ZPD-18790-12243

2 vaccinations 10 coded responses 15 check-ins 10 free-text entries 3 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 110 / NY
Registered: 2021-03-26

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

2021-03-26
Registered in v-safe
2021-03-26
Dose 1 — Pfizer-BioNTech
2021-03-26
Survey response — day 0, dose 1
MedDRA: Epistaxis — Feeling: Poor · Site: Pain · Chills · Be unable to work

Free text: bad nose bleed last 1 hour

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Light headed

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Fair

Free text: Some chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair · Chills, Fatigue or tiredness

Free text: Light headed

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

Free text: Im much more tired today than Ive been

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — day 7, dose 1
MedDRA: Muscle spasms — Feeling: Fair

Free text: Muscle spasm in chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — day 14, dose 1
MedDRA: Epistaxis, Migraine, Office visit, Ophthalmic migraine — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: 2 more bloody noses Occular migraine · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-16
Survey response — day 21, dose 1
MedDRA: Fatigue, Menstruation irregular — Feeling: Fair

Free text: Very tiredMenstrual cycle off - 2 weeks early

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Dose 2 — Pfizer-BioNTech
2021-04-23
Health check-in — day 0, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-09
Survey response — day 14, dose 2
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I have a UTI & asthma symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Survey response — day 21, dose 2
MedDRA: Asthma, Epistaxis, Menstrual disorder, Migraine, Office visit, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: since my first vaccine I have had a lot of ailments.Bloody nose, asthma, migraine, menstrual cycle off & now a UTI not going away with antibiotics. I feel that my immune system has been weakened. I am a small person weighing 95lbs. Dose too big poss · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-14
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-04-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-26	Pfizer-BioNTech
2	2021-04-23	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-09	Unsuccessful
2021-05-09	Unsuccessful
2021-05-14	Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-26

Systemic reaction (other): bad nose bleed last 1 hour

Release 6 — days 1–6 daily, dose 1

2021-03-28

Systemic reaction (other): Light headed

2021-03-30

Systemic reaction (other): Some chest pain

2021-03-31

Systemic reaction (other): Light headed

2021-04-01

Systemic reaction (other): Im much more tired today than Ive been

Release 6 — day 7, dose 1

2021-04-02

Systemic reaction (other): Muscle spasm in chest

Release 7 — day 14, dose 1

2021-04-09

Symptoms: 2 more bloody noses Occular migraine

Healthcare visit (other): Doctors office

Release 7 — day 21, dose 1

2021-04-16

Symptoms: Very tiredMenstrual cycle off - 2 weeks early

Release 8 — day 14, dose 2

2021-05-09

Symptoms: I have a UTI & asthma symptoms

Release 8 — day 21, dose 2

2021-05-14

Symptoms: since my first vaccine I have had a lot of ailments.Bloody nose, asthma, migraine, menstrual cycle off & now a UTI not going away with antibiotics. I feel that my immune system has been weakened. I am a small person weighing 95lbs. Dose too big poss cut off by CDC

Healthcare visit (other): Doctors office

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	Asthma	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Menstrual disorder	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Migraine	✓	✓	✓
SD	Ophthalmic migraine	✓	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Epistaxis	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓

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