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2ZC-20794-13788

3 vaccinations 9 coded responses 21 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
981 / WA
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
Y9N-64769-25062 Child or adolescent in my care · Male · 2021-10-27

Timeline

  1. 2021-03-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-23
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Under my armpit is swollen and very painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Chest pain — Feeling: Poor · Site: Pain, Itching · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Chest pain and under arm pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chest pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Pressure and stabbing on my chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-30
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chest pain and shoulder pain, same arm of the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-25
    Survey response — 3 months, dose 2
    MedDRA: Dry throat, Throat irritation — Feeling: Fair
    Free text: Dry itchy throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-10-27
    Survey response — 6 months, dose 2
    MedDRA: Chills, Cough, Headache, Nasal congestion — 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
    Free text: Headache, stuffy nose, chills and cough
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-27
    Report sent to call center — 6 months, dose 2
    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 · 1 call case(s)
  15. 2021-10-29
    Call successful
    Participant prefers to complete VAERS report online
  16. 2021-11-07
    Dose 3 — Pfizer-BioNTech
  17. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  18. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-11-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Lymph nodes swollen under armpit and my neck
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Lymph nodes under armpit and neck swollen and painfull
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  22. 2021-11-14
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  23. 2021-11-21
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  24. 2021-11-28
    Health check-in — day 21, dose 3
    Feeling: Poor · Be unable to work or attend school
    Free text: Have a bad cough runny nose and a mild fever
    Adult check-in · check-in free text available
  25. 2021-12-05
    Survey response — day 28, dose 3
    MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My cough is still persistent still needs t feeling better.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-05-10
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Pfizer-BioNTech
22021-04-23Pfizer-BioNTech
32021-11-07Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Under my armpit is swollen and very painful.

2021-04-26

Systemic reaction (other): Chest pain and under arm pain

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Pressure and stabbing on my chest

Release 8 — day 7, dose 2

2021-04-30

Systemic reaction (other): Chest pain and shoulder pain, same arm of the injection

Release 9 — 3 months, dose 2

2021-07-25

Symptoms: Dry itchy throat

Release 10 — 6 months, dose 2

2021-10-27

Symptoms: Headache, stuffy nose, chills and cough

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Lymph nodes swollen under armpit and my neck

2021-11-11

Systemic reaction (other): Lymph nodes under armpit and neck swollen and painfull

Release 10 — day 28, dose 3

2021-12-05

Symptoms: My cough is still persistent still needs t feeling better.

Release 12 — day 21, dose 3

2021-11-28

Symptoms: Have a bad cough runny nose and a mild fever

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

FieldPreferred term2021-092023-042024-11
SDChills · · ✓
SDCough · · ✓
SDDry throat ✓ · ✓
SDHeadache · · ✓
SDNasal congestion · · ✓
SDThroat irritation ✓ · ✓
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROLymph node pain · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral ✓ ✓ ✓

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