YZ6-13224-11166

2 vaccinations 6 coded responses 17 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 974 / OR
Registered: 2021-05-02

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

2021-04-22
Dose 1 — Pfizer-BioNTech
2021-05-02
Registered in v-safe
2021-05-09
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-13
Dose 2 — Pfizer-BioNTech
2021-05-13
Survey response — day 0, dose 2
MedDRA: Balance disorder, Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work

Free text: Equilibrium unbalanced - very dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-05-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-20
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-05-29
Survey response — day 14, dose 2
MedDRA: Arthralgia, Epistaxis, Headache, Myalgia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Nose bleeding since a few days post vaccination & Continuing ... joints & muscles ache daily and sometimes worse than other days but always consistent with a dull headache that lingers

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-10
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-06-19
Survey response — day 35, dose 2
MedDRA: Brain fog, Epistaxis, Fatigue, Head discomfort, Headache, Heart rate increased, Migraine, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache - migraine pressure random days/times but consistent in presence. Sporadic elevated pulse rate. fatigue & brain fog heavy in effect. Intense Sore throat. constant pressure in cranial circumference. Random nose bleed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — day 42, dose 2
MedDRA: Chest discomfort, Dyspnoea, Fatigue, Inflammation, Lung abscess, Lymph node pain, Lymphadenopathy, Nodule, Oropharyngeal pain, Pharyngeal swelling, Pulmonary congestion, Pyrexia, Respiratory tract congestion, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat Became inflamed, fevers, congestion, sinus issues, fatigue/exhaustion increased, breathing was labored as lungs congested and tight, glands / nodes extremely painful and swollen for 72 hrs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-12
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-11-11
Survey response — 6 months, dose 2
MedDRA: Back disorder, Bladder disorder, Gastrointestinal disorder, Impaired healing — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: abdominal , bladder & back issues. wounds/injuries don't heal well.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-11-12
Call 1 — Left Voicemail
2022-05-20
Survey response — 12 months, dose 2
MedDRA: Ear pain, Headache, Hypoaesthesia, Middle ear effusion, Paraesthesia, Pruritus, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: ear fluids and ear pain ; numbing / tingling / itching in skull / face · Healthcare visit (other): waiting call back from dr office for steps

MedDRA releases: 2024-11 · check-in free text available
2022-05-20
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-23
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-22	Pfizer-BioNTech
2	2021-05-13	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-11-11	Unsuccessful
2022-05-20	Unsuccessful

Free text

Release 8 — day 0, dose 2

2021-05-13

Systemic reaction (other): Equilibrium unbalanced - very dizzy

Release 8 — day 14, dose 2

2021-05-29

Symptoms: Nose bleeding since a few days post vaccination & Continuing ... joints & muscles ache daily and sometimes worse than other days but always consistent with a dull headache that lingers

Release 9 — day 35, dose 2

2021-06-19

Symptoms: Headache - migraine pressure random days/times but consistent in presence. Sporadic elevated pulse rate. fatigue & brain fog heavy in effect. Intense Sore throat. constant pressure in cranial circumference. Random nose bleed.

Release 9 — day 42, dose 2

2021-06-24

Symptoms: Sore throat Became inflamed, fevers, congestion, sinus issues, fatigue/exhaustion increased, breathing was labored as lungs congested and tight, glands / nodes extremely painful and swollen for 72 hrs.

Release 10 — 6 months, dose 2

2021-11-11

Symptoms: abdominal , bladder & back issues. wounds/injuries don't heal well.

Release 11 — 12 months, dose 2

2022-05-20

Symptoms: ear fluids and ear pain ; numbing / tingling / itching in skull / face

Healthcare visit (other): waiting call back from dr office for steps

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	Arthralgia	✓	✓	✓
SD	Back disorder	·	·	✓
SD	Bladder disorder	·	·	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Head discomfort	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Heart rate increased	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Impaired healing	·	·	✓
SD	Inflammation	○	✓	○
SD	Lung abscess	○	✓	○
SD	Lymph node pain	○	✓	○
SD	Lymphadenopathy	✓	✓	✓
SD	Middle ear effusion	·	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nodule	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paraesthesia	·	·	✓
SD	Pharyngeal swelling	✓	·	✓
SD	Pruritus	·	·	✓
SD	Pulmonary congestion	✓	·	✓
SD	Pyrexia	✓	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Sinus disorder	✓	✓	✓
SRO	Balance disorder	✓	✓	✓
SRO	Dizziness	✓	✓	✓

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