6J4-64222-06161

5 vaccinations 8 coded responses 40 check-ins 8 free-text entries 1 call case

Sex: Male
Age at first dose: 66+
ZIP prefix: 554 / MN
Registered: 2021-03-18

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

2021-02-26
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: A little foggy in the brain (lightheaded)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Nausea

Adult check-in
2021-03-26
Survey response — day 7, dose 2
MedDRA: Headache, Nausea — Feeling: Good

Free text: I still have a small amount of nausea in the morning and a consistent mild headache at the brainstem location. brainstem

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — day 42, dose 2
MedDRA: Pre-existing disease, Tinnitus — Feeling: Fair

Free text: My ears are ringing constantly and louder than before the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — 3 months, dose 2
MedDRA: Balance disorder, Dizziness, Hypoacusis, Nausea, Office visit, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: My tinnitus has increased in loudness, my hearing has diminished significantly, I am having problems with my balance and constant dizziness, and I feel nauseous most of the time. · Healthcare visit (other): I have seen my PCP, a ENT, I am going to therapy for the dizziness and balance, and I am scheduled for a brain scan.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-09-20
Survey response — 6 months, dose 2
MedDRA: Balance disorder, Deafness, Dizziness, Tinnitus, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increase in tinnitus loudness, Increased symptoms of vertigo, increased dizzyness and balance problems, increased loss of hearing.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Muscle or body aches

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Survey response — day 7, dose 3
MedDRA: Balance disorder, Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Balance and dizziness when I woke

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-12
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-18
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Survey response — day 42, dose 3
MedDRA: Dizziness — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-08
Dose 4 — Pfizer-BioNTech
2022-04-15
Survey response — day 7, dose 4
MedDRA: No adverse event — Feeling: Fair · Nausea

Free text: No

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-10
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-12
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-09-26
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-03
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-10
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-10-24
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-12
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-13
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-10-21	Pfizer-BioNTech	Flu
4	2022-04-08	Pfizer-BioNTech	No
5	2022-09-12	Pfizer-BioNTech	Flu

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): A little foggy in the brain (lightheaded)

Release 6 — day 7, dose 2

2021-03-26

Systemic reaction (other): I still have a small amount of nausea in the morning and a consistent mild headache at the brainstem location. brainstem

Release 8 — day 42, dose 2

2021-05-01

Symptoms: My ears are ringing constantly and louder than before the vaccination.

Release 9 — 3 months, dose 2

2021-06-18

Symptoms: My tinnitus has increased in loudness, my hearing has diminished significantly, I am having problems with my balance and constant dizziness, and I feel nauseous most of the time.

Healthcare visit (other): I have seen my PCP, a ENT, I am going to therapy for the dizziness and balance, and I am scheduled for a brain scan.

Release 9 — 6 months, dose 2

2021-09-20

Symptoms: Increase in tinnitus loudness, Increased symptoms of vertigo, increased dizzyness and balance problems, increased loss of hearing.

Release 10 — day 7, dose 3

2021-10-28

Systemic reaction (other): Balance and dizziness when I woke

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Severe Dizziness

Release 11 — day 7, dose 4

2022-04-15

Systemic reaction (other): No

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	Balance disorder	✓	✓	✓
HCVO	Dizziness	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Balance disorder	✓	✓	✓
SD	Deafness	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SD	Vertigo	·	·	✓
SRO	Balance disorder	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	No adverse event	·	·	✓

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