4ZH-28546-33548

2 vaccinations 11 coded responses 22 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 770 / TX
Registered: 2021-04-29

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-04-27
Dose 1 — Pfizer-BioNTech
2021-04-29
Registered in v-safe
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-04-30
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Neck pain — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Neck and shoulder soreness on the same side i got vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Vaccinated arm only slightly swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site

Free text: Slight sore throat I keep forgetting to mention

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-17
Dose 2 — Pfizer-BioNTech
2021-05-18
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Joint soreness in leg on the same left side where I got vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site

Adult check-in
2021-05-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Belching a lot ;slight burning at the top of my stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 2
MedDRA: Balance disorder, Dizziness, Headache, Pain, Tinnitus — Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Extremely dizzy, unable to balance; headache, body ache, ear ringing on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — day 7, dose 2
MedDRA: Dizziness, Tinnitus, Vertigo — Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness / Vertigo /Ears ringing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 14, dose 2
MedDRA: Ear discomfort, Eustachian tube dysfunction, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Eustachian Tube Dysfunction due to clogged ear · Healthcare visit (other): Appointment with ENT doctor

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
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)
2021-06-09
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-14
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-21
Survey response — day 35, dose 2
MedDRA: Dizziness, Eructation, Fatigue, Tinnitus, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Vision not as clear, still experiencing fatigue, belching and ringing ears, and lightheaded which I've been ignoring until now

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-21
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-24
Call 1 — Left Voicemail
2021-06-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-15
Survey response — 6 months, dose 2
MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Rash on both ears, in scalp, on lower back, behind left leg and around neck on both sides now.

MedDRA releases: 2024-11 · check-in free text available
2021-11-15
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)
2021-11-17
Call successful
Participant prefers to complete VAERS report online
2022-05-17
Survey response — 12 months, dose 2
MedDRA: Cerebrovascular accident — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Slight Stroke 12/20 & 12/21 in 2022

MedDRA releases: 2024-11 · check-in free text available
2022-05-17
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-05-18
Call 1 — Left Voicemail
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-18
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-27	Pfizer-BioNTech
2	2021-05-17	Pfizer-BioNTech

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-30

Systemic reaction (other): Neck and shoulder soreness on the same side i got vaccinated

2021-05-02

Systemic reaction (other): Vaccinated arm only slightly swollen

2021-05-03

Systemic reaction (other): Slight sore throat I keep forgetting to mention

Release 8 — days 1–6 daily, dose 2

2021-05-18

Systemic reaction (other): Joint soreness in leg on the same left side where I got vaccinated

2021-05-22

Systemic reaction (other): Belching a lot ;slight burning at the top of my stomach

2021-05-23

Systemic reaction (other): Extremely dizzy, unable to balance; headache, body ache, ear ringing on side of injection

Release 8 — day 7, dose 2

2021-05-24

Systemic reaction (other): Dizziness / Vertigo /Ears ringing

Release 8 — day 14, dose 2

2021-05-31

Symptoms: Eustachian Tube Dysfunction due to clogged ear

Healthcare visit (other): Appointment with ENT doctor

Release 9 — day 35, dose 2

2021-06-21

Symptoms: Vision not as clear, still experiencing fatigue, belching and ringing ears, and lightheaded which I've been ignoring until now

Release 10 — 6 months, dose 2

2021-11-15

Symptoms: Rash on both ears, in scalp, on lower back, behind left leg and around neck on both sides now.

Release 11 — 12 months, dose 2

2022-05-17

Symptoms: Slight Stroke 12/20 & 12/21 in 2022

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	Cerebrovascular accident	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Eructation	✓	✓	✓
SD	Eustachian tube dysfunction	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Rash	·	·	✓
SD	Tinnitus	✓	✓	✓
SD	Visual impairment	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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