4QB-62404-31244

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 057 / VT
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Itching · None

Adult check-in
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Site: Swelling

Free text: My tinnitus increased considerably - much louder - three times higher level than prior to vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Tinnitus still worse than normal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Tinnitus still louder than usual

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tiredness

Free text: Tinnitus still louder than normal

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

Free text: Tinnitus still loud

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 7, dose 1
MedDRA: Tinnitus — Feeling: Fair · Fatigue or tiredness

Free text: Tinnitus still loud

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 14, dose 1
MedDRA: Cough, Fatigue, Nasopharyngitis, Palpitations, Pyrexia, Tinnitus — Feeling: Fair

Free text: Feeling more fatigued than usual. Heart palpitations. Tinnitus is worse. Found out my boss doctors have concluded she most likely had COVID in Dec 2019/Jan 2020. She got the terrible dry cough, cold, fever that I had in Nov 2020. Long haul symptom

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-20
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dry eye, Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: This report is for 4/20 noon thru 4/21 midnight. I was in too much pain to report in yesterday. I also had dry eyes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-01
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-20
Survey response — 3 months, dose 2
MedDRA: Dizziness, Limb discomfort, Vision blurred — Feeling: Good

Free text: Sudden blurring vision and dizzy spells. Episode of sudden left side heaviness in arm and leg that went away in 10 minutes. Received referral from physician to ophthalmologist and neurologist.

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — 6 months, dose 2
MedDRA: Dizziness, Fatigue, Office visit, Palpitations, Vision blurred — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Heart palpitations, fatigue, dizzy spells, episodic blurry vision · Healthcare visit (other): Appointments with specialists

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-21
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

Systemic reaction (other): My tinnitus increased considerably - much louder - three times higher level than prior to vaccination

2021-04-01

Systemic reaction (other): Tinnitus still worse than normal

2021-04-02

Systemic reaction (other): Tinnitus still louder than usual

2021-04-03

Systemic reaction (other): Tinnitus still louder than normal

2021-04-04

Systemic reaction (other): Tinnitus still loud

2021-04-05

Systemic reaction (other): Tinnitus

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Tinnitus still loud

Release 7 — day 14, dose 1

2021-04-13

Symptoms: Feeling more fatigued than usual. Heart palpitations. Tinnitus is worse. Found out my boss doctors have concluded she most likely had COVID in Dec 2019/Jan 2020. She got the terrible dry cough, cold, fever that I had in Nov 2020. Long haul symptom

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): This report is for 4/20 noon thru 4/21 midnight. I was in too much pain to report in yesterday. I also had dry eyes.

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: Sudden blurring vision and dizzy spells. Episode of sudden left side heaviness in arm and leg that went away in 10 minutes. Received referral from physician to ophthalmologist and neurologist.

Release 10 — 6 months, dose 2

2021-10-20

Symptoms: Heart palpitations, fatigue, dizzy spells, episodic blurry vision

Healthcare visit (other): Appointments with specialists

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	Cough	✓	✓	✓
SD	Dizziness	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Limb discomfort	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vision blurred	·	·	✓
SRO	Dry eye	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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