5EZ-57583-03498
2 vaccinations
8 coded responses
11 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 744 / OK
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- N/A
Timeline
-
2021-02-09
Dose 1 — Pfizer-BioNTech
-
2021-02-11
Registered in v-safe
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Poor · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Like i had the covidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Headache, Muscle or body achesFree text: Im feeling much better! It was scary at first i felt like i was coming down with the covid again but it has stoppedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Headache, Pre-existing disease, Self-medication — Feeling: Good · HeadacheFree text: The first 2 days were horrible just like the Covid! The 3 day i had head ache and a little discomfort today its all good except the headache .i never had any breathing but ive been on 2 inhalers.and medication for Copd repair and comfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: My head keep aching not all the time just when i wake in the morning and when i get ready for bed!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Dose 2 — Pfizer-BioNTech
- 2021-03-11
-
2021-04-01
Survey response — day 28, dose 2MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — day 35, dose 2MedDRA: COVID-19, Cough, Dyspnoea, Ear discomfort, Headache, Nasal discomfort, Office visit, Oropharyngeal discomfort — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My headaches are every morning and night ! Shortness of breath has become more intence! I didnt have any breathing problems until after the month of covid sickness but i feel like i have something in my nose throat or ears. Ive started a cough · Healthcare visit (other): My Doctor @ the (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-13
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Headache, Sight disability — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My sight has weakened severely headaches continueMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-02
Survey response — 12 months, dose 2MedDRA: Amnesia, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Loss of memory headachesMedDRA releases: 2024-11 · check-in free text available
-
2022-03-02
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-04
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Pfizer-BioNTech | |
| 2 | 2021-03-02 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Like i had the covid
Systemic reaction (other): Im feeling much better! It was scary at first i felt like i was coming down with the covid again but it has stopped
Systemic reaction (other): The first 2 days were horrible just like the Covid! The 3 day i had head ache and a little discomfort today its all good except the headache .i never had any breathing but ive been on 2 inhalers.and medication for Copd repair and comfort
Release 4 — day 14, dose 1
Symptoms: My head keep aching not all the time just when i wake in the morning and when i get ready for bed!
Release 6 — day 28, dose 2
Symptoms: Headaches
Release 7 — day 35, dose 2
Symptoms: My headaches are every morning and night ! Shortness of breath has become more intence! I didnt have any breathing problems until after the month of covid sickness but i feel like i have something in my nose throat or ears. Ive started a cough
Healthcare visit (other): My Doctor @ the (b)(6)
redacted (b)(6)
Release 9 — 6 months, dose 2
Symptoms: My sight has weakened severely headaches continue
Release 11 — 12 months, dose 2
Symptoms: Loss of memory headaches
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 | Amnesia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | Sight disability | ✓ | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release