2KN-63702-09772

4 vaccinations 9 coded responses 38 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 117 / NY
Registered: 2021-02-27

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

2021-02-20
Dose 1 — Pfizer-BioNTech
2021-02-27
Registered in v-safe
2021-02-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-13
Dose 2 — Pfizer-BioNTech
2021-03-14
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Eye pain, Pain of skin — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shivering. Skin hurt. Eyes hurt.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Body temperature increased, Cold sweat — Feeling: Fair · Fever · Fatigue or tiredness

Free text: Feeling clammy from elevated temperature.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Ear swelling, Lymphadenopathy, Swelling face — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen gland ? and facial swelling in right side under the ear/jaw area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-21
Survey response — day 7, dose 2
MedDRA: Parotid gland enlargement — Feeling: Good

Free text: Parotid gland swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-24
Survey response — day 42, dose 2
MedDRA: Gastritis — Feeling: Good

Free text: Gastritis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Survey response — 3 months, dose 2
MedDRA: Abdominal pain upper, Gastritis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Gastritis. Severe stomach pain that is only slightly improved with protonix medication. Started mid April to present. · Healthcare visit (other): Doctors office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Call 1 — Left Voicemail
2021-06-18
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-11
Survey response — 6 months, dose 2
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · 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: Cancer recurrence. Was 26 months no evidence of disease after chemo.

MedDRA releases: 2024-11 · check-in free text available
2021-09-11
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-13
Call 1 — Left Voicemail
2021-09-21
Call successful
Participant prefers to complete VAERS report online
2021-11-15
Dose 3 — Pfizer-BioNTech
2021-11-22
Health check-in — day 7, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-29
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-13
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-20
Survey response — day 35, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Running nose and sneezing.

MedDRA releases: 2024-11 · check-in free text available
2021-12-27
Survey response — day 42, dose 3
MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair

Free text: Runny nose and sneezing.

MedDRA releases: 2024-11 · check-in free text available
2022-02-14
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-16
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-11-17
Dose 4 — Pfizer-BioNTech
2022-11-17
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in
2022-11-18
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-11-19
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-11-20
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-11-21
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Nausea

Adult check-in
2022-11-22
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-23
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-11-24
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-12-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-08
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-15
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-22
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-29
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-16
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-18
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-20	Pfizer-BioNTech
2	2021-03-13	Pfizer-BioNTech
3	2021-11-15	Pfizer-BioNTech	No
4	2022-11-17	Pfizer-BioNTech	No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Shivering. Skin hurt. Eyes hurt.

2021-03-15

Systemic reaction (other): Feeling clammy from elevated temperature.

2021-03-19

Systemic reaction (other): Swollen gland ? and facial swelling in right side under the ear/jaw area.

Release 6 — day 7, dose 2

2021-03-21

Systemic reaction (other): Parotid gland swelling.

Release 7 — day 42, dose 2

2021-04-24

Symptoms: Gastritis

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Gastritis. Severe stomach pain that is only slightly improved with protonix medication. Started mid April to present.

Healthcare visit (other): Doctors office

Release 9 — 6 months, dose 2

2021-09-11

Symptoms: Cancer recurrence. Was 26 months no evidence of disease after chemo.

Release 10 — day 35, dose 3

2021-12-20

Symptoms: Running nose and sneezing.

Release 10 — day 42, dose 3

2021-12-27

Symptoms: Runny nose and sneezing.

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	Abdominal pain upper	✓	✓	✓
SD	Condition aggravated	·	·	✓
SD	Gastritis	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Sneezing	·	·	✓
SRO	Body temperature increased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Ear swelling	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain of skin	✓	✓	✓
SRO	Parotid gland enlargement	✓	✓	✓
SRO	Swelling face	✓	✓	✓

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