ZHK-26953-70224

3 vaccinations 6 coded responses 28 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 082 / NJ
Registered: 2021-01-21

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-09
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-02-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-16
Survey response — day 7, dose 2
MedDRA: Dry mouth, Hypersomnia — Feeling: Good · Fatigue or tiredness

Free text: Extreme dry mouth at night. Sleep several hours more at night post vaccinations

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-16
Survey response — day 35, dose 2
MedDRA: Throat irritation — Feeling: Good

Free text: Slightly Scratchy throat very deep down in upper chest. For about a week and a half. Too deep to clear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — day 42, dose 2
MedDRA: Condition aggravated, Middle ear effusion, Palpitations, Pre-existing disease — Feeling: Good

Free text: Increasingly bothersome tinnitus. Sounds like my heart is Beating and fluid is pulsating in my ear.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Joint and muscle pain and body aches. Dont think its related to vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-27
Dose 3 — Pfizer-BioNTech
2021-09-27
Survey response — day 0, dose 3
MedDRA: Chills, Headache, Malaise, Nausea, Pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: The day after I received the vaccine I became very ill with bad headache, chills, all over body aches, and some nausea.

MedDRA releases: 2024-11 · check-in free text available
2021-09-28
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · None

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Redness, Swelling · Headache, Abdominal pain

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-01
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-27
Survey response — 3 months, dose 3
MedDRA: Tinnitus, Vertigo — Feeling: Fair · 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 and increased tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-28
Call successful
Participant prefers to complete VAERS report online
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-09	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-27	Successful 2021-12-28	Participant prefers to complete VAERS report online

Free text

Release 4 — day 7, dose 2

2021-02-16

Systemic reaction (other): Extreme dry mouth at night. Sleep several hours more at night post vaccinations

Release 5 — day 35, dose 2

2021-03-16

Symptoms: Slightly Scratchy throat very deep down in upper chest. For about a week and a half. Too deep to clear.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Increasingly bothersome tinnitus. Sounds like my heart is Beating and fluid is pulsating in my ear.

Release 8 — 3 months, dose 2

2021-05-11

Symptoms: Joint and muscle pain and body aches. Dont think its related to vaccine.

Release 9 — day 0, dose 3

2021-09-27

Systemic reaction (other): The day after I received the vaccine I became very ill with bad headache, chills, all over body aches, and some nausea.

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Vertigo and increased tinnitus

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	Arthralgia	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Middle ear effusion	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Throat irritation	✓	✓	✓
SD	Tinnitus	·	·	✓
SD	Vertigo	·	·	✓
SRO	Chills	·	·	✓
SRO	Dry mouth	✓	✓	✓
SRO	Headache	·	·	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Malaise	·	·	✓
SRO	Nausea	·	·	✓
SRO	Pain	·	·	✓

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