YBN-22902-28583

2 vaccinations 8 coded responses 12 check-ins 8 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 652 / MO
Registered: 2021-04-09

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

Registered dependents

KQ7-28191-68796 Adult relative or friend · Female · 2021-06-16

Timeline

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

2021-04-09
Registered in v-safe
2021-05-01
Dose 1 — Pfizer-BioNTech
2021-05-01
Survey response — day 0, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Survey response — days 1–6 daily, dose 1
MedDRA: Multiple sclerosis, Nausea, Pre-existing disease, Unevaluable event, Vertigo, Vomiting — Feeling: Poor · Fever · Fatigue or tiredness, Nausea, Vomiting · Be unable to work, 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: Systemic reaction (other): I suddenly developed vertigo at 10 p.m., having gotten the shot at 11:30. I went to bed and asked my daughter to bring me a pot in case I needed to vomit. She brought a one-quart pot, I vomited five times in five minutes and filled the pot to the brim with four cups of vomit. I was too ill to stand up. Today Im better. I have MS. I need to know if its advisable for me to get the second dose in three weeks or if it might be dangerous. · Healthcare visit (other): The neurologist hasnt replied yet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Report sent to call center — days 1–6 daily, dose 1
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)
2021-05-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Vomiting — Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: I only had dizziness and vomiting the day of the vaccination.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Hyperhidrosis, Nausea, Pyrexia — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: A fever and sweating for an hour yesterday. Dizziness and nausea today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Herpes zoster — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Shingles lesions on my left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Rash, not including the immediate area around the injection site

Adult check-in
2021-05-08
Survey response — day 7, dose 1
MedDRA: Tachycardia — Feeling: Poor · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: Tachycardia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-22
Dose 2 — Pfizer-BioNTech
2021-05-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-08
Survey response — day 14, dose 2
MedDRA: Dizziness, Syncope — Feeling: Poor · Be unable to work

Free text: Dizzy, faint

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-22
Survey response — 3 months, dose 2
MedDRA: Asthenia, Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Severe dizziness and headache, weakness.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2022-04-14
Call successful
Not applicable - Accidental Reporting

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-01	Pfizer-BioNTech
2	2021-05-22	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-02	Successful 2022-04-14	Not applicable - Accidental Reporting

Free text

Release 8 — day 0, dose 1

2021-05-01

Systemic reaction (other): Dizziness

Release 8 — days 1–6 daily, dose 1

2021-05-02

Systemic reaction (other): I suddenly developed vertigo at 10 p.m., having gotten the shot at 11:30. I went to bed and asked my daughter to bring me a pot in case I needed to vomit. She brought a one-quart pot, I vomited five times in five minutes and filled the pot to the brim with four cups of vomit. I was too ill to stand up. Today Im better. I have MS. I need to know if its advisable for me to get the second dose in three weeks or if it might be dangerous.

Healthcare visit (other): The neurologist hasnt replied yet.

2021-05-03

Systemic reaction (other): I only had dizziness and vomiting the day of the vaccination.

2021-05-05

Systemic reaction (other): A fever and sweating for an hour yesterday. Dizziness and nausea today.

2021-05-06

Systemic reaction (other): Shingles lesions on my left arm

Release 8 — day 7, dose 1

2021-05-08

Systemic reaction (other): Tachycardia

Release 8 — day 14, dose 2

2021-06-08

Symptoms: Dizzy, faint

Release 9 — 3 months, dose 2

2021-08-22

Symptoms: Severe dizziness and headache, weakness.

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	Unevaluable event	✓	✓	✓
SD	Asthenia	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Headache	✓	·	✓
SD	Syncope	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Multiple sclerosis	✓	✓	✓
SRO	Nausea	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tachycardia	✓	✓	✓
SRO	Vertigo	✓	✓	✓
SRO	Vomiting	✓	✓	✓

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