3FR-28676-22268

4 vaccinations 28 coded responses 37 check-ins 26 free-text entries 7 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 640 / MO
Registered: 2021-03-18

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
Registered in v-safe
2021-03-18
Dose 1 — Pfizer-BioNTech
2021-03-18
Survey response — day 0, dose 1
MedDRA: No adverse event — Feeling: Fair · Headache

Free text: No

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Nausea, Diarrhea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Nausea

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Fair

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Survey response — day 7, dose 1
MedDRA: Pruritus — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Itching all over but no rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-09
Dose 2 — Pfizer-BioNTech
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Dizzyness

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: Dizziness, Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizzyness, swollen lymph nodes-neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy — Feeling: Poor · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzyness, swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Lymphadenopathy, Oropharyngeal pain — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizzy swollen lymph nodes sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph nodes-neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness

Free text: Swollen lymph nodes neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-30
Survey response — day 21, dose 2
MedDRA: Cough, Dizziness, Dyspnoea, Headache, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Shortness of breath, headache, dizzy, cough, feel feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — day 28, dose 2
MedDRA: Dyspnoea, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, SOB, fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 35, dose 2
MedDRA: Dyspnoea, Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: SOB, fatigue, swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Survey response — 3 months, dose 2
MedDRA: Arthralgia, Dyspnoea exertional, Fatigue, Headache, Memory impairment — Feeling: Fair · 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: SOB esp with exercise, increased joint pain,fuzzy memory, fatigue and increased headaches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — 3 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

1 call case(s)
2021-07-19
Call 1 — Left Voicemail
2021-12-01
Dose 3 — Pfizer-BioNTech
2021-12-02
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, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph nodes in neck, under left arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen cervical lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swollen lymph nodes · Healthcare visit (other): Primary Care for swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-07
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-08
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen cervical lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Call successful
Participant prefers to complete VAERS report online
2021-12-15
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-22
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy, Office visit, Thyroid mass, Ultrasound scan abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Suspected swollen lymph nodes. Sonogram confirms 3 nodules in Thyroid · Healthcare visit (other): Primary care physician

MedDRA releases: 2024-11 · check-in free text available
2021-12-22
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2021-12-23
Call 1 — Left Voicemail
2022-01-07
Survey response — day 35, dose 3
MedDRA: Arthralgia, Dizziness, Fatigue, Headache, Lymphadenopathy, Oropharyngeal pain, Pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Headache, dizziness, sore throat, swollen lymph nodes, body/joint pain, severe fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — day 42, dose 3
MedDRA: Abdominal pain, Ageusia, Anosmia, Arthralgia, Decreased appetite, Dyspnoea, Ear pain, Fatigue, Headache, Lymphadenopathy, Nausea, Oropharyngeal pain, Pain, Productive cough, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school

Free text: Headache, sore throat, earache, swollen lymph nodes, fever, congestion, productive cough, SOB, body/joint pain, fatigue, nausea, abdominal pain, no appetite, loss taste/smell

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Dose 4 — Pfizer-BioNTech
2022-11-26
Survey response — day 14, dose 4
MedDRA: Alopecia, Anxiety, Back pain, Depression, Diabetes mellitus, Hypertension, Neuropathy peripheral — Feeling: Fair · 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, Emergency room or emergency department visit, Hospitalization

Free text: Diabetes, worsening HTN, neuropathy, anxiety and depression, worsening back pain, severe hair loss

MedDRA releases: 2024-11 · check-in free text available
2022-11-26
Report sent to call center — day 14, dose 4
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-11-28
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-28
Call successful
Participant prefers to complete VAERS report online
2022-11-28
Call successful
Participant prefers to complete VAERS report online
2022-12-01
Survey response — day 21, dose 4
MedDRA: Blood glucose increased, Hypertension, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Increased HTN and blood sugars. I check these things a couple of times a day.

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Survey response — day 35, dose 4
MedDRA: COVID-19 — 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: I have COVID

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Report sent to call center — day 35, dose 4
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)
2022-12-19
Call 3 — Left Voicemail
2023-02-09
Survey response — 3 months, dose 4
MedDRA: Chest pain, Dizziness, Dyskinesia, Tremor — 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

MedDRA releases: 2024-11
2023-02-09
Report sent to call center — 3 months, dose 4
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)
2023-02-10
Call 1 — Left Voicemail
2023-02-10
Call 1 — Left Voicemail
2023-05-11
Survey response — 6 months, dose 4
MedDRA: Thyroid mass, Ultrasound scan abnormal, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-05-11
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-05-12
Call 2 — Left Voicemail
2023-05-12
Call 2 — Left Voicemail
2023-05-12
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-18	Pfizer-BioNTech
2	2021-04-09	Pfizer-BioNTech
3	2021-12-01	Pfizer-BioNTech	No
4	2022-11-10	Pfizer-BioNTech	No

Call center

7 call center cases

4 successful · 3 unsuccessful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-18

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Dizziness

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Itching all over but no rash

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Dizzyness

2021-04-11

Systemic reaction (other): Dizzyness, swollen lymph nodes-neck

2021-04-12

Systemic reaction (other): Dizzyness, swollen lymph nodes in neck

2021-04-13

Systemic reaction (other): Dizzy swollen lymph nodes sore throat

2021-04-14

Systemic reaction (other): Swollen lymph nodes-neck

2021-04-15

Systemic reaction (other): Swollen lymph nodes neck

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Swollen lymph nodes

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Shortness of breath, headache, dizzy, cough, feel feverish

Release 8 — day 28, dose 2

2021-05-07

Symptoms: Headache, SOB, fatigue

Release 8 — day 35, dose 2

2021-05-15

Symptoms: SOB, fatigue, swollen lymph nodes

Release 9 — 3 months, dose 2

2021-07-09

Symptoms: SOB esp with exercise, increased joint pain,fuzzy memory, fatigue and increased headaches

Release 10 — days 1–6 daily, dose 3

2021-12-03

Systemic reaction (other): Swollen lymph nodes in neck, under left arm

2021-12-04

Systemic reaction (other): Swollen lymph nodes

2021-12-05

Systemic reaction (other): Swollen lymph nodes

2021-12-06

Systemic reaction (other): Swollen cervical lymph nodes

2021-12-07

Systemic reaction (other): Swollen lymph nodes

Healthcare visit (other): Primary Care for swollen lymph nodes

Release 10 — day 7, dose 3

2021-12-08

Systemic reaction (other): Swollen cervical lymph nodes

Release 10 — day 21, dose 3

2021-12-22

Symptoms: Suspected swollen lymph nodes. Sonogram confirms 3 nodules in Thyroid

Healthcare visit (other): Primary care physician

Release 10 — day 35, dose 3

2022-01-07

Symptoms: Headache, dizziness, sore throat, swollen lymph nodes, body/joint pain, severe fatigue

Release 10 — day 42, dose 3

2022-01-12

Symptoms: Headache, sore throat, earache, swollen lymph nodes, fever, congestion, productive cough, SOB, body/joint pain, fatigue, nausea, abdominal pain, no appetite, loss taste/smell

Release 12 — day 14, dose 4

2022-11-26

Symptoms: Diabetes, worsening HTN, neuropathy, anxiety and depression, worsening back pain, severe hair loss

Release 12 — day 21, dose 4

2022-12-01

Symptoms: Increased HTN and blood sugars. I check these things a couple of times a day.

Release 12 — day 35, dose 4

2022-12-17

Symptoms: I have COVID

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	Lymphadenopathy	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Abdominal pain	·	·	✓
SD	Ageusia	·	·	✓
SD	Alopecia	·	·	✓
SD	Anosmia	·	·	✓
SD	Anxiety	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Back pain	·	·	✓
SD	Blood glucose increased	·	·	✓
SD	Chest pain	·	·	✓
SD	Cough	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Decreased appetite	·	·	✓
SD	Depression	·	·	✓
SD	Diabetes mellitus	·	·	✓
SD	Dizziness	✓	✓	✓
SD	Dyskinesia	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Dyspnoea exertional	✓	✓	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Memory impairment	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Productive cough	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SD	Thyroid mass	·	·	✓
SD	Tremor	·	·	✓
SD	Ultrasound scan abnormal	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	No adverse event	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pruritus	✓	✓	✓

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