Y6V-31820-75788

2 vaccinations 8 coded responses 24 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 305 / GA
Registered: 2021-03-21

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

2021-03-21
Registered in v-safe
2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-21
Survey response — day 0, dose 1
MedDRA: Erythema, Feeling abnormal, Flushing — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness

Free text: Face flushed red. A little foggy headed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-28
Health check-in — day 7, dose 1
Feeling: Good · None

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

Adult check-in
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ive had shortness of breath for a week, but xray clear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Good

Free text: Some shortness of breath.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Medical counselling — Feeling: Good

Free text: Slight shortness of breath, but Dr says environmental.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Office visit — Feeling: Good

Free text: Shortness of breath, but Dr says environmental.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-02
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Survey response — 3 months, dose 2
MedDRA: Asthenia, Head discomfort, Tinnitus, Vitamin D decreased — 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 · Outpatient clinic or urgent care clinic visit

Free text: Significant drop in Vitamin D levels. Energy drain, ear ringing, head pressure for last three weeks.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-15
Report sent to call center — 3 months, dose 2
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)
2021-07-22
Call 1 — Left Voicemail
2021-10-11
Survey response — 6 months, dose 2
MedDRA: Muscle tightness, Streptococcal infection, Tinnitus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tinnitus, jaw tightness, strep infection

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2022-04-11
Survey response — 12 months, dose 2
MedDRA: Cystitis, Office visit, Pre-existing disease, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Unidentified viral syndrome (negative covid19) December 2021. Bladder infection March 2022. Unidentified virus week of 4/4/22-4/10/22. · Healthcare visit (other): Regular Dr. Visit also.

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-14	Unsuccessful
2021-07-15	Unsuccessful
2021-10-11	Unsuccessful
2022-04-11	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-21

Systemic reaction (other): Face flushed red. A little foggy headed.

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Ive had shortness of breath for a week, but xray clear.

2021-04-15

Systemic reaction (other): Some shortness of breath.

2021-04-17

Systemic reaction (other): Slight shortness of breath, but Dr says environmental.

Release 7 — day 7, dose 2

2021-04-18

Systemic reaction (other): Shortness of breath, but Dr says environmental.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Significant drop in Vitamin D levels. Energy drain, ear ringing, head pressure for last three weeks.

Release 10 — 6 months, dose 2

2021-10-11

Symptoms: Tinnitus, jaw tightness, strep infection

Release 11 — 12 months, dose 2

2022-04-11

Symptoms: Unidentified viral syndrome (negative covid19) December 2021. Bladder infection March 2022. Unidentified virus week of 4/4/22-4/10/22.

Healthcare visit (other): Regular Dr. Visit also.

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	Asthenia	✓	·	✓
SD	Cystitis	·	·	✓
SD	Head discomfort	✓	·	✓
SD	Muscle tightness	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Streptococcal infection	·	·	✓
SD	Tinnitus	✓	·	✓
SD	Viral infection	·	·	✓
SD	Vitamin D decreased	✓	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Office visit	✓	✓	✓

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