Z7P-29590-07798

2 vaccinations 11 coded responses 12 check-ins 11 free-text entries 8 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 300 / GA
Registered: 2021-09-08

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-08-14
Dose 1 — Pfizer-BioNTech
2021-09-04
Dose 2 — Pfizer-BioNTech
2021-09-08
Registered in v-safe
2021-09-08
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral — Feeling: Poor · Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Total hearing loss in right ear

MedDRA releases: 2024-11 · check-in free text available
2021-09-09
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness unilateral — Feeling: Poor · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Right hearing loss

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Survey response — days 1–6 daily, dose 2
MedDRA: Deafness — Feeling: Poor · Nausea · 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

Free text: Hearing Loss

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
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)
2021-09-13
Survey response — day 7, dose 2
MedDRA: Deafness — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Hearing Loss

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Call 1 — Left Voicemail
2021-09-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-18
Survey response — day 14, dose 2
MedDRA: Asthenia, Deafness, Vertigo — 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: Uncontrollable Vertigo, weakness and complete hearing loss in right ear.

MedDRA releases: 2024-11 · check-in free text available
2021-09-18
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)
2021-09-21
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-09-25
Survey response — day 21, dose 2
MedDRA: Fatigue, 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 · Outpatient clinic or urgent care clinic visit

Free text: Extteme noise in right ear. Extremely tired.

MedDRA releases: 2024-11 · check-in free text available
2021-09-25
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-09-29
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-04
Health check-in — day 28, dose 2
Feeling: Poor

Adult check-in
2021-10-09
Survey response — day 35, dose 2
MedDRA: Deafness unilateral, 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Complete l9ss of hearing in right ear with extreme tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
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

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-10-16
Survey response — day 42, dose 2
MedDRA: Deafness unilateral, Dizziness, Headache, 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 · Outpatient clinic or urgent care clinic visit

Free text: Headaches and dizziness. Complete deafness and lots of noises in my right ear.

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Report sent to call center — day 42, 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 · 1 call case(s)
2021-10-21
Call 1 — Left Voicemail
2021-10-21
Call successful
Reported to VAERS during previous contact from GDIT
2021-12-04
Survey response — 3 months, dose 2
MedDRA: Deafness unilateral, Headache, Insomnia, Pain, 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: Extreme body aches and headaches. Severe tinnitus and ringing in right ear which causes sleepless nights and total deafness in right ear.

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Report sent to call center — 3 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)
2021-12-07
Call 2 — Left Voicemail
2022-03-05
Survey response — 6 months, dose 2
MedDRA: Deafness, Deafness unilateral, Headache, Tinnitus, Vertigo — 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 · Outpatient clinic or urgent care clinic visit

Free text: Total loss of hearing in the right ear. Vertigo, headaches and severe tinnitus

MedDRA releases: 2024-11 · check-in free text available
2022-03-05
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-08
Call 1 — Left Voicemail
2022-09-04
Survey response — 12 months, dose 2
MedDRA: Headache, Tinnitus — 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, Emergency room or emergency department visit

Free text: Headache and extreme tunnitus as a result of the vaccination.

MedDRA releases: 2024-11 · check-in free text available
2022-09-04
Report sent to call center — 12 months, dose 2
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 · 1 call case(s)
2022-09-06
Call 1 — Left Voicemail
2022-09-06
Call 2 — Left Voicemail
2022-09-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-08-14	Pfizer-BioNTech	No
2	2021-09-04	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-10	Successful 2021-09-17	Reported to VAERS voluntarily prior to GDIT contact
2021-09-18	Successful 2021-09-21	Reported to VAERS voluntarily prior to GDIT contact
2021-09-25	Successful 2021-09-29	Reported to VAERS voluntarily prior to GDIT contact
2021-10-09	Successful	Reported to VAERS during previous contact from GDIT
2021-10-16	Successful 2021-10-21	Reported to VAERS during previous contact from GDIT
2021-12-04	Unsuccessful
2022-03-05	Unsuccessful
2022-09-04	Unsuccessful

Free text

Release 9 — days 1–6 daily, dose 2

2021-09-08

Systemic reaction (other): Total hearing loss in right ear

2021-09-09

Systemic reaction (other): Right hearing loss

2021-09-10

Systemic reaction (other): Hearing Loss

Release 9 — day 7, dose 2

2021-09-13

Systemic reaction (other): Hearing Loss

Release 9 — day 14, dose 2

2021-09-18

Symptoms: Uncontrollable Vertigo, weakness and complete hearing loss in right ear.

Release 9 — day 21, dose 2

2021-09-25

Symptoms: Extteme noise in right ear. Extremely tired.

Release 10 — day 35, dose 2

2021-10-09

Symptoms: Complete l9ss of hearing in right ear with extreme tinnitus

Release 10 — day 42, dose 2

2021-10-16

Symptoms: Headaches and dizziness. Complete deafness and lots of noises in my right ear.

Release 10 — 3 months, dose 2

2021-12-04

Symptoms: Extreme body aches and headaches. Severe tinnitus and ringing in right ear which causes sleepless nights and total deafness in right ear.

Release 11 — 6 months, dose 2

2022-03-05

Symptoms: Total loss of hearing in the right ear. Vertigo, headaches and severe tinnitus

Release 12 — 12 months, dose 2

2022-09-04

Symptoms: Headache and extreme tunnitus as a result of the vaccination.

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	Asthenia	·	·	✓
SD	Deafness	·	·	✓
SD	Deafness unilateral	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Insomnia	·	·	✓
SD	Pain	·	·	✓
SD	Tinnitus	·	·	✓
SD	Vertigo	·	·	✓
SRO	Deafness	·	·	✓
SRO	Deafness unilateral	·	·	✓

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