ZDA-32420-52573

3 vaccinations 14 coded responses 23 check-ins 14 free-text entries 8 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 481 / MI
Registered: 2020-12-30

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Registered dependents

CN2-20077-59600 Child or adolescent in my care · Female · 2022-04-21

Timeline

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2020-12-30
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Ageusia, Anosmia — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Loss of taste and smell

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and head fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-01
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, COVID-19 screening, Dizziness, Feeling abnormal, SARS-CoV-2 test — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizziness and head fog · Healthcare visit (other): Screened for COVID-19

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-04
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Peripheral coldness, Thinking abnormal, Vision blurred — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness, unclear vision/thinking, cold feet and hands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-04
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — day 7, dose 1
MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and head fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — day 7, dose 1
Be unable to do your normal daily activities

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

Adult check-in
2021-01-20
Survey response — day 21, dose 1
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Dose 2 — Pfizer-BioNTech
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-28
Call 1 — Left Voicemail
2021-02-01
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

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

Adult check-in
2021-02-12
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Survey response — day 28, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: Migraine headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — day 35, dose 2
MedDRA: Fatigue, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Fatigue, headache, sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 42, dose 2
MedDRA: Headache, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat and headache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-23
Survey response — 6 months, dose 2
MedDRA: Insomnia, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat. Sleeplessness.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-11-30
Dose 3 — Pfizer-BioNTech
2022-01-22
Survey response — 12 months, dose 2
MedDRA: Arthralgia, Brain fog, Chest discomfort, Cough, Eye pain, Fatigue, Feeling cold, Hypogeusia, Hyposmia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Fatigue, head fog, eye pain, hip pain, feeling cold, reduced sense of taste and smell, cough and chest heaviness.

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-24
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-03
Survey response — 12 months, dose 3
MedDRA: Cough, Fatigue, Myalgia, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat cough and fatigue myalgias

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-22	Pfizer-BioNTech
3	2021-11-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-30	Unsuccessful
2020-12-31	Unsuccessful
2021-01-01	Unsuccessful
2021-01-03	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-01-04	Unsuccessful
2021-01-09	Unsuccessful
2021-07-23	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-22	Successful 2022-01-24	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Loss of taste and smell

2021-01-01

Systemic reaction (other): Dizziness and head fog

2021-01-03

Systemic reaction (other): Dizziness and head fog

Healthcare visit (other): Screened for COVID-19

2021-01-04

Systemic reaction (other): Dizziness, unclear vision/thinking, cold feet and hands

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Dizziness and head fog

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Migraine

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Dizziness

Release 4 — day 21, dose 2

2021-02-12

Symptoms: Headache

Release 4 — day 28, dose 2

2021-02-20

Symptoms: Migraine headaches

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Fatigue, headache, sore throat

Release 5 — day 42, dose 2

2021-03-07

Symptoms: Sore throat and headache.

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: Sore throat. Sleeplessness.

Release 11 — 12 months, dose 2

2022-01-22

Symptoms: Fatigue, head fog, eye pain, hip pain, feeling cold, reduced sense of taste and smell, cough and chest heaviness.

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: Sore throat cough and fatigue myalgias

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	COVID-19 screening	○	✓	○
HCVO	SARS-CoV-2 test	✓	○	✓
SD	Arthralgia	·	·	✓
SD	Brain fog	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Cough	·	·	✓
SD	Eye pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Feeling cold	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypogeusia	·	·	✓
SD	Hyposmia	·	·	✓
SD	Insomnia	✓	·	✓
SD	Migraine	✓	✓	✓
SD	Myalgia	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SRO	Ageusia	✓	✓	✓
SRO	Anosmia	✓	✓	✓
SRO	Brain fog	✓	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Peripheral coldness	✓	✓	✓
SRO	SARS-CoV-2 test	○	○	○
SRO	Thinking abnormal	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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