2V2-71534-23162

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 613 / IL
Registered: 2021-03-04

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-04
Registered in v-safe
2021-03-04
Dose 1 — Pfizer-BioNTech
2021-03-04
Survey response — day 0, dose 1
MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: 20 minutes post vaccine shortness of breath. Lasted approx 1 hr. Dissipated and did not return.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-07
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site

Free text: Rash spread to left hand. Vaccine was in R arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Pain in jaw — Feeling: Fair · Site: Swelling · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Severe jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-03-11
Health check-in — day 7, dose 1
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Survey response — day 14, dose 1
MedDRA: Pain in jaw — Feeling: Fair

Free text: Jaw pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Dose 2 — Pfizer-BioNTech
2021-03-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Rash morbilliform, Skin burning sensation, Skin warm — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Extreme Morbilliform rash on chest. Burning hot to touch.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-01
Health check-in — day 7, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-04-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — day 42, dose 2
MedDRA: Influenza — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I got the FLU!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-26
Survey response — 3 months, dose 2
MedDRA: Breast calcifications, Breast cyst, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: 2 breast cysts in right breast (benign) and benign calcifications of the right axilla. · Healthcare visit (other): Ultrasound of breasts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-26
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-06
Call successful
Participant prefers to complete VAERS report online
2021-08-19
Dose 3 — Pfizer-BioNTech
2021-09-23
Survey response — 6 months, dose 2
MedDRA: Benign breast neoplasm — Feeling: Good

Free text: 2 breast cysts (I don't remember if I reported this already) 1 1.5cm mildly complicated cyst and one 5cm simple cyst both in the L breast determined to be benign. I am otherwise not experiencing anything out of the ordinary.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-02-17
Survey response — 6 months, dose 3
MedDRA: Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities

Free text: Ankylosing Spondylitis no longer in remission

MedDRA releases: 2024-11 · check-in free text available
2022-08-21
Survey response — 12 months, dose 3
MedDRA: Hypogammaglobulinaemia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Diagnosed with hypogammaglobulanemia

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-04	Pfizer-BioNTech
2	2021-03-25	Pfizer-BioNTech
3	2021-08-19	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): 20 minutes post vaccine shortness of breath. Lasted approx 1 hr. Dissipated and did not return.

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): Rash spread to left hand. Vaccine was in R arm.

2021-03-09

Systemic reaction (other): Severe jaw pain

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Jaw pain

Release 6 — days 1–6 daily, dose 2

2021-03-27

Systemic reaction (other): Extreme Morbilliform rash on chest. Burning hot to touch.

Release 8 — day 42, dose 2

2021-05-07

Symptoms: I got the FLU!

Release 9 — 3 months, dose 2

2021-06-26

Symptoms: 2 breast cysts in right breast (benign) and benign calcifications of the right axilla.

Healthcare visit (other): Ultrasound of breasts

Release 9 — 6 months, dose 2

2021-09-23

Symptoms: 2 breast cysts (I don't remember if I reported this already) 1 1.5cm mildly complicated cyst and one 5cm simple cyst both in the L breast determined to be benign. I am otherwise not experiencing anything out of the ordinary.

Release 11 — 6 months, dose 3

2022-02-17

Symptoms: Ankylosing Spondylitis no longer in remission

Release 12 — 12 months, dose 3

2022-08-21

Symptoms: Diagnosed with hypogammaglobulanemia

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	Benign breast neoplasm	·	·	✓
SD	Breast calcifications	✓	✓	✓
SD	Breast cyst	✓	✓	✓
SD	Hypogammaglobulinaemia	·	·	✓
SD	Influenza	✓	✓	✓
SD	Pain in jaw	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Pain in jaw	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Rash morbilliform	✓	✓	✓
SRO	Skin burning sensation	✓	✓	✓
SRO	Skin warm	✓	✓	✓

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