643-52510-04401

4 vaccinations 18 coded responses 48 check-ins 15 free-text entries 6 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 140 / NY
Registered: 2021-01-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

ZUD-21931-49034 Child or adolescent in my care · Male · 2021-11-07

Timeline

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

2021-01-06
Registered in v-safe
2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-06
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache

Free text: Dizziness, lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-15
Survey response — day 7, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Intermittent momentary lightheaded feeling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Dizziness/lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Good · Headache

Free text: Lightheadedness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache

Free text: Intermittent wooziness/lightheadedness.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Dizziness/wooziness intermittently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good

Free text: Intermittent dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-08
Survey response — day 42, dose 2
MedDRA: Fatigue, Lymphadenopathy, Pain, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Swollen supraclavical lymph node, fatigue, soreness. · Healthcare visit (other): Ultrasound

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Sore throat, fever, fatigue, headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — 3 months, 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)
2021-07-28
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-22
Dose 3 — Pfizer-BioNTech
2021-11-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-11-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache

Free text: Random dizziness for short periods

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-11-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-13
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-23
Survey response — 3 months, dose 3
MedDRA: Dry eye — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Dry eye syndrome

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-24
Call successful
Does not wish to fill out VAERS report
2022-05-25
Survey response — 6 months, dose 3
MedDRA: Dry eye, Dry mouth, Myalgia, Peripheral swelling, Sjogren's syndrome — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: ?Sojgrens-dry eyes, dry mouth, muscle aches, swelling in hands/feet

MedDRA releases: 2024-11 · check-in free text available
2022-05-25
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-26
Call 2 — Left Voicemail
2022-11-24
Survey response — 12 months, dose 3
MedDRA: Blood pressure increased, Dry eye, Dry mouth, Joint swelling, Muscle swelling, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Dry mouth & eyes, sore/swollen muscles and joints, palpitations and higher BP.

MedDRA releases: 2024-11 · check-in free text available
2022-11-24
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-25
Call 3 — Left Voicemail
2022-11-25
Call 2 — Left Voicemail
2023-01-20
Dose 4 — Pfizer-BioNTech
2023-01-21
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-01-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Nausea

Adult check-in
2023-01-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache

Adult check-in
2023-01-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2023-01-27
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2023-02-03
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2023-02-12
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2023-03-03
Survey response — day 42, dose 4
MedDRA: Arthralgia, Dry eye, Hypertension — Feeling: Good

MedDRA releases: 2024-11
2023-04-23
Survey response — 3 months, dose 4
MedDRA: Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-23
Report sent to call center — 3 months, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-24
Call 1 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-11-22	Pfizer-BioNTech	No
4	2023-01-20	Pfizer-BioNTech	No

Call center

6 call center cases

3 successful · 3 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-06

Systemic reaction (other): Dizziness

Release 1 — days 1–6 daily, dose 1

2021-01-07

Systemic reaction (other): Dizziness, lightheaded

2021-01-09

Systemic reaction (other): Lightheaded

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Intermittent momentary lightheaded feeling

Release 2 — days 1–6 daily, dose 2

2021-01-27

Systemic reaction (other): Dizziness/lightheaded

2021-01-28

Systemic reaction (other): Lightheadedness/vertigo

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Intermittent wooziness/lightheadedness.

2021-01-30

Systemic reaction (other): Dizziness/wooziness intermittently

2021-01-31

Systemic reaction (other): Intermittent dizziness

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Swollen supraclavical lymph node, fatigue, soreness.

Healthcare visit (other): Ultrasound

Release 8 — 3 months, dose 2

2021-04-28

Symptoms: Sore throat, fever, fatigue, headache.

Release 10 — days 1–6 daily, dose 3

2021-11-25

Systemic reaction (other): Random dizziness for short periods

Release 11 — 3 months, dose 3

2022-02-23

Symptoms: Dry eye syndrome

Release 11 — 6 months, dose 3

2022-05-25

Symptoms: ?Sojgrens-dry eyes, dry mouth, muscle aches, swelling in hands/feet

Release 12 — 12 months, dose 3

2022-11-24

Symptoms: Dry mouth & eyes, sore/swollen muscles and joints, palpitations and higher BP.

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	Unevaluable event	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	Blood pressure increased	·	·	✓
SD	Dry eye	·	·	✓
SD	Dry mouth	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Joint swelling	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle swelling	·	·	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rheumatoid arthritis	·	·	✓
SD	Sjogren's syndrome	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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