ZA5-18230-74480

4 vaccinations 8 coded responses 42 check-ins 7 free-text entries 7 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 481 / MI
Registered: 2020-12-18

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

2020-12-18
Registered in v-safe
2020-12-18
Dose 1 — Pfizer-BioNTech
2020-12-18
Survey response — day 0, dose 1
MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness immediately following vaccine for 30 minutes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-18
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-08
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-13
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — day 7, dose 2
Feeling: Fair · Headache, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-01-15
Report sent to call center — day 7, dose 2
Be unable to work

1 call case(s)
2021-01-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-05
Survey response — day 28, dose 2
MedDRA: Emergency care, Headache, Ophthalmic migraine, Vision blurred — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Vision went blurry just over 3 weeks after 2nd dose. Spent an hour in the ER- may be an ocular migraine. I have never had any vision issues before receiving the vaccine- though I have had severe headaches so its possible I have undiagnosed migrai

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Survey response — day 35, dose 2
MedDRA: Dizziness — Feeling: Good · 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: Light headed frequently

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — 3 months, dose 2
MedDRA: Hypoaesthesia, Ophthalmic migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Numbness in right ring and pinky finger. Continued ocular migraines

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-02
Call 1 — Left Voicemail
2021-06-02
Call 1 — Left Voicemail
2021-06-02
Call 1 — Left Voicemail
2021-07-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-06
Dose 4 — Pfizer-BioNTech
Co-administered: Flu
2022-10-07
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-08
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-13
Health check-in — day 7, dose 4
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2022-10-20
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-12
Survey response — day 35, dose 4
MedDRA: Food intolerance, Gastrointestinal disorder — Feeling: Good

Free text: Digestive problems- sensitivity to most food

MedDRA releases: 2024-11 · check-in free text available
2022-11-19
Survey response — day 42, dose 4
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Stomach upset and diarrhea

MedDRA releases: 2024-11 · check-in free text available
2023-01-11
Survey response — 3 months, dose 4
MedDRA: Nasopharyngitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11
2023-04-06
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-18	Pfizer-BioNTech
2	2021-01-08	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No
4	2022-10-06	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2020-12-18	priority 2/3
2020-12-20	priority 2/3
2021-01-13	priority 2/3
2021-01-15	priority 2/3
2021-02-05	Unsuccessful
2021-02-14	Unsuccessful
2021-04-09	Unsuccessful

Free text

Release 1 — day 0, dose 1

2020-12-18

Systemic reaction (other): Dizziness immediately following vaccine for 30 minutes

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): Runny nose

Release 3 — day 28, dose 2

2021-02-05

Symptoms: Vision went blurry just over 3 weeks after 2nd dose. Spent an hour in the ER- may be an ocular migraine. I have never had any vision issues before receiving the vaccine- though I have had severe headaches so its possible I have undiagnosed migrai

Release 4 — day 35, dose 2

2021-02-14

Symptoms: Light headed frequently

Release 7 — 3 months, dose 2

2021-04-09

Symptoms: Numbness in right ring and pinky finger. Continued ocular migraines

Release 12 — day 35, dose 4

2022-11-12

Symptoms: Digestive problems- sensitivity to most food

Release 12 — day 42, dose 4

2022-11-19

Symptoms: Stomach upset and diarrhea

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	Abdominal discomfort	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Food intolerance	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Ophthalmic migraine	✓	✓	✓
SD	Vision blurred	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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