ZPU-81169-71954

4 vaccinations 11 coded responses 43 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 744 / OK
Registered: 2020-12-21

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

2020-12-20
Dose 1 — Pfizer-BioNTech
2020-12-21
Registered in v-safe
2020-12-21
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2020-12-21
Report sent to call center — days 1–6 daily, dose 1
Be unable to work · Be unable to do your normal daily activities

1 call case(s)
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-10
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-07
Survey response — day 28, dose 2
MedDRA: COVID-19, Hot flush — Feeling: Good

Free text: Worsening hot flashes. Were just happening at night since I had covid and now they are happening during the day too.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 42, dose 2
MedDRA: Hot flush — Feeling: Good

Free text: Worsening hot flashes that started after I first got COVID.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-27
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good · Headache

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — day 7, dose 3
MedDRA: Dizziness, Tinnitus — Feeling: Poor · Nausea · Be unable to do your normal daily activities

Free text: Tinnitus and dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-18
Survey response — day 21, dose 3
MedDRA: Back pain, Fall, Pain, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have had very low back pain. I also fell on some concrete and am sore from the fall. I still have tinnitus that I didn't have prior to the vaccine booster

MedDRA releases: 2024-11 · check-in free text available
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: Fair

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

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Tinnitus — Feeling: Good · Site: Pain

Free text: Forgot to mention the continued tinnitus that I have had since the first booster vaccination

MedDRA releases: 2024-11 · check-in free text available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: Continues to have tinnitus since first booster.

MedDRA releases: 2024-11 · check-in free text available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2022-04-28
Survey response — day 7, dose 4
MedDRA: Tinnitus — Feeling: Good

Free text: Tinnitus

MedDRA releases: 2024-11 · check-in free text available
2022-05-07
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-22
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-20	Pfizer-BioNTech
2	2021-01-10	Pfizer-BioNTech
3	2021-09-27	Pfizer-BioNTech	Flu
4	2022-04-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-21	priority 2/3

Free text

Release 3 — day 28, dose 2

2021-02-07

Symptoms: Worsening hot flashes. Were just happening at night since I had covid and now they are happening during the day too.

Release 4 — day 42, dose 2

2021-02-22

Symptoms: Worsening hot flashes that started after I first got COVID.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Tinnitus

2021-10-02

Systemic reaction (other): Tinnitus

2021-10-03

Systemic reaction (other): Tinnitus

Release 9 — day 7, dose 3

2021-10-04

Systemic reaction (other): Tinnitus and dizziness

Release 10 — day 21, dose 3

2021-10-18

Symptoms: I have had very low back pain. I also fell on some concrete and am sore from the fall. I still have tinnitus that I didn't have prior to the vaccine booster

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): Forgot to mention the continued tinnitus that I have had since the first booster vaccination

2022-04-26

Systemic reaction (other): Continues to have tinnitus since first booster.

2022-04-27

Systemic reaction (other): Tinnitus

Release 11 — day 7, dose 4

2022-04-28

Systemic reaction (other): 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	Back pain	·	·	✓
SD	COVID-19	✓	✓	✓
SD	Fall	·	·	✓
SD	Hot flush	✓	✓	✓
SD	Pain	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Tinnitus	·	·	✓

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