ZL4-85336-77945

2 vaccinations 12 coded responses 27 check-ins 12 free-text entries 6 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 120 / NY
Registered: 2021-11-05

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

LA7-23442-42273 Child or adolescent in my care · Male · 2022-01-13

Timeline

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

2021-11-05
Registered in v-safe
2021-11-05
Dose 1 — Pfizer-BioNTech
2021-11-05
Survey response — day 0, dose 1
MedDRA: Ageusia, Dysgeusia, Paraesthesia — Feeling: Fair · Headache

Free text: Pins and needles in left hand. I am also having metallic taste in my mouth. Eating food and it has no flavor.

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Light headed and almost passed out

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Dysgeusia — Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness

Free text: Lightheaded, dizzy, metal taste in my mouth

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Head discomfort, Migraine, Unevaluable event — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Migraine and dizziness along with head pressure · Healthcare visit (other): I have an appt later this week

MedDRA releases: 2024-11 · check-in free text available
2021-11-08
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-09
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Migraine, Palpitations, Unevaluable event — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Racing heartbeat, dizziness, migraine · Healthcare visit (other): Scheduled appt this week

MedDRA releases: 2024-11 · check-in free text available
2021-11-09
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-09
Call successful
Does not wish to fill out VAERS report
2021-11-10
Call 1 — Left Voicemail
2021-11-11
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Heart rate increased, Office visit — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Dizziness and rapid heartbeat · Healthcare visit (other): In office visit with specialist. Was advised by three different physicians to skip the second dose due to reactions

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-12
Survey response — day 7, dose 1
MedDRA: Dizziness, Palpitations — Feeling: Good · Headache

Free text: Dizziness, heart palpitation

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Call 1 — Left Voicemail
2021-11-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-12-03
Survey response — day 28, dose 1
MedDRA: Chest discomfort, Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Chest tightness and dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-10
Survey response — day 35, dose 1
MedDRA: Chest pain, Dizziness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Dizziness and chest pain · Healthcare visit (other): Mri and EEG

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 1 — Requested Callback
2021-12-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-12-17
Survey response — day 42, dose 1
MedDRA: Dysgeusia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: My sense of taste is all metallic. As though I am sucking on pennies · Healthcare visit (other): Seen my dentist who now gas referred me to an ENT

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — day 42, dose 1
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-22
Call 2 — Requested Callback
2022-01-06
Call 1 — Left Voicemail
2022-02-04
Health check-in — 3 months, dose 1
Feeling: Good

Adult check-in
2022-03-06
Dose 2 — Pfizer-BioNTech
2022-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2022-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea

Free text: Dizziness

MedDRA releases: 2024-11 · check-in free text available
2022-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Migraine — Feeling: Fair · Site: Itching · Fever · Headache, Nausea · Be unable to work or attend school

Free text: Migraine

MedDRA releases: 2024-11 · check-in free text available
2022-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-03-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2022-03-13
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2022-03-20
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2022-03-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2022-04-03
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2022-04-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2022-04-17
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2022-06-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2022-09-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2023-03-06
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-11-05	Pfizer-BioNTech	No
2	2022-03-06	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-08	Successful 2021-11-09	Does not wish to fill out VAERS report
2021-11-09	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-11-11	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-12-03	Successful 2021-12-06	Reported to VAERS voluntarily prior to GDIT contact
2021-12-10	Successful 2021-12-15	Reported to VAERS voluntarily prior to GDIT contact
2021-12-17	Unsuccessful

Free text

Release 10 — day 0, dose 1

2021-11-05

Systemic reaction (other): Pins and needles in left hand. I am also having metallic taste in my mouth. Eating food and it has no flavor.

Release 10 — days 1–6 daily, dose 1

2021-11-06

Systemic reaction (other): Light headed and almost passed out

2021-11-07

Systemic reaction (other): Lightheaded, dizzy, metal taste in my mouth

2021-11-08

Systemic reaction (other): Migraine and dizziness along with head pressure

Healthcare visit (other): I have an appt later this week

2021-11-09

Systemic reaction (other): Racing heartbeat, dizziness, migraine

Healthcare visit (other): Scheduled appt this week

2021-11-11

Systemic reaction (other): Dizziness and rapid heartbeat

Healthcare visit (other): In office visit with specialist. Was advised by three different physicians to skip the second dose due to reactions

Release 10 — day 7, dose 1

2021-11-12

Systemic reaction (other): Dizziness, heart palpitation

Release 10 — day 28, dose 1

2021-12-03

Symptoms: Chest tightness and dizziness

Release 10 — day 35, dose 1

2021-12-10

Symptoms: Dizziness and chest pain

Healthcare visit (other): Mri and EEG

Release 10 — day 42, dose 1

2021-12-17

Symptoms: My sense of taste is all metallic. As though I am sucking on pennies

Healthcare visit (other): Seen my dentist who now gas referred me to an ENT

Release 11 — days 1–6 daily, dose 2

2022-03-08

Systemic reaction (other): Dizziness

2022-03-09

Systemic reaction (other): Migraine

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	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Chest discomfort	·	·	✓
SD	Chest pain	·	·	✓
SD	Dizziness	·	·	✓
SD	Dysgeusia	·	·	✓
SRO	Ageusia	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dysgeusia	·	·	✓
SRO	Head discomfort	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Migraine	·	·	✓
SRO	Palpitations	·	·	✓
SRO	Paraesthesia	·	·	✓

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