Y37-10266-33504

3 vaccinations 9 coded responses 26 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 017 / MA
Registered: 2021-02-11

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

KLL-17022-90015 Child or adolescent in my care · · 2022-06-27

Timeline

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

2021-02-11
Registered in v-safe
2021-02-11
Dose 1 — Pfizer-BioNTech
2021-02-11
Survey response — day 0, dose 1
MedDRA: Headache, Hypoaesthesia, Pre-existing disease — Feeling: Good · Site: Pain, Swelling

Free text: Some facial numbness on the left side. Injection was left arm. Headache but I had one before the vaccine!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-04
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Inflammation — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Knuckle inflammation last night

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Tinnitus — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea

Free text: Dizzy when I bend my head down. Some tinnitus.

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

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-11
Survey response — day 7, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 2
MedDRA: Back pain, Confusional state, Feeling abnormal, Head discomfort, Headache, Heart rate increased, Hyperhidrosis, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Headache woke me up out of a sound sleep. Pulse was very high (mid-90s to 120) and I was sweating. Headache has been daily. Feels like pressure/squeezing. Some mental confusion/fuzzy feeling. Have had back pain for a week. · Healthcare visit (other): Almost called 911 but pulse lowered after about an hour. Sent an email to PCP today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-25
Survey response — day 21, dose 2
MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Episodic high heart rates as high as 120.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-11
Dose 3 — Pfizer-BioNTech
2021-12-28
Call 1 — Left Voicemail
2022-03-04
Survey response — 12 months, dose 2
MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Good

Free text: Red rash on arm where I got booster shot. Itchy at times.

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech
3	2021-12-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-18	Unsuccessful
2021-03-25	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Some facial numbness on the left side. Injection was left arm. Headache but I had one before the vaccine!

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Knuckle inflammation last night

2021-03-06

Systemic reaction (other): Tinnitus

2021-03-07

Systemic reaction (other): Dizzy

2021-03-08

Systemic reaction (other): Dizzy when I bend my head down. Some tinnitus.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Dizziness

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Headache woke me up out of a sound sleep. Pulse was very high (mid-90s to 120) and I was sweating. Headache has been daily. Feels like pressure/squeezing. Some mental confusion/fuzzy feeling. Have had back pain for a week.

Healthcare visit (other): Almost called 911 but pulse lowered after about an hour. Sent an email to PCP today.

Release 6 — day 21, dose 2

2021-03-25

Symptoms: Episodic high heart rates as high as 120.

Release 11 — 12 months, dose 2

2022-03-04

Symptoms: Red rash on arm where I got booster shot. Itchy at times.

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	Heart rate increased	✓	✓	✓
HCVO	Medical counselling	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Confusional state	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hyperhidrosis	✓	✓	✓
SD	Rash	·	·	✓
SD	Rash erythematous	·	·	✓
SD	Rash pruritic	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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