ZED-17285-06879

4 vaccinations 13 coded responses 37 check-ins 13 free-text entries 6 call cases

Sex: Male
Age at first dose: 66+
ZIP prefix: 190 / PA
Registered: 2021-02-27

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling abnormal — Feeling: Fair · Chills, Headache, Fatigue or tiredness

Free text: Brain fog on and off

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Cough, Sinus congestion — Feeling: Fair · Fatigue or tiredness

Free text: Sinus congestion and cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-10
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 2
Feeling: Fair · Chills, Fatigue or tiredness

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Poor · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness/ vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzyness - vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 2
MedDRA: Vertigo — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Chills · 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): Vertigo · Healthcare visit (other): Have Dizzyness and Balance Center appointment for 3/25

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Report sent to call center — days 1–6 daily, 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)
2021-03-24
Survey response — day 7, dose 2
MedDRA: Vertigo — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work, 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: Vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Report sent to call center — day 7, 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)
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-15
Survey response — 6 months, dose 2
MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Dizzyness after COVID booster

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Dose 3 — Pfizer-BioNTech
2021-09-16
Call successful
Participant prefers to complete VAERS report online
2021-10-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-07
Survey response — day 21, dose 3
MedDRA: Dizziness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Mild dizziness since I got the booster shot · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-13
Call 3 — Could Not Reach Participant
2021-10-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-18
Call X — Left Voicemail
2021-10-18
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-10-21
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-28
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-16
Survey response — 3 months, dose 3
MedDRA: Balance disorder, Dizziness, Inner ear disorder, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Balance and dizzyness issues related to inner ear problems and sinus infection. · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-12-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-03-17
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-02
Dose 4 — Pfizer-BioNTech
2022-04-14
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-04-16
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-04-23
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-04-30
Survey response — day 28, dose 4
MedDRA: Cough, Dizziness, Fatigue — Feeling: Fair

Free text: fatigue, dizzyness, ocasional cough

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Survey response — day 35, dose 4
MedDRA: Brain fog, Dizziness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continued dizzyness and brain fog that lasts for a few weeks and then goes away for 1-2 weeks.

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-09
Call 1 — Could Not Reach Participant
2022-05-12
Call 1 — Requested Callback
2022-05-12
Call 1 — Requested Callback
2022-05-12
Call 1 — Requested Callback
2022-05-12
Call 1 — Could Not Reach Participant
2022-05-12
Call 1 — Requested Callback
2022-05-12
Call 2 — Requested Callback
2022-05-14
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Callback requested for
11:00AM ET
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Callback requested for
11:00AM ET
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Callback requested for
11:00AM ET
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Callback requested for
11:00AM ET
2022-05-17
Call 2 — Left Voicemail
2022-05-17
Callback requested for
11:00AM ET
2022-05-17
Call 3 — Left Voicemail
2022-05-17
Callback requested for
11:00AM ET
2022-05-17
Call successful
Completed over the phone
2022-07-02
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-01
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-04-02
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-09-16	Pfizer-BioNTech	No
4	2022-04-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-23	Successful	Participant prefers to complete VAERS report online
2021-03-24	Successful	Participant prefers to complete VAERS report online
2021-09-15	Successful 2021-09-16	Participant prefers to complete VAERS report online
2021-10-07	Successful 2021-10-18	Reported to VAERS voluntarily prior to GDIT contact
2021-12-16	Successful 2021-12-17	Reported to VAERS voluntarily prior to GDIT contact
2022-05-07	Successful 2022-05-17	Completed over the phone

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-27

Systemic reaction (other): Brain fog on and off

2021-02-28

Systemic reaction (other): Sinus congestion and cough

Release 6 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Dizziness/vertigo

2021-03-20

Systemic reaction (other): Dizziness/ vertigo

2021-03-21

Systemic reaction (other): Dizzyness - vertigo

2021-03-22

Systemic reaction (other): Vertigo

2021-03-23

Systemic reaction (other): Vertigo

Healthcare visit (other): Have Dizzyness and Balance Center appointment for 3/25

Release 6 — day 7, dose 2

2021-03-24

Systemic reaction (other): Vertigo

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Dizzyness after COVID booster

Release 10 — day 21, dose 3

2021-10-07

Symptoms: Mild dizziness since I got the booster shot

Healthcare visit (other): Office visit

Release 10 — 3 months, dose 3

2021-12-16

Symptoms: Balance and dizzyness issues related to inner ear problems and sinus infection.

Healthcare visit (other): Office visit

Release 11 — day 28, dose 4

2022-04-30

Symptoms: fatigue, dizzyness, ocasional cough

Release 11 — day 35, dose 4

2022-05-07

Symptoms: Continued dizzyness and brain fog that lasts for a few weeks and then goes away for 1-2 weeks.

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	Dizziness	✓	✓	✓
HCVO	Office visit	·	·	✓
SD	Balance disorder	·	·	✓
SD	Brain fog	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Fatigue	·	·	✓
SD	Inner ear disorder	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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