UJJ-33714-59950

4 vaccinations 7 coded responses 46 check-ins 6 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 198 / DE
Registered: 2021-04-16

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

2021-04-16
Registered in v-safe
2021-04-16
Dose 1 — Pfizer-BioNTech
2021-04-16
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-21
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-23
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-30
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-07
Dose 2 — Pfizer-BioNTech
2021-05-07
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Palpitations — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Free text: Heart racing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-13
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-05-21
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-04
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Alopecia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Circular Bald spot on top left of my head

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2021-08-16
Callback requested for
2021-08-16
Call successful
Participant prefers to complete VAERS report online
2021-11-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-12
Dose 3 — Pfizer-BioNTech
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2021-11-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-11-19
Health check-in — day 7, dose 3
Feeling: Fair · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-11-26
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-03
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Survey response — day 35, dose 3
MedDRA: Alopecia — Feeling: Fair

Free text: Hair loss

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-11
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-05-13
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-14
Dose 4 — Pfizer-BioNTech
2022-10-21
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-28
Survey response — day 14, dose 4
MedDRA: Migraine, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Multiple Migraine headaches · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2022-10-28
Report sent to call center — day 14, dose 4
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)
2022-10-31
Call successful
Participant prefers to complete VAERS report online
2022-11-04
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-11-11
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-11-25
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2023-01-15
Health check-in — 3 months, dose 4
Feeling: Fair

Adult check-in
2023-04-14
Survey response — 6 months, dose 4
MedDRA: Headache, Visual impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-14
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-16	Pfizer-BioNTech
2	2021-05-07	Pfizer-BioNTech
3	2021-11-12	Pfizer-BioNTech	No
4	2022-10-14	Pfizer-BioNTech	No

Call center

3 call center cases

2 successful · 1 unsuccessful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-21

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 2

2021-05-08

Systemic reaction (other): Heart racing

2021-05-13

Systemic reaction (other): Brain fog

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Circular Bald spot on top left of my head

Release 10 — day 35, dose 3

2021-12-17

Symptoms: Hair loss

Release 12 — day 14, dose 4

2022-10-28

Symptoms: Multiple Migraine headaches

Healthcare visit (other): Chiropractor

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	Alopecia	✓	·	✓
SD	Headache	·	·	✓
SD	Migraine	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Palpitations	✓	✓	✓

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