YB6-94143-87753

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 284 / NC
Registered: 2021-04-12

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

2021-04-12
Registered in v-safe
2021-04-12
Dose 1 — Pfizer-BioNTech
2021-04-12
Survey response — day 0, dose 1
MedDRA: Nasal pruritus — Feeling: Good · Fever

Free text: Tickle in my nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-04-15
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work

Free text: Bruises on legs 2 so far

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None · Be unable to work

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-26
Survey response — day 14, dose 1
MedDRA: Dizziness, Hypersensitivity, Nasal congestion, Sneezing — Feeling: Fair · 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: Dizzy or light head ness lasted a day not sure if from vaccine seemed not to have any other reason also noticed allergy like symtoms unless it is coinsidence they started at day one of shot I forgotten to mention sneezing died down now is stuffy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-03
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-05-10
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-05-11
Dose 2 — Pfizer-BioNTech
2021-05-17
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Coronary arterial stent insertion, Emergency care, Maternal exposure during breast feeding, Nausea — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Systemic reaction (other): Brain fog · Healthcare visit (other): I had heart stent may 4 blood work verified effects were not from the stent but that was the only reason I went to the er later remebered I had the vaccine so I wrote off nausea as that it is mild and tolerable noting it here just because if you had a procedure around when you have vaccine it is just hard to tell the cause the brain fog is strange tho and lucky Im off from work otherwise it would be a problem if is far and between tho I had only 3 episodes since may 11 my daughter had covid I never caught it from her in January this was her symtom so I was able to recognize it

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-10
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Be unable to work or attend school

Free text: None that I feel that I link to the vaccine if anything I feel I had the virus when it first came out and I never was tested in time I have long term different indigestion issues popping up that I tie to that not the vaccine

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-29
Call 2 — Left Voicemail
2022-01-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-12	Pfizer-BioNTech
2	2021-05-11	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-26	Unsuccessful
2021-05-17	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-12

Systemic reaction (other): Tickle in my nose

Release 7 — days 1–6 daily, dose 1

2021-04-15

Systemic reaction (other): Bruises on legs 2 so far

Release 8 — day 14, dose 1

2021-04-26

Symptoms: Dizzy or light head ness lasted a day not sure if from vaccine seemed not to have any other reason also noticed allergy like symtoms unless it is coinsidence they started at day one of shot I forgotten to mention sneezing died down now is stuffy

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Brain fog

Healthcare visit (other): I had heart stent may 4 blood work verified effects were not from the stent but that was the only reason I went to the er later remebered I had the vaccine so I wrote off nausea as that it is mild and tolerable noting it here just because if you had a procedure around when you have vaccine it is just hard to tell the cause the brain fog is strange tho and lucky Im off from work otherwise it would be a problem if is far and between tho I had only 3 episodes since may 11 my daughter had covid I never caught it from her in January this was her symtom so I was able to recognize it

Release 9 — 3 months, dose 2

2021-08-10

Symptoms: None that I feel that I link to the vaccine if anything I feel I had the virus when it first came out and I never was tested in time I have long term different indigestion issues popping up that I tie to that not the vaccine

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	Coronary arterial stent insertion	✓	✓	✓
HCVO	Emergency care	✓	✓	✓
HCVO	Maternal exposure during breast feeding	✓	✓	✓
HCVO	Nausea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Hypersensitivity	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Sneezing	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Nasal pruritus	✓	✓	✓

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