HR2-24649-76344

2 vaccinations 4 coded responses 27 check-ins 4 free-text entries 1 call case

Sex: Female
Age at first dose: 05-11
ZIP prefix: 956 / CA
Registered: 2021-11-08

Relationship: Child or adolescent in my care
Guardian: ZBQ-21269-33564
Race: Multiracial
Ethnicity: Hispanic or Latino

Timeline

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

2021-11-08
Registered in v-safe
2021-11-08
Dose 1 — Pfizer-BioNTech
2021-11-08
Health check-in — day 0, dose 1, dependent
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-10
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Headache, Joint pains, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-11
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-12
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 1, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-15
Health check-in — day 7, dose 1, dependent
Feeling: Good · None

Adult check-in
2021-11-22
Health check-in — day 14, dose 1, dependent
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 21, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 28, dose 1, dependent
Feeling: Good

Adult check-in
2021-12-09
Dose 2 — Pfizer-BioNTech
2021-12-09
Health check-in — day 0, dose 2, dependent
Feeling: Fair · Site: Pain · None

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · Site: Pain · Abdominal pain

Adult check-in
2021-12-12
Survey response — days 1–6 daily, dose 2, dependent
MedDRA: Dizziness — Feeling: Good

Free text: Dizzy spells

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-15
Health check-in — days 1–6 daily, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-16
Health check-in — day 7, dose 2, dependent
Feeling: Good · None

Adult check-in
2021-12-23
Survey response — day 14, dose 2, dependent
MedDRA: Fall, Office visit — Feeling: Good

Free text: Episodes of falling. Being seen by doctor to rule out seizures. Will follow up if found to be a side effect from vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Health check-in — day 21, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-06
Survey response — day 28, dose 2, dependent
MedDRA: Fatigue, Rhinorrhoea, SARS-CoV-2 test negative, Throat irritation — Feeling: Good · Be unable to work or attend school

Free text: Runny Nose, Scratchy Throat, Fatigue (negative T home covid test)

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — day 35, dose 2, dependent
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 2, dependent
Feeling: Good

Adult check-in
2022-03-10
Survey response — 3 months, dose 2, dependent
MedDRA: Cardiac disorder, Dizziness, Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Being evaluated for heart issues related to dizziness and fast heart beat. Will contact if anything comes of the long term heart monitor and echocardiogram imaging to be found related to vaccine.

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 3 months, dose 2, dependent
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-16
Call 1 — Left Voicemail
2022-06-09
Health check-in — 6 months, dose 2, dependent
Feeling: Good

Adult check-in
2022-12-09
Health check-in — 12 months, dose 2, dependent
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-08	Pfizer-BioNTech	No
2	2021-12-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-10	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 2, dependent

2021-12-12

Systemic reaction (other): Dizzy spells

Release 10 — day 14, dose 2, dependent

2021-12-23

Symptoms: Episodes of falling. Being seen by doctor to rule out seizures. Will follow up if found to be a side effect from vaccine.

Release 10 — day 28, dose 2, dependent

2022-01-06

Symptoms: Runny Nose, Scratchy Throat, Fatigue (negative T home covid test)

Release 11 — 3 months, dose 2, dependent

2022-03-10

Symptoms: Being evaluated for heart issues related to dizziness and fast heart beat. Will contact if anything comes of the long term heart monitor and echocardiogram imaging to be found related to vaccine.

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	Cardiac disorder	·	·	✓
SD	Dizziness	·	·	✓
SD	Fall	·	·	✓
SD	Fatigue	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Office visit	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Throat irritation	·	·	✓
SRO	Dizziness	·	·	✓

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