ZQN-31024-89603

3 vaccinations 10 coded responses 16 check-ins 10 free-text entries 5 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 210 / MD
Registered: 2020-12-22

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

2020-12-22
Registered in v-safe
2020-12-22
Dose 1 — Pfizer-BioNTech
2020-12-22
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Joint pains

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2020-12-27
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-05
Survey response — day 14, dose 1
MedDRA: Back pain, Chills, Diarrhoea, Inflammatory bowel disease, Intervertebral disc protrusion, Nephrolithiasis — Feeling: Poor · Be unable to do your normal daily activities

Free text: Chills on & off R/T kidney stones, loose to liquid stools IBD, back pain herniated disc

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Report sent to call center — day 14, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-01-20
Survey response — day 28, dose 1
MedDRA: Diarrhoea, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Diarrhea · Healthcare visit (other): EGD Colonoscopy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Report sent to call center — day 28, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-07
Dose 2 — Pfizer-BioNTech
2021-02-20
Survey response — day 7, dose 2
MedDRA: Tinnitus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Ringing in my ears from 2nd injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Headache, Tinnitus — Feeling: Good

Free text: Ringing in my head and severe headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Call 1 — Left Voicemail
2021-08-10
Survey response — 6 months, dose 2
MedDRA: Office visit, Tinnitus — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Ringing in both my ears · Healthcare visit (other): ENT doctor & hearing test.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-10
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)
2021-08-12
Call 1 — Left Voicemail
2022-02-21
Dose 3 — Pfizer-BioNTech
2022-02-23
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2022-02-24
Survey response — days 1–6 daily, dose 3
MedDRA: Reaction to previous exposure to any vaccine, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Free text: Ringing increases in my left side of my head, but worse than the 2nd dose.

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Survey response — days 1–6 daily, dose 3
MedDRA: Hypoaesthesia, Tinnitus — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, 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: Ringing on my left side of my head to base of my skull to top of my head, numbness on the left side of my face

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — days 1–6 daily, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-26
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Free text: Ringing in the left side head

MedDRA releases: 2024-11 · check-in free text available
2022-02-27
Survey response — days 1–6 daily, dose 3
MedDRA: Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ringing on my left side of my head

MedDRA releases: 2024-11 · check-in free text available
2022-03-02
Survey response — day 7, dose 3
MedDRA: Tinnitus — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Tinnitus on my left side of my head

MedDRA releases: 2024-11 · check-in free text available
2022-03-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-22	Pfizer-BioNTech
2	2021-02-07	Pfizer-BioNTech
3	2022-02-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2020-12-27	Successful	Participant prefers to complete VAERS report online
2021-01-05	Successful	Participant prefers to complete VAERS report online
2021-01-20	Successful	Participant prefers to complete VAERS report online
2021-08-10	Successful	Participant prefers to complete VAERS report online
2022-02-25	Successful 2022-03-03	Participant prefers to complete VAERS report online

Free text

Release 1 — day 14, dose 1

2021-01-05

Symptoms: Chills on & off R/T kidney stones, loose to liquid stools IBD, back pain herniated disc

Release 2 — day 28, dose 1

2021-01-20

Symptoms: Diarrhea

Healthcare visit (other): EGD Colonoscopy

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Ringing in my ears from 2nd injection

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Ringing in my head and severe headaches

Release 9 — 6 months, dose 2

2021-08-10

Symptoms: Ringing in both my ears

Healthcare visit (other): ENT doctor & hearing test.

Release 11 — days 1–6 daily, dose 3

2022-02-24

Systemic reaction (other): Ringing increases in my left side of my head, but worse than the 2nd dose.

2022-02-25

Systemic reaction (other): Ringing on my left side of my head to base of my skull to top of my head, numbness on the left side of my face

2022-02-26

Systemic reaction (other): Ringing in the left side head

2022-02-27

Systemic reaction (other): Ringing on my left side of my head

Release 11 — day 7, dose 3

2022-03-02

Systemic reaction (other): Tinnitus on my left side of my head

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	Back pain	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Inflammatory bowel disease	✓	✓	✓
SD	Intervertebral disc protrusion	✓	✓	✓
SD	Nephrolithiasis	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Hypoaesthesia	·	·	✓
SRO	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Tinnitus	✓	✓	✓

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