Z9E-17903-05374

2 vaccinations 6 coded responses 15 check-ins 6 free-text entries 4 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 078 / NJ
Registered: 2021-01-15

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

2020-12-24
Dose 1 — Pfizer-BioNTech
2021-01-14
Dose 2 — Pfizer-BioNTech
2021-01-15
Registered in v-safe
2021-01-15
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Office visit — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Burning sensation on the right side of my face · Healthcare visit (other): Wanted to advise my doctor about the burning sensation in my face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-15
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-17
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness

Free text: Tingling in the right side of my face under my eye and in my cheek

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-18
Survey response — days 1–6 daily, dose 2
MedDRA: Paraesthesia — Feeling: Good · Fatigue or tiredness

Free text: Intermittent dull tingling in right side of face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ear discomfort, Paraesthesia, Tinnitus, Unevaluable event — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Still having full tingling in the right side of my face, some ear fullness and tinnitus · Healthcare visit (other): Scheduled for tomorrow morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Ear discomfort, Ear pain, Medical counselling, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Ear pain, ringing in ears, fullness in ears, facial pressure · Healthcare visit (other): Prescribed amoxicillin and will see ENT tomorrow

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-21
Survey response — day 7, dose 2
MedDRA: Medical counselling, Paraesthesia, Paranasal sinus discomfort, Tinnitus — Feeling: Fair · Headache · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Systemic reaction (other): Ringing in ears, sinus pressure, intermittent tingling on right face · Healthcare visit (other): ENT and occupational medicine clinic

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — day 7, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-28
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-25
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-10
Call 1 — Left Voicemail
2021-04-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-14
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-02-02
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-24	Pfizer-BioNTech
2	2021-01-14	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-15	Successful	Does not wish to fill out VAERS report
2021-01-19	Successful	Does not wish to fill out VAERS report
2021-01-20	Successful	Does not wish to fill out VAERS report
2021-01-21	Successful 2022-02-02	Does not wish to fill out VAERS report

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-15

Systemic reaction (other): Burning sensation on the right side of my face

Healthcare visit (other): Wanted to advise my doctor about the burning sensation in my face

2021-01-17

Systemic reaction (other): Tingling in the right side of my face under my eye and in my cheek

2021-01-18

Systemic reaction (other): Intermittent dull tingling in right side of face

2021-01-19

Systemic reaction (other): Still having full tingling in the right side of my face, some ear fullness and tinnitus

Healthcare visit (other): Scheduled for tomorrow morning

2021-01-20

Systemic reaction (other): Ear pain, ringing in ears, fullness in ears, facial pressure

Healthcare visit (other): Prescribed amoxicillin and will see ENT tomorrow

Release 2 — day 7, dose 2

2021-01-21

Systemic reaction (other): Ringing in ears, sinus pressure, intermittent tingling on right face

Healthcare visit (other): ENT and occupational medicine clinic

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	Medical counselling	✓	✓	✓
HCVO	Office visit	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SRO	Burning sensation	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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