2Q8-31739-80099

3 vaccinations 11 coded responses 17 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 902 / CA
Registered: 2021-04-05

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-31
Dose 1 — Pfizer-BioNTech
2021-02-21
Dose 2 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-23
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-06
Dose 3 — Pfizer-BioNTech
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Neck pain, Pain in jaw, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Ringing in my ears, neck and intermittent jaw pain

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Survey response — days 1–6 daily, dose 3
MedDRA: Arthralgia, Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Nausea · Be unable to work or attend school

Free text: Shoulder pain, swelling and pain on the axilla- same arm where I received my vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-12-09
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain and swelling to axilla of arm injected

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea, Diarrhea

Free text: Swelling on axilla

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling

Free text: Swelling and pain to axilla slightly better

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Nausea

Free text: Less pain to axilla today

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-20
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-03
Survey response — day 28, dose 3
MedDRA: Discomfort, Malaise — Feeling: Poor

Free text: Discomfort back to my armpit. General sick feeling.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Survey response — day 35, dose 3
MedDRA: Arthralgia, Axillary pain, Neck pain, Pain in jaw — Feeling: Poor · 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: Joint pain to shoulders, elbows, hips knees, neck, jaw. Still mild pain to underarm on side of injection.

MedDRA releases: 2024-11 · check-in free text available
2022-01-10
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-12
Call 1 — Could Not Reach Participant
2022-01-17
Survey response — day 42, dose 3
MedDRA: Arthralgia, Blood bilirubin increased, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Increased pain to right hip. Elevated bilirubin level in my blood. Persistent pain to shoulders, elbows, hip, knee joints. · Healthcare visit (other): X-ray of hip and abdominal Ultrasound

MedDRA releases: 2024-11 · check-in free text available
2022-01-17
Report sent to call center — day 42, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-17
Call 2 — Could Not Reach Participant
2022-01-18
Call 1 — Could Not Reach Participant
2022-01-21
Call 2 — Could Not Reach Participant
2022-03-09
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-06-08
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Mobility decreased — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, 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: Increased joint pain n decrease mobility

MedDRA releases: 2024-11 · check-in free text available
2022-06-08
Report sent to call center — 6 months, 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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-09
Call successful
Participant prefers to complete VAERS report online
2022-06-09
Call successful
Participant prefers to complete VAERS report online
2022-06-09
Call successful
Participant prefers to complete VAERS report online
2022-12-13
Survey response — 12 months, dose 3
MedDRA: Alopecia, Headache, Tinnitus — Feeling: Good · 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: Ear ringing, headaches, major hair loss

MedDRA releases: 2024-11 · check-in free text available
2022-12-13
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-12-14
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-31	Pfizer-BioNTech
2	2021-02-21	Pfizer-BioNTech
3	2021-12-06	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-07

Systemic reaction (other): Ringing in my ears, neck and intermittent jaw pain

2021-12-08

Systemic reaction (other): Shoulder pain, swelling and pain on the axilla- same arm where I received my vaccine

2021-12-09

Systemic reaction (other): Pain and swelling to axilla of arm injected

2021-12-10

Systemic reaction (other): Swelling on axilla

2021-12-11

Systemic reaction (other): Swelling and pain to axilla slightly better

2021-12-12

Systemic reaction (other): Less pain to axilla today

Release 10 — day 28, dose 3

2022-01-03

Symptoms: Discomfort back to my armpit. General sick feeling.

Release 10 — day 35, dose 3

2022-01-10

Symptoms: Joint pain to shoulders, elbows, hips knees, neck, jaw. Still mild pain to underarm on side of injection.

Release 10 — day 42, dose 3

2022-01-17

Symptoms: Increased pain to right hip. Elevated bilirubin level in my blood. Persistent pain to shoulders, elbows, hip, knee joints.

Healthcare visit (other): X-ray of hip and abdominal Ultrasound

Release 11 — 6 months, dose 3

2022-06-08

Symptoms: Increased joint pain n decrease mobility

Release 12 — 12 months, dose 3

2022-12-13

Symptoms: Ear ringing, headaches, major hair loss

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	Unevaluable event	·	·	✓
SD	Alopecia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Axillary pain	·	·	✓
SD	Blood bilirubin increased	·	·	✓
SD	Discomfort	·	·	✓
SD	Headache	·	·	✓
SD	Malaise	·	·	✓
SD	Mobility decreased	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in jaw	·	·	✓
SD	Tinnitus	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain in jaw	·	·	✓
SRO	Tinnitus	·	·	✓

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