3E2-20360-56899

3 vaccinations 17 coded responses 37 check-ins 17 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 601 / IL
Registered: 2021-03-19

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

2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-19
Registered in v-safe
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Groin pain, Lymph node pain, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain under arm going under breast lymph node pain in armpit and in groin.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain under armpit in lymph node area as well as under left breast.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Lymph node pain — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness

Free text: Armpit and lymph node pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Redness · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-01
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-08
Survey response — day 0, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: Dizzy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Breast pain, Dyspnoea, Erythema, Pain in extremity, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath. Swelling pain and redness under arm and armpit. Pain going on side of breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pain and swelling in armpit node on side of shot. I had this on the opposite arm for the first dose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-08
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Burning sensation, Pain in extremity — Feeling: Good

Free text: Pain in shoulder and arm where shot was. Left arm. Right arm feels like there is a stinging sensation by my veins.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Cough, Office visit, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Wheezing and coughing but under doctor care · Healthcare visit (other): Doctor visit

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling under armpit area

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain, Breast swelling, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain and swelling under armpit and side of left breast area.

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Swelling under arm and side of breast. Lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Pain under arm by breast and lymph node.

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Call successful
Participant prefers to complete VAERS report online
2021-12-08
Survey response — day 7, dose 3
MedDRA: Breast swelling, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness

Free text: Swelling in left armpit and breast area

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-22
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-02
Survey response — 3 months, dose 3
MedDRA: Cough, Wheezing — Feeling: Fair

Free text: Cough and wheezing that won't go away

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Arthritis, Tendonitis — 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: Arthritis. Knee pain. Tendinitis

MedDRA releases: 2024-11 · check-in free text available
2022-06-01
Report sent to call center — 6 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)
2022-06-02
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-03
Survey response — 12 months, dose 3
MedDRA: Chills, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Knee replacement in 9/22. Yesterday 4th Covid shot. Fever Chills.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Pain under arm going under breast lymph node pain in armpit and in groin.

2021-03-21

Systemic reaction (other): Pain under armpit in lymph node area as well as under left breast.

2021-03-22

Systemic reaction (other): Armpit and lymph node pain.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: Arm pain

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): Dizzy

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Shortness of breath. Swelling pain and redness under arm and armpit. Pain going on side of breast

2021-04-11

Systemic reaction (other): Pain and swelling in armpit node on side of shot. I had this on the opposite arm for the first dose

Release 9 — 3 months, dose 2

2021-07-08

Symptoms: Pain in shoulder and arm where shot was. Left arm. Right arm feels like there is a stinging sensation by my veins.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: Wheezing and coughing but under doctor care

Healthcare visit (other): Doctor visit

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): Swelling under armpit area

2021-12-04

Systemic reaction (other): Pain and swelling under armpit and side of left breast area.

2021-12-05

Systemic reaction (other): Swelling under arm and side of breast. Lymph node

2021-12-06

Systemic reaction (other): Pain under arm by breast and lymph node.

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): Swelling in left armpit and breast area

Release 11 — 3 months, dose 3

2022-03-02

Symptoms: Cough and wheezing that won't go away

Release 11 — 6 months, dose 3

2022-06-01

Symptoms: Arthritis. Knee pain. Tendinitis

Release 12 — 12 months, dose 3

2022-12-03

Symptoms: Knee replacement in 9/22. Yesterday 4th Covid shot. Fever Chills.

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	Arthralgia	✓	✓	✓
SD	Arthritis	·	·	✓
SD	Burning sensation	✓	✓	✓
SD	Chills	·	·	✓
SD	Cough	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	·	·	✓
SD	Tendonitis	·	·	✓
SD	Wheezing	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast swelling	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Groin pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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