2R3-13295-86249

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 919 / CA
Registered: 2021-03-08

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

2021-02-11
Dose 1 — Pfizer-BioNTech
2021-03-04
Dose 2 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Headache, Hypoaesthesia, Impaired work ability, Lymph node pain, Lymphadenopathy, Musculoskeletal pain, Neck pain, Pain, Pyrexia, Tinnitus — Feeling: Fair · Site: Pain

Free text: After 1st shot, i had pain moving arm of shot for 3 weeks, mild headache, painful swollen lymph node on clavicle (still present), ringing in ear on side of shot at night lying down, sore neck and shoulder blade on side of shot. Immediately after shot my face felt numb for 1 hour. After 2nd shot, 12 hrs later I had fever, chills, severe headache for 24 hrs and could not work. My lymph node on clavicle is more swollen and still tender and I still have ringing in ear on side of shot when lying down.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Arthralgia, Lymph node pain, Lymphadenopathy, Neck pain — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Free text: Swollen tender lymph node on clavicle same side as shot, been present simce first shot but had shrunk a little after first shot and got larger again after 2nd shot.. Sore neck and shoulder blade on side of shot. No ringing in ear today. Abdominal pain lasted 30 minutes.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Musculoskeletal pain, Neck pain — Feeling: Fair · Muscle or body aches, Nausea

Free text: Swollen painful lymph node near clavicle still there since first shot. Its been one week since 2nd shot. It has has gine down in size slightly. Sore neck and shoulder blade on side of shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — day 7, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Nausea

Free text: Swollen tender lymph node on clavicle on side of shot. Been there since first shot. Still thete after second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Survey response — day 14, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Lymphnode on clavicle still swollen on same side as shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — day 21, dose 2
MedDRA: Discomfort, Lymphadenopathy, Tinnitus — Feeling: Fair

Free text: The ringing in my left ear (same side of shot) has worsened. It is more frequent and louder. Its bothersome and scary. I'm hoping its not permanent. Sometimes i think i hear it in the right ear.My swollen clavicle lymonode is finally shrinking a bit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — day 28, dose 2
MedDRA: Ear pain, Ear pruritus, Lymphadenopathy, Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: Left ear- same side of shot - still ringing. Sometimes I feel pain or itching in that ear but not regularly. The ringing though has not stopped. Swollen lymonode on clavicle on left side has decreased dramatically in size. Its still there but barely · Healthcare visit (other): ENT referral has now been made

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — day 35, dose 2
MedDRA: Ear pain, Pruritus, Tinnitus, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Still ringimg in left ear and now some times right ear. Sometimes pain in left ear and itching ear canal. · Healthcare visit (other): I have scheduled ENT visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-15
Survey response — day 42, dose 2
MedDRA: Office visit, Tinnitus — Feeling: Poor · Get care from a doctor or other healthcare professional

Free text: Symptoms: The ringing in my left ear (side of shot) has gotten louder and rings about 90% of the day. It is getting worse. I am still waiting to an ENT. · Healthcare visit (other): ENT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-06-09
Call successful
Participant prefers to complete VAERS report online
2021-06-09
Call successful
Participant prefers to complete VAERS report online
2021-06-09
Call successful
Participant prefers to complete VAERS report online
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-03-04
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-11	Pfizer-BioNTech
2	2021-03-04	Pfizer-BioNTech

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): After 1st shot, i had pain moving arm of shot for 3 weeks, mild headache, painful swollen lymph node on clavicle (still present), ringing in ear on side of shot at night lying down, sore neck and shoulder blade on side of shot. Immediately after shot my face felt numb for 1 hour. After 2nd shot, 12 hrs later I had fever, chills, severe headache for 24 hrs and could not work. My lymph node on clavicle is more swollen and still tender and I still have ringing in ear on side of shot when lying down.

2021-03-09

Systemic reaction (other): Swollen tender lymph node on clavicle same side as shot, been present simce first shot but had shrunk a little after first shot and got larger again after 2nd shot.. Sore neck and shoulder blade on side of shot. No ringing in ear today. Abdominal pain lasted 30 minutes.

2021-03-10

Systemic reaction (other): Swollen painful lymph node near clavicle still there since first shot. Its been one week since 2nd shot. It has has gine down in size slightly. Sore neck and shoulder blade on side of shot.

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Swollen tender lymph node on clavicle on side of shot. Been there since first shot. Still thete after second shot.

Release 5 — day 14, dose 2

2021-03-18

Symptoms: Lymphnode on clavicle still swollen on same side as shot

Release 6 — day 21, dose 2

2021-03-25

Symptoms: The ringing in my left ear (same side of shot) has worsened. It is more frequent and louder. Its bothersome and scary. I'm hoping its not permanent. Sometimes i think i hear it in the right ear.My swollen clavicle lymonode is finally shrinking a bit cut off by CDC

Release 6 — day 28, dose 2

2021-04-01

Symptoms: Left ear- same side of shot - still ringing. Sometimes I feel pain or itching in that ear but not regularly. The ringing though has not stopped. Swollen lymonode on clavicle on left side has decreased dramatically in size. Its still there but barely cut off by CDC

Healthcare visit (other): ENT referral has now been made

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Still ringimg in left ear and now some times right ear. Sometimes pain in left ear and itching ear canal.

Healthcare visit (other): I have scheduled ENT visit

Release 7 — day 42, dose 2

2021-04-15

Symptoms: The ringing in my left ear (side of shot) has gotten louder and rings about 90% of the day. It is getting worse. I am still waiting to an ENT.

Healthcare visit (other): ENT

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	Discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Ear pruritus	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pruritus	✓	✓	✓
SD	Tinnitus	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Impaired work ability	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Tinnitus	✓	✓	✓

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