Z5Z-30828-87922

3 vaccinations 13 coded responses 16 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 554 / MN
Registered: 2021-04-29

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

2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-29
Registered in v-safe
2021-04-29
Survey response — day 14, dose 1
MedDRA: Nasopharyngitis, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: Good

Free text: I just had a runny nose and sneezing last week, but it felt like allergies or a minor cold.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Presyncope — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lightheadedness - I almost passed out about 5 minutes after getting out of bed this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

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

Adult check-in
2021-05-14
Survey response — day 14, dose 2
MedDRA: Anxiety, Chest discomfort, Intermenstrual bleeding — Feeling: Fair · Be unable to do your normal daily activities

Free text: I had some menstrual spotting that I typically dont have, about two weeks before my period should start. I also had a new fluttering sensation in my chest that lasted a couple days off and on, and I felt more anxious than normal this week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — day 21, dose 2
MedDRA: Rhinorrhoea — Feeling: Fair

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-06
Survey response — day 35, dose 2
MedDRA: Fatigue, Nasal congestion, Rhinorrhoea — Feeling: Fair

Free text: Nasal congestion, runny nose, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 42, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold/sinus symptoms, digestive issues.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-01
Survey response — 3 months, dose 2
MedDRA: Adverse reaction, Brain fog, Dysgraphia, Speech disorder, Visual impairment — Feeling: Good

Free text: Mental fog - specifically, mixing up letters/words while typing and speaking. I have never experienced that before. Ive also continued to experience allergy symptoms, and my eyesight has gotten noticeably worse over the past few months.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-29
Survey response — 6 months, dose 2
MedDRA: Menstruation irregular, Respiratory tract congestion, Upper-airway cough syndrome, Visual impairment — Feeling: Fair

Free text: Worsened vision; fairly consistent congestion and post-nasal drip; fatigue; shorter menstrual cycles

MedDRA releases: 2024-11 · check-in free text available
2022-02-28
Dose 3 — Pfizer-BioNTech
2022-03-28
Survey response — day 28, dose 3
MedDRA: Chest discomfort, Chest pain, Headache, Intermenstrual bleeding, Visual impairment — Feeling: Fair

Free text: My vision has continued to worsen, faster than it ever has. I have spotting between periods, which I only have experienced since getting vaccinated. I also occasionally have mild chest pain/discomfort, and I occasionally get headaches.

MedDRA releases: 2024-11 · check-in free text available
2022-04-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-04-11
Survey response — day 42, dose 3
MedDRA: Visual impairment — Feeling: Fair

Free text: I feel like my vision has continued to get worse in one eye.

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Survey response — 3 months, dose 3
MedDRA: Cough, Depressed mood, Intermenstrual bleeding, Oropharyngeal pain, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, cough, low mood, spotting between periods, worsened vision

MedDRA releases: 2024-11 · check-in free text available
2022-05-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-01
Call 1 — Left Voicemail
2022-08-29
Survey response — 6 months, dose 3
MedDRA: COVID-19, Cough, Ophthalmic migraine, Oropharyngeal pain, Pre-existing disease, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I had Covid, and I've had a cough ever since then (over a month ago). I also have a lot of congestion right now, and had a sore throat last week. I also had a visual migraine two days ago. I've had them before, but rarely.

MedDRA releases: 2024-11 · check-in free text available
2023-02-28
Survey response — 12 months, dose 3
MedDRA: Fatigue, Malaise, Productive cough, Upper-airway cough syndrome — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2022-02-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-05-30	Unsuccessful

Free text

Release 8 — day 14, dose 1

2021-04-29

Symptoms: I just had a runny nose and sneezing last week, but it felt like allergies or a minor cold.

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Lightheadedness - I almost passed out about 5 minutes after getting out of bed this morning.

Release 8 — day 14, dose 2

2021-05-14

Symptoms: I had some menstrual spotting that I typically dont have, about two weeks before my period should start. I also had a new fluttering sensation in my chest that lasted a couple days off and on, and I felt more anxious than normal this week.

Release 8 — day 21, dose 2

2021-05-23

Symptoms: Runny nose

Release 8 — day 35, dose 2

2021-06-06

Symptoms: Nasal congestion, runny nose, fatigue

Release 9 — day 42, dose 2

2021-06-11

Symptoms: Cold/sinus symptoms, digestive issues.

Release 9 — 3 months, dose 2

2021-08-01

Symptoms: Mental fog - specifically, mixing up letters/words while typing and speaking. I have never experienced that before. Ive also continued to experience allergy symptoms, and my eyesight has gotten noticeably worse over the past few months.

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Worsened vision; fairly consistent congestion and post-nasal drip; fatigue; shorter menstrual cycles

Release 11 — day 28, dose 3

2022-03-28

Symptoms: My vision has continued to worsen, faster than it ever has. I have spotting between periods, which I only have experienced since getting vaccinated. I also occasionally have mild chest pain/discomfort, and I occasionally get headaches.

Release 11 — day 42, dose 3

2022-04-11

Symptoms: I feel like my vision has continued to get worse in one eye.

Release 11 — 3 months, dose 3

2022-05-30

Symptoms: Sore throat, cough, low mood, spotting between periods, worsened vision

Release 12 — 6 months, dose 3

2022-08-29

Symptoms: I had Covid, and I've had a cough ever since then (over a month ago). I also have a lot of congestion right now, and had a sore throat last week. I also had a visual migraine two days ago. I've had them before, but rarely.

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	Adverse reaction	✓	·	✓
SD	Anxiety	✓	✓	✓
SD	Brain fog	✓	·	✓
SD	Chest discomfort	✓	✓	✓
SD	Chest pain	·	·	✓
SD	Cough	·	·	✓
SD	COVID-19	·	·	✓
SD	Depressed mood	·	·	✓
SD	Dysgraphia	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Malaise	·	·	✓
SD	Menstruation irregular	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Ophthalmic migraine	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Productive cough	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SD	Speech disorder	✓	·	✓
SD	Upper-airway cough syndrome	·	·	✓
SD	Visual impairment	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Presyncope	✓	✓	✓

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