FL3-12589-41634

1 vaccination 8 coded responses 14 check-ins 8 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 630 / MO
Registered: 2021-06-24

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

2021-06-24
Registered in v-safe
2021-06-24
Dose 1 — Pfizer-BioNTech
2021-06-24
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-25
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Rapid heartbeat and light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — days 1–6 daily, dose 1
MedDRA: Headache, Lymphadenopathy, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activities

Free text: Pain in neck and head still, swollen lymph node in arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Survey response — days 1–6 daily, dose 1
MedDRA: Thrombosis — Feeling: Poor · Headache, Fatigue or tiredness · 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, Hospitalization

Free text: Systemic reaction (other): In ICU with blood clot in brain · Healthcare visit (other): ICU for blood clot in major artery of brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-06-30
Survey response — days 1–6 daily, dose 1
MedDRA: Thrombosis — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Free text: Blood clot in brain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — days 1–6 daily, 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

1 call case(s)
2021-07-01
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-07-15
Survey response — day 21, dose 1
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: I have had a daily headache ever since the first vaccine.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — day 21, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-16
Call 1 — Left Voicemail
2021-07-22
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-07-29
Survey response — day 35, dose 1
MedDRA: Anaemia, Dyspnoea, Headache — 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

Free text: Anemia and continued headaches and shortness of breath that are unexplained. Have been having daily headaches since the vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2021-08-06
Call 2 — Left Voicemail
2021-08-07
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-09-23
Survey response — 3 months, dose 1
MedDRA: COVID-19 — Feeling: Good · 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, Hospitalization

Free text: Got Covid again

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 3 months, 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 · Hospitalization · 1 call case(s)
2021-09-27
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-24
Survey response — 12 months, dose 1
MedDRA: Headache, Neuropathy peripheral — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Neuropathy and headaches

MedDRA releases: 2024-11 · check-in free text available
2022-06-24
Report sent to call center — 12 months, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-27
Call successful
Does not wish to fill out VAERS report
2022-06-27
Call successful
Does not wish to fill out VAERS report
2022-06-27
Call successful
Does not wish to fill out VAERS report
2022-06-27
Call successful
Does not wish to fill out VAERS report
2022-06-27
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-24	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-26

Systemic reaction (other): Rapid heartbeat and light headed

2021-06-27

Systemic reaction (other): Pain in neck and head still, swollen lymph node in arm

2021-06-29

Systemic reaction (other): In ICU with blood clot in brain

Healthcare visit (other): ICU for blood clot in major artery of brain

2021-06-30

Systemic reaction (other): Blood clot in brain

Release 9 — day 21, dose 1

2021-07-15

Symptoms: I have had a daily headache ever since the first vaccine.

Release 9 — day 35, dose 1

2021-07-29

Symptoms: Anemia and continued headaches and shortness of breath that are unexplained. Have been having daily headaches since the vaccine

Release 9 — 3 months, dose 1

2021-09-23

Symptoms: Got Covid again

Release 12 — 12 months, dose 1

2022-06-24

Symptoms: Neuropathy and headaches

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	Thrombosis	✓	✓	✓
SD	Anaemia	✓	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Headache	✓	·	✓
SD	Neuropathy peripheral	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Thrombosis	✓	✓	✓

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