6CN-21119-99329

1 vaccination 7 coded responses 7 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 751 / TX
Registered: 2021-10-20

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

2021-10-17
Dose 1 — Pfizer-BioNTech
2021-10-20
Registered in v-safe
2021-10-20
Survey response — days 1–6 daily, dose 1
MedDRA: Insomnia, Migraine, Pain, Tinnitus — Feeling: Poor · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: This is NOT a regular headache. Ive had a SEVERE migraine (top right side of my head above my ear about 3 inches) and ringing in my ears. I have not been able to sleep 2 nights because of the pain. It is clustered in 1 area.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe migraine. Whole right side of head today. Still mostly clustered above the ear, 3-4 inches.

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraine continuing on right side of head.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — day 7, dose 1
MedDRA: Migraine, Tinnitus — Feeling: Poor · Site: Pain · Headache · Be unable to work or attend school, 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: Day 9. Migraine on right side of head for the 9th day in a row. Ears still ringing.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 7, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-10-31
Survey response — day 14, dose 1
MedDRA: Emergency care, Impaired work ability, Migraine, Tinnitus — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Visited ER because of migraine and ear ringing. 5 medications latwr, no relief. Never experienced migraines in my life. This is CRAP. Absolute crap. This is impeding my ability to do my job.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Report sent to call center — day 14, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2021-11-03
Call 1 — Left Voicemail
2022-01-16
Survey response — 3 months, dose 1
MedDRA: Adverse reaction, Dyspnoea, Heart rate increased, Migraine — Feeling: Poor · Be unable to do your normal daily activities

Free text: Besides the constant migraines and Tinnitus? Shortness of breath snd increased heart rates randomly. No previous health issues prior to vaccine. Post vaccine-HORRIBLE SIDE EFFECTS.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Survey response — 6 months, dose 1
MedDRA: Angina pectoris — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Heart pains.

MedDRA releases: 2024-11 · check-in free text available
2022-04-17
Report sent to call center — 6 months, dose 1
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-04-20
Call 1 — Requested Callback
2022-04-26
Call 2 — Left Voicemail
2022-04-26
Callback requested for
05:30PM ET

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 1

2021-10-20

Systemic reaction (other): This is NOT a regular headache. Ive had a SEVERE migraine (top right side of my head above my ear about 3 inches) and ringing in my ears. I have not been able to sleep 2 nights because of the pain. It is clustered in 1 area.

2021-10-21

Systemic reaction (other): Severe migraine. Whole right side of head today. Still mostly clustered above the ear, 3-4 inches.

2021-10-22

Systemic reaction (other): Migraine continuing on right side of head.

Release 10 — day 7, dose 1

2021-10-26

Systemic reaction (other): Day 9. Migraine on right side of head for the 9th day in a row. Ears still ringing.

Release 10 — day 14, dose 1

2021-10-31

Symptoms: Visited ER because of migraine and ear ringing. 5 medications latwr, no relief. Never experienced migraines in my life. This is CRAP. Absolute crap. This is impeding my ability to do my job.

Release 10 — 3 months, dose 1

2022-01-16

Symptoms: Besides the constant migraines and Tinnitus? Shortness of breath snd increased heart rates randomly. No previous health issues prior to vaccine. Post vaccine-HORRIBLE SIDE EFFECTS.

Release 11 — 6 months, dose 1

2022-04-17

Symptoms: Heart pains.

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	Adverse reaction	·	·	✓
SD	Angina pectoris	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Emergency care	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Impaired work ability	·	·	✓
SD	Migraine	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Insomnia	·	·	✓
SRO	Migraine	·	·	✓
SRO	Pain	·	·	✓
SRO	Tinnitus	·	·	✓

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