5T9-27446-35224

3 vaccinations 20 coded responses 34 check-ins 20 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 660 / KS
Registered: 2021-04-09

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-30
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-05-03
Dose 2 — Pfizer-BioNTech
2021-05-03
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Dizziness and chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Survey response — day 14, dose 2
MedDRA: COVID-19, Dizziness, Head discomfort, Malaise, Pain, Parosmia, Post-acute COVID-19 syndrome — Feeling: Fair

Free text: I am having the same symptoms I did post Covid. I have long haulers Covid. I was getting better but vaccine made it worse again. I am smelling smoke all the time and have pressure in my head and dizziness. My body aches have come back as well.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-31
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-07
Survey response — day 35, dose 2
MedDRA: Abdominal pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-15
Survey response — day 42, dose 2
MedDRA: Abdominal pain, General symptom — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain. Long hauler Covid symptoms were worse.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-08-02
Survey response — 3 months, dose 2
MedDRA: Abdominal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Abdominal pain with unknown cause

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call 1 — Left Voicemail
2021-11-03
Survey response — 6 months, dose 2
MedDRA: Cystitis interstitial — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Diagnosed with interstitial cystitis.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2021-11-04
Call successful
Participant prefers to complete VAERS report online
2021-11-04
Call successful
Participant prefers to complete VAERS report online
2021-11-04
Call successful
Participant prefers to complete VAERS report online
2021-11-04
Call successful
Participant prefers to complete VAERS report online
2021-12-03
Dose 3 — Pfizer-BioNTech
2021-12-11
Survey response — day 7, dose 3
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-24
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-14
Survey response — day 42, dose 3
MedDRA: Office visit, Pityriasis rosea, Rash, Rash pruritic, Viral rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Viral rash/bumps/itching. Doctor mentioned pityriasis rosea.

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call 1 — Left Voicemail
2022-03-05
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-05
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-03
Survey response — 12 months, dose 3
MedDRA: Retinal tear — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: A hole in my retina.

MedDRA releases: 2024-11 · check-in free text available
2022-12-03
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-05
Call 2 — Left Voicemail
2022-12-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-05-03	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No

Call center

6 call center cases

4 successful · 2 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-12

Systemic reaction (other): Dizziness

2021-04-13

Systemic reaction (other): Dizziness

2021-04-14

Systemic reaction (other): Dizziness

2021-04-15

Systemic reaction (other): Dizziness

Release 7 — day 7, dose 1

2021-04-16

Systemic reaction (other): Dizziness

Release 8 — day 0, dose 2

2021-05-03

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-05-04

Systemic reaction (other): Dizziness and chest pain

2021-05-06

Systemic reaction (other): Dizziness

2021-05-07

Systemic reaction (other): Dizziness

2021-05-08

Systemic reaction (other): Dizziness

2021-05-09

Systemic reaction (other): Dizziness

Release 8 — day 7, dose 2

2021-05-10

Systemic reaction (other): Dizziness

Release 8 — day 14, dose 2

2021-05-17

Symptoms: I am having the same symptoms I did post Covid. I have long haulers Covid. I was getting better but vaccine made it worse again. I am smelling smoke all the time and have pressure in my head and dizziness. My body aches have come back as well.

Release 8 — day 35, dose 2

2021-06-07

Symptoms: Abdominal pain

Release 9 — day 42, dose 2

2021-06-15

Symptoms: Abdominal pain. Long hauler Covid symptoms were worse.

Release 9 — 3 months, dose 2

2021-08-02

Symptoms: Abdominal pain with unknown cause

Release 10 — 6 months, dose 2

2021-11-03

Symptoms: Diagnosed with interstitial cystitis.

Release 10 — day 7, dose 3

2021-12-11

Systemic reaction (other): Dizziness

Release 10 — day 42, dose 3

2022-01-14

Symptoms: Viral rash/bumps/itching. Doctor mentioned pityriasis rosea.

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: A hole in my retina.

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
SD	Abdominal pain	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Cystitis interstitial	·	·	✓
SD	Dizziness	✓	✓	✓
SD	General symptom	✓	✓	○
SD	Head discomfort	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pain	✓	✓	✓
SD	Parosmia	✓	✓	✓
SD	Pityriasis rosea	·	·	✓
SD	Post-acute COVID-19 syndrome	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash pruritic	·	·	✓
SD	Retinal tear	·	·	✓
SD	Viral rash	·	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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