YPX-63451-92608

3 vaccinations 11 coded responses 28 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 970 / OR
Registered: 2021-02-22

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

Timeline

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

2021-01-31
Dose 1 — Pfizer-BioNTech
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-02-22
Registered in v-safe
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Foggy brain!!!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia — Feeling: Fair

Free text: Have not slept well since second Jab

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Dysgeusia, Insomnia — Feeling: Good

Free text: have not slept well since 2nd Jab. Recently noted that familiar Foods taste sweeter than they used to

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — day 7, dose 2
MedDRA: Erythema — Feeling: Good

Free text: Redness around both eyes. Stopped moisturiser 1 day after jab 2. Heavy redness persists. Cause unknown

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 14, dose 2
MedDRA: Headache — Feeling: Good

Free text: Had a 2 week headache after jab #2. Finally gone.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-21
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-28
Survey response — day 35, dose 2
MedDRA: Headache, Nausea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache & nausea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Survey response — 3 months, dose 2
MedDRA: Eye swelling, Headache, Immediate post-injection reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Persistant headache. Onset 30 min post injection 21 FebSwelling around eyes. Derm believes inflammation related to jab 2. I eobder if there is a correlation to 1 time half dose detnal filler 4 yr ago

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-22
Survey response — 6 months, dose 2
MedDRA: Alopecia, Depressed mood — Feeling: Good

Free text: Two weeks after 2nd jab my hair started falling out!!! (Thyroid is fine) Its very disturbing

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Pre-existing disease, Rosacea — Feeling: Good

Free text: Vaccine seems to have provoked rosacea outbreak

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-04
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-10-11
Survey response — day 14, dose 3
MedDRA: Migraine, Pre-existing disease — Feeling: Fair

Free text: As with the second covid Jab, I've developed daily migraines. Waiting for these to resolve, currently at day 14 post-injection. Fortunately I do have migraine medication

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Alopecia, Diffuse alopecia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Providers believe teligen effluvium, severe hair loss, correlated with or due to covid vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-29
Call 1 — Left Voicemail
2022-03-29
Call 1 — Left Voicemail
2022-09-27
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-23	Unsuccessful
2022-03-28	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-23

Systemic reaction (other): Foggy brain!!!

2021-02-26

Systemic reaction (other): Have not slept well since second Jab

2021-02-27

Systemic reaction (other): have not slept well since 2nd Jab. Recently noted that familiar Foods taste sweeter than they used to

Release 4 — day 7, dose 2

2021-02-28

Systemic reaction (other): Redness around both eyes. Stopped moisturiser 1 day after jab 2. Heavy redness persists. Cause unknown

Release 5 — day 14, dose 2

2021-03-07

Symptoms: Had a 2 week headache after jab #2. Finally gone.

Release 6 — day 35, dose 2

2021-03-28

Symptoms: Headache & nausea

Release 8 — 3 months, dose 2

2021-05-23

Symptoms: Persistant headache. Onset 30 min post injection 21 FebSwelling around eyes. Derm believes inflammation related to jab 2. I eobder if there is a correlation to 1 time half dose detnal filler 4 yr ago

Release 9 — 6 months, dose 2

2021-08-22

Symptoms: Two weeks after 2nd jab my hair started falling out!!! (Thyroid is fine) Its very disturbing

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Vaccine seems to have provoked rosacea outbreak

Release 10 — day 14, dose 3

2021-10-11

Symptoms: As with the second covid Jab, I've developed daily migraines. Waiting for these to resolve, currently at day 14 post-injection. Fortunately I do have migraine medication

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Providers believe teligen effluvium, severe hair loss, correlated with or due to covid 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
SD	Alopecia	✓	·	✓
SD	Depressed mood	✓	·	✓
SD	Diffuse alopecia	·	·	✓
SD	Eye swelling	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Immediate post-injection reaction	✓	✓	✓
SD	Migraine	·	·	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Pre-existing disease	·	·	✓
SRO	Rosacea	·	·	✓

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