YYQ-26416-51542

2 vaccinations 13 coded responses 24 check-ins 13 free-text entries 18 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 558 / MN
Registered: 2021-04-28

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

2021-04-28
Registered in v-safe
2021-04-28
Dose 1 — Pfizer-BioNTech
2021-04-28
Survey response — day 0, dose 1
MedDRA: Brain fog — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I felt like my head was detached from my body and floating like in water. It didnt hurt but was disconcerting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-02
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-05
Health check-in — day 7, dose 1
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-05-12
Survey response — day 14, dose 1
MedDRA: Chest pain, Headache, Oropharyngeal pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Headache sore throat and chest achyness · Healthcare visit (other): It was a sleep study today

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
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)
2021-05-19
Survey response — day 21, dose 1
MedDRA: Cough, Exposure to SARS-CoV-2, Pain, Pyrexia — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Exposure to covid, cough, fever aches and pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-19
Report sent to call center — day 21, 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)
2021-05-26
Health check-in — day 28, dose 1
Feeling: Fair

Adult check-in
2021-06-04
Survey response — day 35, dose 1
MedDRA: Cough, Oropharyngeal pain, Pain, Physiotherapy, Productive cough — Feeling: Poor · 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

Free text: Symptoms: A super phlegm filled cough sore throat and body aches · Healthcare visit (other): Pt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-04
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)
2021-06-09
Dose 2 — Pfizer-BioNTech
2021-06-09
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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, Outpatient clinic or urgent care clinic visit

Adult check-in
2021-06-09
Report sent to call center — day 0, 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)
2021-06-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization

Adult check-in
2021-06-10
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)
2021-06-12
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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

Adult check-in
2021-06-12
Report sent to call center — days 1–6 daily, 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)
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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

Adult check-in
2021-06-13
Report sent to call center — days 1–6 daily, 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)
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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

Adult check-in
2021-06-14
Report sent to call center — days 1–6 daily, 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)
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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

Free text: Confusion dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Report sent to call center — days 1–6 daily, 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)
2021-06-16
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · 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

Adult check-in
2021-06-16
Report sent to call center — day 7, 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)
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-17
Call 2 — Left Voicemail
2021-06-25
Survey response — day 14, dose 2
MedDRA: Blindness, Chest discomfort, Chills, Cough, Deafness, Dizziness, Muscle spasms, 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

Free text: Sudden dizziness, loss of vision and hearing, racing heart heavy chest cough diarrhea cramping freezing cold chills

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Report sent to call center — day 14, 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)
2021-06-29
Call 2 — Left Voicemail
2021-06-30
Survey response — day 21, dose 2
MedDRA: Chills, Cough, Diarrhoea, Dizziness, Pain — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: I have developed a worsening cough, major chills, dizziness, whole body aches, and the diarrhea is back too

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-30
Report sent to call center — day 21, 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)
2021-07-02
Call 2 — Left Voicemail
2021-07-07
Survey response — day 28, dose 2
MedDRA: Cough, Diarrhoea, Dizziness, Dyspnoea, Fatigue, Insomnia, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation

Free text: Dizziness and shortness of breath, worsening cough diarrhea unable to sleep but exhausted

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-07
Report sent to call center — day 28, 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)
2021-07-09
Call 2 — Left Voicemail
2021-07-14
Survey response — day 35, dose 2
MedDRA: Abdominal pain upper, Ageusia, Anosmia, Back pain, Hypoacusis, Migraine — 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

Free text: Loss of sense of smell, hearing is bad and echoing, taste is lessened, major migraine, stomaxh pain that goes straightthru my left side to my back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Report sent to call center — day 35, 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)
2021-07-21
Survey response — day 42, dose 2
MedDRA: Contusion, Cough, Dizziness postural, Hypoaesthesia, Neck pain, Tenderness — Feeling: Fair · 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

Free text: Major bruising all over that are painful to the touch and come out of nowhere. Lots of dizziness upon standing or moving. Neck pain on the left side that makes my whole left side go numb whenever i cough

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 2 — Could Not Reach Participant
2021-07-27
Call 3 — Could Not Reach Participant
2021-07-31
Call X — Left Voicemail
2021-09-08
Survey response — 3 months, dose 2
MedDRA: Chest pain, Diarrhoea, Dizziness, Dyspnoea, Headache, Office visit, Visual impairment — Feeling: Fair · 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: Symptoms: I see black spots get really dizzy w chest pain and difficulty catching my breath. I have almost constant diarrhea and still get a bad headache every day · Healthcare visit (other): In person

MedDRA releases: 2024-11 · check-in free text available
2021-09-08
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-14
Call 2 — Left Voicemail
2021-12-08
Survey response — 6 months, dose 2
MedDRA: Amnesia, Balance disorder, Dyspnoea, Headache, Immunisation reaction, Office visit, Parosmia, Pre-existing disease, Productive cough, Speech disorder, Sputum discoloured, Visual impairment — 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

Free text: Symptoms: Difficulty breathing bad headaches out of nowhere w speech issues afterwards as well as loss of balance. See stars loss of memory loss of train of thought major phlem w an yellow tint expelled w a cough smelling burnt smell issues w certain textures · Healthcare visit (other): Normal checkups for after covid and reaction to vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
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 · 1 call case(s)
2021-12-09
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-09
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Halo vision, Myalgia, Neuralgia, Respiratory tract congestion, Skin indentation — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Sudden appearance of several indentations on my skull, rainbow vision out the right eye, severe congestion really tight feeling when i breath, pain in every muscle or nerve

MedDRA releases: 2024-11 · check-in free text available
2022-06-09
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 · Emergency room or emergency department visit · 1 call case(s)
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail
2022-06-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-28	Pfizer-BioNTech
2	2021-06-09	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-05-12	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-05-19	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-04	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-09	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-10	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-12	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-13	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-14	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-15	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-16	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-25	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-06-30	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-07	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-14	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-07-21	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-09-08	Successful	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-08	Successful 2021-12-09	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-06-09	Unsuccessful

Free text

Release 8 — day 0, dose 1

2021-04-28

Systemic reaction (other): I felt like my head was detached from my body and floating like in water. It didnt hurt but was disconcerting

Release 8 — day 14, dose 1

2021-05-12

Symptoms: Headache sore throat and chest achyness

Healthcare visit (other): It was a sleep study today

Release 8 — day 21, dose 1

2021-05-19

Symptoms: Exposure to covid, cough, fever aches and pains

Release 8 — day 35, dose 1

2021-06-04

Symptoms: A super phlegm filled cough sore throat and body aches

Healthcare visit (other): Pt

Release 9 — days 1–6 daily, dose 2

2021-06-15

Systemic reaction (other): Confusion dizziness

Release 9 — day 14, dose 2

2021-06-25

Symptoms: Sudden dizziness, loss of vision and hearing, racing heart heavy chest cough diarrhea cramping freezing cold chills

Release 9 — day 21, dose 2

2021-06-30

Symptoms: I have developed a worsening cough, major chills, dizziness, whole body aches, and the diarrhea is back too

Release 9 — day 28, dose 2

2021-07-07

Symptoms: Dizziness and shortness of breath, worsening cough diarrhea unable to sleep but exhausted

Release 9 — day 35, dose 2

2021-07-14

Symptoms: Loss of sense of smell, hearing is bad and echoing, taste is lessened, major migraine, stomaxh pain that goes straightthru my left side to my back

Release 9 — day 42, dose 2

2021-07-21

Symptoms: Major bruising all over that are painful to the touch and come out of nowhere. Lots of dizziness upon standing or moving. Neck pain on the left side that makes my whole left side go numb whenever i cough

Release 9 — 3 months, dose 2

2021-09-08

Symptoms: I see black spots get really dizzy w chest pain and difficulty catching my breath. I have almost constant diarrhea and still get a bad headache every day

Healthcare visit (other): In person

Release 10 — 6 months, dose 2

2021-12-08

Symptoms: Difficulty breathing bad headaches out of nowhere w speech issues afterwards as well as loss of balance. See stars loss of memory loss of train of thought major phlem w an yellow tint expelled w a cough smelling burnt smell issues w certain textures cut off by CDC

Healthcare visit (other): Normal checkups for after covid and reaction to vaccine

Release 12 — 12 months, dose 2

2022-06-09

Symptoms: Sudden appearance of several indentations on my skull, rainbow vision out the right eye, severe congestion really tight feeling when i breath, pain in every muscle or nerve

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	Immunisation reaction	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Physiotherapy	✓	✓	✓
HCVO	Pre-existing disease	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Abdominal pain upper	✓	✓	✓
SD	Ageusia	✓	✓	✓
SD	Amnesia	·	·	✓
SD	Anosmia	✓	✓	✓
SD	Back pain	✓	✓	✓
SD	Balance disorder	·	·	✓
SD	Blindness	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Contusion	·	·	✓
SD	Cough	✓	✓	✓
SD	Deafness	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dizziness postural	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Exposure to SARS-CoV-2	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Halo vision	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoacusis	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Insomnia	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Neck pain	·	·	✓
SD	Neuralgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Parosmia	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Skin indentation	·	·	✓
SD	Speech disorder	·	·	✓
SD	Sputum discoloured	·	·	✓
SD	Tenderness	·	·	✓
SD	Visual impairment	·	·	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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