HGZ-28074-23344

2 vaccinations 12 coded responses 24 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 806 / CO
Registered: 2021-04-10

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-04-10
Registered in v-safe
2021-04-10
Dose 1 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-17
Survey response — day 7, dose 1
MedDRA: Vertigo — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Survey response — day 0, dose 2
MedDRA: Vertigo — Feeling: Good · Nausea

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Pollakiuria — Feeling: Fair · Chills, Headache, Muscle or body aches

Free text: frequent urination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Gastric pH decreased, Insomnia, Tremor — Feeling: Fair · Chills, Muscle or body aches

Free text: stomach acid, tremors, insomnia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 7, dose 2
MedDRA: Tremor — Feeling: Fair · Headache, Fatigue or tiredness

Free text: tremors

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 14, dose 2
MedDRA: Chest pain, Headache, Vertigo — Feeling: Good · 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: Bad headache. Daily headaches often get worse as the day go on, or when I lean over. Some vertigo today. Other symptoms that may be related to POTS: chest pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Report sent to call center — day 14, dose 2
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 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-14
Survey response — day 42, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good

Free text: runny nose, sneezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Survey response — 3 months, dose 2
MedDRA: Anosmia, COVID-19, Cough, Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: COVID-19, headache, cough, fatigue, no smell

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-30
Survey response — 6 months, dose 2
MedDRA: Office visit, Pregnancy — 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: Pregnancy · Healthcare visit (other): OGBYN

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
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)
2021-11-02
Call 1 — Left Voicemail
2021-11-03
Call successful
Participant prefers to complete VAERS report online
2022-05-01
Survey response — 12 months, dose 2
MedDRA: Pregnancy — 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: Pregnancy, due 5/27

MedDRA releases: 2024-11 · check-in free text available
2022-05-01
Report sent to call center — 12 months, dose 2
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)
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-10	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 7 — day 7, dose 1

2021-04-17

Systemic reaction (other): Vertigo

Release 8 — day 0, dose 2

2021-05-01

Systemic reaction (other): Vertigo

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): vertigo

2021-05-03

Systemic reaction (other): Vertigo

2021-05-06

Systemic reaction (other): frequent urination

2021-05-07

Systemic reaction (other): stomach acid, tremors, insomnia

Release 8 — day 7, dose 2

2021-05-08

Systemic reaction (other): tremors

Release 8 — day 14, dose 2

2021-05-15

Symptoms: Bad headache. Daily headaches often get worse as the day go on, or when I lean over. Some vertigo today. Other symptoms that may be related to POTS: chest pain.

Release 9 — day 42, dose 2

2021-06-14

Symptoms: runny nose, sneezing

Release 9 — 3 months, dose 2

2021-07-31

Symptoms: COVID-19, headache, cough, fatigue, no smell

Release 10 — 6 months, dose 2

2021-10-30

Symptoms: Pregnancy

Healthcare visit (other): OGBYN

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Pregnancy, due 5/27

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	Office visit	·	·	✓
SD	Anosmia	✓	·	✓
SD	Chest pain	✓	✓	✓
SD	Cough	✓	·	✓
SD	COVID-19	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Vertigo	✓	✓	✓
SRO	Gastric pH decreased	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pollakiuria	✓	✓	✓
SRO	Tremor	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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