report sent to call center — day 28, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — day 35, dose 1
MedDRA: Aphasia, Blister, Brain fog, Feeling abnormal, Headache, Hospitalisation, Office visit, Rash vesicular, Seizure, Specialist consultation, 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Symptoms: Full body convulsions, blister like bumps on feet, severe headaches, brain fog, speech affected. · Healthcare visit (other): Seen neurologist, pcp and hospitalized for 5 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Report sent to call center — day 35, 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)
2021-02-16
Survey response — day 42, dose 1
MedDRA: Central nervous system lesion, Diarrhoea, Disorientation, Fatigue, Headache, Laboratory test abnormal, Muscular weakness, Seizure — 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, Hospitalization

Free text: Daily Full body convulsions, diarrhea, headaches, fatigue, muscle weakness, disoriented, lesions on right frontal lobe of brain and many abnormal labs. Example ANA speckled patter with titter of 1:80

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Report sent to call center — day 42, 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)
2021-04-06
Survey response — 3 months, dose 1
MedDRA: Arthralgia, Headache, Muscular weakness, Seizure, Vision blurred — 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: Blurred vision, full body convulsions, headaches, muscle weakness, joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — 3 months, 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)
2021-06-03
Call 1 — Left Voicemail
2021-07-06
Survey response — 6 months, dose 1
MedDRA: Photopsia, Vitreous floaters — 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, Outpatient clinic or urgent care clinic visit

Free text: White flashes and floaters in my eyes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-06
Report sent to call center — 6 months, dose 1
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)
2021-07-08
Call successful
Completed over the phone
2022-01-05
Survey response — 12 months, dose 1
MedDRA: Arthralgia, Chest discomfort, Dizziness, Dyspnoea, Headache, Hypoaesthesia, Musculoskeletal disorder, Nausea, Paraesthesia, Rash, Seizure, Tinnitus, Tremor, Unevaluable event, Vision blurred — 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, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Numbness in face, arms, feet, legs, loss use of my legs again nauseous, blurred vision, tremors, convulsions, headaches, tinnitus, chest tightness, SOB, dizziness, joint pain, rashes, tingling in the top of my head · Healthcare visit (other): MRI and labs

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — 12 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech

Call center

9 call center cases

8 successful · 1 unsuccessful

VAERS report filed, before or during a call: 8

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Sore throat

2021-01-08

Systemic reaction (other): Dizzy

2021-01-09

Systemic reaction (other): Left leg won't work

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Seizures and headaches I was hospitalized for 5 days

Healthcare visit (other): For 5 days

Release 2 — day 21, dose 1

2021-01-26

Symptoms: Severe headaches, convulsions, muscle weakness

Healthcare visit (other): MRI of brain and labs are abnormal

Release 3 — day 28, dose 1

2021-02-02

Symptoms: Headaches, convulsions, muscle w

Release 4 — day 35, dose 1

2021-02-11

Symptoms: Full body convulsions, blister like bumps on feet, severe headaches, brain fog, speech affected.

Healthcare visit (other): Seen neurologist, pcp and hospitalized for 5 days

Release 4 — day 42, dose 1

2021-02-16

Symptoms: Daily Full body convulsions, diarrhea, headaches, fatigue, muscle weakness, disoriented, lesions on right frontal lobe of brain and many abnormal labs. Example ANA speckled patter with titter of 1:80

Release 7 — 3 months, dose 1

2021-04-06

Symptoms: Blurred vision, full body convulsions, headaches, muscle weakness, joint pain

Release 9 — 6 months, dose 1

2021-07-06

Symptoms: White flashes and floaters in my eyes

Release 10 — 12 months, dose 1

2022-01-05

Symptoms: Numbness in face, arms, feet, legs, loss use of my legs again nauseous, blurred vision, tremors, convulsions, headaches, tinnitus, chest tightness, SOB, dizziness, joint pain, rashes, tingling in the top of my head

Healthcare visit (other): MRI and labs

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	Hospitalisation	✓	✓	✓
HCVO	Laboratory test abnormal	✓	·	✓
HCVO	Magnetic resonance imaging head abnormal	✓	·	✓
HCVO	Magnetic resonance imaging head normal	○	✓	○
HCVO	Office visit	✓	·	✓
HCVO	Specialist consultation	○	✓	○
HCVO	Unevaluable event	·	·	✓
SD	Aphasia	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Blister	○	✓	○
SD	Brain fog	✓	·	✓
SD	Central nervous system lesion	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Disorientation	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	○	✓	○
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Laboratory test abnormal	✓	✓	✓
SD	Muscular weakness	✓	✓	✓
SD	Musculoskeletal disorder	·	·	✓
SD	Nausea	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Photopsia	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash vesicular	✓	·	✓
SD	Seizure	✓	✓	✓
SD	Speech disorder	○	✓	○
SD	Tinnitus	·	·	✓
SD	Tremor	·	·	✓
SD	Vision blurred	✓	✓	✓
SD	Vitreous floaters	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Seizure	✓	✓	✓

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