RVJ-19555-00003

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 484 / MI
Registered: 2021-02-25

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

2021-02-25
Registered in v-safe
2021-02-25
Dose 1 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 1
MedDRA: Brain fog, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Free text: Brain Fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal distension, Abdominal pain — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Lower abdominal "heaviness/fullness" almost like cramps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Migraine, Nausea — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain

Free text: I felt very nauseated, dizzy and had a migrain this morning, only lasted a few hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Adult check-in
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: The injection site is still slightly sore and tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-03-18
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Hot flashes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Irritability — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness

Free text: Irritability

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-04
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
2021-04-17
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
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2022-03-21
Survey response — 12 months, dose 2
MedDRA: Abortion spontaneous, Autoimmune thyroiditis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I was diagnosed with Hashimotos, since being vaccinated. I also, miscarried in August 2021 · Healthcare visit (other): Primary care doctor

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2022-03-21	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-25

Systemic reaction (other): Brain Fog

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Lower abdominal "heaviness/fullness" almost like cramps

2021-02-27

Systemic reaction (other): I felt very nauseated, dizzy and had a migrain this morning, only lasted a few hours

2021-03-01

Systemic reaction (other): The injection site is still slightly sore and tender

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Dizziness

2021-03-21

Systemic reaction (other): Hot flashes

2021-03-23

Systemic reaction (other): Irritability

Release 11 — 12 months, dose 2

2022-03-21

Symptoms: I was diagnosed with Hashimotos, since being vaccinated. I also, miscarried in August 2021

Healthcare visit (other): Primary care doctor

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	Abortion spontaneous	·	·	✓
SD	Autoimmune thyroiditis	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Brain fog	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	○
SRO	Hot flush	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Irritability	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nausea	✓	✓	✓

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