YU3-60996-11461

2 vaccinations 6 coded responses 7 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 773 / TX
Registered: 2021-08-13

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

2021-07-23
Dose 1 — Pfizer-BioNTech
2021-08-13
Registered in v-safe
2021-08-15
Survey response — day 21, dose 1
MedDRA: Cerebrovascular accident, Head discomfort, Papilloedema — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Stroke Intracranial pressure Papilledema

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-15
Report sent to call center — day 21, dose 1
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)
2021-08-20
Survey response — day 28, dose 1
MedDRA: Cerebrovascular accident, Headache, Intracranial pressure increased, Menstruation irregular, Muscular weakness, Nausea, Papilloedema — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Stroke , intracranial pressure ; papilledema; missed menstrual cycle. Headaches , nausea, right limb weakness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — day 28, dose 1
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)
2021-08-23
Call 1 — Could Not Reach Participant
2021-08-25
Call 2 — Could Not Reach Participant
2021-08-27
Survey response — day 35, dose 1
MedDRA: Papilloedema, Unevaluable event — Feeling: Poor · 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: Lumbar puncture for papilledema

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Report sent to call center — day 35, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-31
Call 1 — Could Not Reach Participant
2021-09-01
Call 3 — Could Not Reach Participant
2021-09-30
Dose 2 — Pfizer-BioNTech
2021-10-22
Survey response — 3 months, dose 1
MedDRA: Cardiac disorder, Idiopathic intracranial hypertension — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Pseudo tumor cerebri , heart condition

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-27
Call 1 — Could Not Reach Participant
2021-11-01
Call 2 — Left Voicemail
2022-01-21
Survey response — 6 months, dose 1
MedDRA: Alopecia, Arthralgia, Dizziness, Fatigue, Goitre, Headache, Hepatomegaly, Lymphadenopathy, Myalgia, Oxygen saturation decreased, Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, Hospitalization

Free text: Heart palpitations Hair loss Enlarged lymph nodes Enlarged liver Low blood oxygen Headaches Fatigue Dizziness Muscle pain Joint pain Enlarged thyroid gland

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — 6 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-01-24
Call 1 — Could Not Reach Participant
2022-01-27
Call 2 — Left Voicemail
2022-03-31
Survey response — 6 months, dose 2
MedDRA: Asthenia, Burning sensation, Depression, Irritability, Lymphadenopathy, Skin burning sensation — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Burning sensation on face, arms, legs . Irritability, depression, enlarged lymph nodes, weakness

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
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

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail
2022-09-30
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-23	Pfizer-BioNTech	No
2	2021-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-08-15	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-08-20	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-08-27	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact
2021-10-22	Unsuccessful
2022-01-21	Unsuccessful
2022-03-31	Unsuccessful

Free text

Release 9 — day 21, dose 1

2021-08-15

Symptoms: Stroke Intracranial pressure Papilledema

Release 9 — day 28, dose 1

2021-08-20

Symptoms: Stroke , intracranial pressure ; papilledema; missed menstrual cycle. Headaches , nausea, right limb weakness

Release 9 — day 35, dose 1

2021-08-27

Symptoms: Lumbar puncture for papilledema

Release 10 — 3 months, dose 1

2021-10-22

Symptoms: Pseudo tumor cerebri , heart condition

Release 11 — 6 months, dose 1

2022-01-21

Symptoms: Heart palpitations Hair loss Enlarged lymph nodes Enlarged liver Low blood oxygen Headaches Fatigue Dizziness Muscle pain Joint pain Enlarged thyroid gland

Release 11 — 6 months, dose 2

2022-03-31

Symptoms: Burning sensation on face, arms, legs . Irritability, depression, enlarged lymph nodes, 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
SD	Alopecia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Asthenia	·	·	✓
SD	Burning sensation	·	·	✓
SD	Cardiac disorder	·	·	✓
SD	Cerebrovascular accident	✓	·	✓
SD	Depression	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Goitre	·	·	✓
SD	Head discomfort	✓	·	✓
SD	Headache	✓	·	✓
SD	Hepatomegaly	·	·	✓
SD	Idiopathic intracranial hypertension	·	·	✓
SD	Intracranial pressure increased	✓	·	✓
SD	Irritability	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Menstruation irregular	✓	·	✓
SD	Muscular weakness	✓	·	✓
SD	Myalgia	·	·	✓
SD	Nausea	✓	·	✓
SD	Oxygen saturation decreased	·	·	✓
SD	Palpitations	·	·	✓
SD	Papilloedema	✓	·	✓
SD	Skin burning sensation	·	·	✓
SD	Unevaluable event	✓	·	✓

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