69C-52756-20396

4 vaccinations 12 coded responses 32 check-ins 12 free-text entries 4 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 958 / CA
Registered: 2021-03-24

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

Registered dependents

4V8-23702-73530 Child or adolescent in my care · Female · 2022-06-26

Timeline

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

2021-03-22
Dose 1 — Pfizer-BioNTech
2021-03-24
Registered in v-safe
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Presyncope, Visual impairment — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · 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: Dizziness, brain fog, light headed ness, almost passed out, visual disturbances while on the computer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — days 1–6 daily, dose 1
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)
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal, Head discomfort, Headache — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog, dizziness and headache with pressure on front of forehead and pain on the side of head

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, light headed ness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — day 7, dose 1
MedDRA: Migraine — Feeling: Fair · Headache

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-12
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Migraine — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lightheaded ness and beginning of migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness

Free text: Lightheaded ness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · Headache

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Survey response — day 35, dose 2
MedDRA: Dizziness, Ear congestion, Ear pain, Nasopharyngitis, Pain, Respiratory tract congestion, Viral infection — 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: Congestion in eustachian tube in ear causing pain and dizziness due to a cold/virus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — day 35, 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)
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Headache, Migraine, Self-medication, Unevaluable event, Vaccine positive rechallenge — 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: Symptoms: I have migraines constantly and am taking B2 400 mg daily to help manage the headaches. I got migraines with both vaccines, then a couple occasionally later, but now the migraines is fairly constant. Unusual for me to have headaches. · Healthcare visit (other): MRI

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — 6 months, dose 2
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)
2021-10-12
Call 2 — Left Voicemail
2021-10-14
Call 3 — Left Voicemail
2021-11-04
Dose 3 — Pfizer-BioNTech
2022-04-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-28
Dose 4 — Pfizer-BioNTech
2022-05-05
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-05
Survey response — 6 months, dose 3
MedDRA: Brain fog, Dizziness, Fatigue, Malaise, Nausea, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school

Free text: Malaise, light fever, aches & pains, fatigue, brain fog, dizziness, nasusea (received 2nd booster 4/28/22); all symptoms result of booster

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Survey response — day 14, dose 4
MedDRA: Chills, Diarrhoea, Fatigue, Headache, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Mild fever and sore throat, chills, headache, nausea, diarrhea, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-12
Report sent to call center — day 14, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-13
Call 1 — Left Voicemail
2022-05-19
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-09
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-29
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-28
Health check-in — 12 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-11-04	Pfizer-BioNTech	No
4	2022-04-28	Pfizer-BioNTech	No

Call center

4 call center cases

4 unsuccessful

2 waits over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): Dizziness, brain fog, light headed ness, almost passed out, visual disturbances while on the computer

2021-03-25

Systemic reaction (other): Brain fog, dizziness and headache with pressure on front of forehead and pain on the side of head

2021-03-26

Systemic reaction (other): Dizziness, light headed ness

2021-03-27

Systemic reaction (other): Migraine

2021-03-28

Systemic reaction (other): Migraine

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Migraine

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Lightheaded ness and beginning of migraine

2021-04-16

Systemic reaction (other): Lightheaded ness

Release 8 — day 35, dose 2

2021-05-17

Symptoms: Congestion in eustachian tube in ear causing pain and dizziness due to a cold/virus

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: I have migraines constantly and am taking B2 400 mg daily to help manage the headaches. I got migraines with both vaccines, then a couple occasionally later, but now the migraines is fairly constant. Unusual for me to have headaches.

Healthcare visit (other): MRI

Release 11 — 6 months, dose 3

2022-05-05

Symptoms: Malaise, light fever, aches & pains, fatigue, brain fog, dizziness, nasusea (received 2nd booster 4/28/22); all symptoms result of booster

Release 11 — day 14, dose 4

2022-05-12

Symptoms: Mild fever and sore throat, chills, headache, nausea, diarrhea, fatigue

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	Brain fog	·	·	✓
SD	Chills	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Ear congestion	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Migraine	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	✓	✓	✓
SD	Pyrexia	·	·	✓
SD	Respiratory tract congestion	✓	✓	○
SD	Self-medication	·	·	✓
SD	Vaccine positive rechallenge	·	·	✓
SD	Viral infection	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Head discomfort	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Presyncope	✓	✓	✓
SRO	Visual impairment	✓	✓	✓

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