2GH-13395-08381

3 vaccinations 9 coded responses 32 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 112 / NY
Registered: 2021-03-19

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-19
Registered in v-safe
2021-03-19
Dose 1 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-03-19
Report sent to call center — day 0, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-04-02
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Lymph node in r lower abdomen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Adult check-in
2021-04-11
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Rash on left arm around where injection was given but also along my left firearm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-16
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-14
Survey response — day 35, dose 2
MedDRA: Dizziness — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-15
Dose 3 — Pfizer-BioNTech
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-18
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching

Free text: Swollen lymph nodes in arm and behind ear

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymph nodes swollen

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — day 14, dose 3
MedDRA: Coxsackie viral infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: I got coxsackie

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-14
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-19
Survey response — day 35, dose 3
MedDRA: Fatigue, Malaise, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Fatigue sore throatalaise

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2021-12-30
Call 1 — Left Voicemail
2022-01-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-17
Survey response — 12 months, dose 3
MedDRA: Anembryonic gestation, COVID-19 — Feeling: Fair

Free text: No implantation of embryo has Covid in June 2022 after having theee vaccines To the last question: I DONT KNOW

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-19	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-10-15	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-19	Unsuccessful
2021-04-11	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-04-02

Symptoms: Lymph node in r lower abdomen

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): Rash on left arm around where injection was given but also along my left firearm

Release 8 — day 35, dose 2

2021-05-14

Symptoms: Dizziness

Release 10 — days 1–6 daily, dose 3

2021-10-18

Systemic reaction (other): Swollen lymph nodes in arm and behind ear

2021-10-20

Systemic reaction (other): Lymph nodes swollen

Release 10 — day 7, dose 3

2021-10-22

Systemic reaction (other): Swollen lymph nodes

Release 10 — day 14, dose 3

2021-10-29

Symptoms: I got coxsackie

Release 10 — day 35, dose 3

2021-11-19

Symptoms: Fatigue sore throatalaise

Release 12 — 12 months, dose 3

2022-10-17

Symptoms: No implantation of embryo has Covid in June 2022 after having theee vaccines To the last question: I DONT KNOW

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	Anembryonic gestation	·	·	✓
SD	COVID-19	·	·	✓
SD	Coxsackie viral infection	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Malaise	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Rash	✓	✓	✓

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