VAZ-50004-55236

3 vaccinations 14 coded responses 37 check-ins 14 free-text entries 8 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 520 / IA
Registered: 2021-03-25

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

2021-03-25
Registered in v-safe
2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-25
Survey response — day 0, dose 1
MedDRA: Dysgeusia, Feeling hot, Paraesthesia oral — Feeling: Good

Free text: Tongue tingling and hot, metallic taste

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Paraesthesia oral — Feeling: Good · Site: Pain · Abdominal pain

Free text: Tongue tingling, mild dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Pruritus, Vertigo — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Vertigo, itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Survey response — day 7, dose 1
MedDRA: Vertigo — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 2
Feeling: Fair · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Chest discomfort, Dizziness, Dyspnoea — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Dizzy, heavy chest, short of breath

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Wheezing — Feeling: Good · Chills

Free text: Wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Nausea, Abdominal pain

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — day 28, dose 2
MedDRA: Chills, Headache — Feeling: Poor · 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: Headaches and chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-20
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-09
Call 1 — Left Voicemail
2021-06-09
Call successful
Participant prefers to complete VAERS report online
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Abdominal pain · Be unable to work or attend school

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-10-05
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Abdominal pain

Adult check-in
2021-10-06
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-07
Health check-in — day 7, dose 3
Feeling: Fair · Abdominal pain

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2021-11-04
Survey response — day 35, dose 3
MedDRA: Abdominal pain, Migraine — Feeling: Poor

Free text: Abdominal pain and migraine

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 42, dose 3
MedDRA: Migraine — Feeling: Fair

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Survey response — 3 months, dose 3
MedDRA: Dysuria — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Burning urination

MedDRA releases: 2024-11 · check-in free text available
2021-12-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-31
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cystitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Several bladder infections CoVid

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-10-02
Survey response — 12 months, dose 3
MedDRA: Chest pain, Hypoaesthesia, Rash, Vertigo — 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 · Emergency room or emergency department visit

Free text: Rash, vertigo, numbness, chest pain

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — 12 months, dose 3
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 · 1 call case(s)
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail
2022-10-04
Call 2 — Left Voicemail
2022-10-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-31	Unsuccessful
2021-04-01	Unsuccessful
2021-05-13	Unsuccessful
2021-05-20	Successful 2021-06-09	Participant prefers to complete VAERS report online
2021-10-05	Successful 2021-10-06	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-30	Successful 2022-01-04	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-31	Unsuccessful
2022-10-02	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Tongue tingling and hot, metallic taste

Release 6 — days 1–6 daily, dose 1

2021-03-26

Systemic reaction (other): Tongue tingling, mild dizziness

2021-03-30

Systemic reaction (other): Dizziness

2021-03-31

Systemic reaction (other): Vertigo, itching

Release 6 — day 7, dose 1

2021-04-01

Systemic reaction (other): Vertigo

Release 7 — days 1–6 daily, dose 2

2021-04-20

Systemic reaction (other): Dizzy, heavy chest, short of breath

2021-04-21

Systemic reaction (other): Wheezing

Release 8 — day 28, dose 2

2021-05-13

Symptoms: Headaches and chills

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Migraine

Release 10 — day 35, dose 3

2021-11-04

Symptoms: Abdominal pain and migraine

Release 10 — day 42, dose 3

2021-11-11

Symptoms: Migraine

Release 10 — 3 months, dose 3

2021-12-30

Symptoms: Burning urination

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Several bladder infections CoVid

Release 12 — 12 months, dose 3

2022-10-02

Symptoms: Rash, vertigo, numbness, chest pain

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	Abdominal pain	·	·	✓
SD	Chest pain	·	·	✓
SD	Chills	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Cystitis	·	·	✓
SD	Dysuria	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Migraine	✓	✓	✓
SD	Rash	·	·	✓
SD	Vertigo	·	·	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Paraesthesia oral	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Vertigo	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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