Z67-63836-92489

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 150 / PA
Registered: 2021-01-23

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-23
Registered in v-safe
2021-01-23
Dose 2 — Pfizer-BioNTech
2021-01-23
Survey response — day 0, dose 2
MedDRA: Dehydration, Erythema, Flushing, Thirst — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dehydrated. Very thirsty flushed red face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Thirst — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Extremely thirsty and tired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-25
Survey response — days 1–6 daily, dose 2
MedDRA: Disturbance in attention — Feeling: Good · Site: Pain

Free text: Trouble focusing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
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
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-01-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 35, dose 2
MedDRA: Cough, Dizziness, Dry throat, Fatigue, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Cough dry sore throat dizziness and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — 3 months, dose 2
MedDRA: Anxiety, Brain fog, Condition aggravated, Hearing aid user, Pre-existing disease, Stress — 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: Anxiety stress my hearing loss is worse than before I dont know if from vaccine or not but I have brain fog at work and anxiety and was hard of hearing and wear hearing aids at work but hearing is worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
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)
2021-07-24
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-23
Survey response — 12 months, dose 2
MedDRA: Chest discomfort, Dizziness, Fatigue, Headache, Myalgia, Paranasal sinus discomfort, Tinnitus — 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: Fatigued dizziness sore muscles ear ringing sinus pressure headache chest tight off and on

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-24
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech
2	2021-01-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-24	Successful	Participant prefers to complete VAERS report online
2022-01-23	Successful 2022-01-24	Participant prefers to complete VAERS report online

Free text

Release 2 — day 0, dose 2

2021-01-23

Systemic reaction (other): Dehydrated. Very thirsty flushed red face

Release 2 — days 1–6 daily, dose 2

2021-01-24

Systemic reaction (other): Extremely thirsty and tired

2021-01-25

Systemic reaction (other): Trouble focusing

Release 4 — day 35, dose 2

2021-02-27

Symptoms: Cough dry sore throat dizziness and fatigue

Release 7 — 3 months, dose 2

2021-04-24

Symptoms: Anxiety stress my hearing loss is worse than before I dont know if from vaccine or not but I have brain fog at work and anxiety and was hard of hearing and wear hearing aids at work but hearing is worse

Release 11 — 12 months, dose 2

2022-01-23

Symptoms: Fatigued dizziness sore muscles ear ringing sinus pressure headache chest tight off and on

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	Anxiety	✓	✓	✓
SD	Brain fog	✓	✓	✓
SD	Chest discomfort	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Dry throat	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Hearing aid user	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Stress	✓	✓	✓
SD	Tinnitus	·	·	✓
SRO	Dehydration	✓	✓	✓
SRO	Disturbance in attention	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Flushing	✓	✓	✓
SRO	Thirst	✓	✓	✓

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