ZE8-11541-67698

2 vaccinations 14 coded responses 22 check-ins 14 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 026 / MA
Registered: 2021-03-30

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

2021-03-30
Registered in v-safe
2021-04-01
Dose 1 — Pfizer-BioNTech
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Migraine, Palpitations — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Heart palpitations, migraine for 24 hrs to date ,

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Flatulence, Goitre, Inflammation, Nodule, Pre-existing disease, Pulmonary pain — Feeling: Fair · Fatigue or tiredness

Free text: Before the shot:My lungs were hurting from copd also my thyroid was enlarged from nodule etc .. after the shot the lungs and thyroid inflammation went away . And gas not returned :)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Therapeutic response unexpected — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My lungs were inflamed from copd for a week before my shot , by the time I got home from shot , my lungs did not hurt and have not since then . I was having a copd flare up .. my lungs feel normal after the shot. Its weird but good.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-08
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Survey response — day 14, dose 1
MedDRA: Fatigue, Night sweats, Palpitations — Feeling: Fair · Be unable to do your normal daily activities

Free text: My heart has had palpitations and Im exhausted. Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Very very very dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Palpitations — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Dizzy , heart palps

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzy still like vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — day 7, dose 2
MedDRA: Menstrual disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: After 6 years I got my period after both shots ! This shot absolutely effects thyroid hormones ! I got my right thyroid out 6 years ago. My period stopped ! Thus shot effects thyroid hormones on woman ! Absolutely no doubt ! So do not say it is not!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-07
Survey response — day 14, dose 2
MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities

Free text: Very dizzy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Survey response — day 21, dose 2
MedDRA: Dizziness, Headache, Intermenstrual bleeding, Nausea, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: 6 years ago removed right thyroid and did not have my period ever since then ...I have started spotting and have not stopped . It happened for a few days after first shot , Now second shot started again and has not stopped . Also nausea, dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-28
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-04
Survey response — day 42, dose 2
MedDRA: Vaccine positive rechallenge, Vaginal haemorrhage — Feeling: Good

Free text: Getting a ultra sound , after 6 years of no period ...after right thyroid was removed . First shot spotting for a week , 2 cd shot have been spotting continually ...

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Office visit, Vaginal haemorrhage — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: Vaginal bleeding since shot. Having tests · Healthcare visit (other): In office visits , ultra sounds , seeing specialist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call successful
Participant prefers to complete VAERS report online
2021-10-22
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-04-23
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-01	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-30	Successful
2021-07-24	Successful 2021-07-29	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-03

Systemic reaction (other): Heart palpitations, migraine for 24 hrs to date ,

2021-04-04

Systemic reaction (other): Before the shot:My lungs were hurting from copd also my thyroid was enlarged from nodule etc .. after the shot the lungs and thyroid inflammation went away . And gas not returned :)

2021-04-05

Systemic reaction (other): Dizzy

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): My lungs were inflamed from copd for a week before my shot , by the time I got home from shot , my lungs did not hurt and have not since then . I was having a copd flare up .. my lungs feel normal after the shot. Its weird but good.

Release 7 — day 14, dose 1

2021-04-15

Symptoms: My heart has had palpitations and Im exhausted. Night sweats

Release 7 — day 0, dose 2

2021-04-23

Systemic reaction (other): Dizzy

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Very very very dizzy

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Dizzy , heart palps

2021-04-29

Systemic reaction (other): Dizzy still like vertigo

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): After 6 years I got my period after both shots ! This shot absolutely effects thyroid hormones ! I got my right thyroid out 6 years ago. My period stopped ! Thus shot effects thyroid hormones on woman ! Absolutely no doubt ! So do not say it is not!

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Very dizzy.

Release 8 — day 21, dose 2

2021-05-14

Symptoms: 6 years ago removed right thyroid and did not have my period ever since then ...I have started spotting and have not stopped . It happened for a few days after first shot , Now second shot started again and has not stopped . Also nausea, dizzy

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Getting a ultra sound , after 6 years of no period ...after right thyroid was removed . First shot spotting for a week , 2 cd shot have been spotting continually ...

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Vaginal bleeding since shot. Having tests

Healthcare visit (other): In office visits , ultra sounds , seeing specialist

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	Office visit	✓	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	○
SD	Intermenstrual bleeding	✓	✓	✓
SD	Nausea	✓	✓	✓
SD	Night sweats	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Vaccine positive rechallenge	✓	✓	✓
SD	Vaginal haemorrhage	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Goitre	✓	✓	✓
SRO	Inflammation	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Migraine	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Therapeutic response unexpected	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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