5LX-55305-28722

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 142 / NY
Registered: 2021-02-11

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion — Feeling: Good

Free text: Nasal congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Survey response — day 7, dose 1
MedDRA: Nasal congestion, Sinus congestion — Feeling: Fair · Headache

Free text: Nasal/sinus congestion

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 2
MedDRA: Deafness neurosensory, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Seven days ago I developed a sensorineural hearing loss in both ears. Saw an audiologist. Ive had this occasionally over past 15 years but only on one ear, and it typically recovered in few days. So far my hearing has not recovered. I will see an ENT on Monday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Report sent to call center — day 0, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness, Office visit — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Im still experiencing bilateral hearing loss. · Healthcare visit (other): Will see ENT Monday for hearing loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness neurosensory, Office visit — Feeling: Good · Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continue to have sensorineural hearing loss right ear. Saw ENT physician who is treating with steroiddz

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Hearing loss continues. Receiving treatment from ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-11
Survey response — day 7, dose 2
MedDRA: Deafness unilateral — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Continued hearing loss right.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-18
Survey response — day 14, dose 2
MedDRA: Deafness unilateral, Dizziness, Fatigue, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lightheadedness, fatigue, worsening of. Y peripheral neuropathy, continued hearing loss in right ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-01
Survey response — day 28, dose 2
MedDRA: Condition aggravated, Deafness neurosensory, Dry eye, Dry mouth, Neuropathy peripheral, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ive had a flare up of symptoms from my autoimmune disease (Sjogrens)- dry eyes and mouth, peripheral neuropathy. Also continue to have sudden sensorineural hearing loss in right ear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech

Call center

7 call center cases

7 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): Nasal congestion

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Nasal/sinus congestion

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): Seven days ago I developed a sensorineural hearing loss in both ears. Saw an audiologist. Ive had this occasionally over past 15 years but only on one ear, and it typically recovered in few days. So far my hearing has not recovered. I will see an ENT on Monday.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Im still experiencing bilateral hearing loss.

Healthcare visit (other): Will see ENT Monday for hearing loss

2021-03-08

Systemic reaction (other): Continue to have sensorineural hearing loss right ear. Saw ENT physician who is treating with steroiddz

2021-03-10

Systemic reaction (other): Hearing loss continues. Receiving treatment from ENT

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Continued hearing loss right.

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Lightheadedness, fatigue, worsening of. Y peripheral neuropathy, continued hearing loss in right ear

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Ive had a flare up of symptoms from my autoimmune disease (Sjogrens)- dry eyes and mouth, peripheral neuropathy. Also continue to have sudden sensorineural hearing loss in right ear.

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	Deafness	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Deafness neurosensory	✓	✓	✓
SD	Deafness unilateral	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry eye	✓	✓	✓
SD	Dry mouth	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Neuropathy peripheral	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Deafness	✓	✓	✓
SRO	Deafness neurosensory	✓	✓	✓
SRO	Deafness unilateral	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Office visit	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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