3HE-10620-04512

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 271 / NC
Registered: 2021-09-15

Relationship: Self
Race: N/A
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-09-15
Registered in v-safe
2021-09-15
Dose 1 — Pfizer-BioNTech
2021-09-15
Health check-in — day 0, dose 1
Feeling: Good · Headache

Adult check-in
2021-09-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-09-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-09-19
Survey response — days 1–6 daily, dose 1
MedDRA: Heart rate increased — Feeling: Fair · Muscle or body aches

Free text: Elevated heart rate

MedDRA releases: 2024-11 · check-in free text available
2021-09-20
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Fair

Free text: Swelling in feet, legs.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain — Feeling: Good

Free text: Some stabbing pains in chest area.

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Health check-in — day 7, dose 1
Feeling: Good · Headache, Diarrhea

Adult check-in
2021-09-29
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue Saturday, Sept 25, Sunday Sept 26 and Monday Sept 27. Almost to the point of going to the Emergency Room.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Dose 2 — Pfizer-BioNTech
2021-10-13
Survey response — day 0, dose 2
MedDRA: Cough, Sensation of foreign body — Feeling: Fair · Headache, Muscle or body aches

Free text: It feels like there's a lump in my throat when I swallow and I'm getting a cough.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-10-18
Survey response — days 1–6 daily, dose 2
MedDRA: Burning sensation, Pain — Feeling: Fair · Site: Swelling · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Burning and stinging along the veins in legs and left forearm.

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-21
Survey response — day 7, dose 2
MedDRA: Arthralgia, Connective tissue disorder — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The connective tissues in especially my knees are hurting really bad.

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Call 1 — Left Voicemail
2021-10-27
Survey response — day 14, dose 2
MedDRA: Burning sensation, Chest pain, Condition aggravated, Connective tissue disorder, Emergency care, Headache, International normalised ratio abnormal, Lymphadenitis, Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: The 2nd dose messed up my INR, and inflamed myentire lymph system. The inflammation caused me arm and chest pain sending me to the ER. I have had headaches which I've not had in years, burning along my veins and pain in my connective tissue areas.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-10-28
Call successful
Participant prefers to complete VAERS report online
2021-11-25
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Fair

Free text: I continue having pain in connective tissue areas and my lymph nodes are still enlarged.

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-09-15	Pfizer-BioNTech	No
2	2021-10-13	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-19

Systemic reaction (other): Elevated heart rate

2021-09-20

Systemic reaction (other): Swelling in feet, legs.

2021-09-21

Systemic reaction (other): Some stabbing pains in chest area.

Release 9 — day 14, dose 1

2021-09-29

Symptoms: Extreme fatigue Saturday, Sept 25, Sunday Sept 26 and Monday Sept 27. Almost to the point of going to the Emergency Room.

Release 10 — day 0, dose 2

2021-10-13

Systemic reaction (other): It feels like there's a lump in my throat when I swallow and I'm getting a cough.

Release 10 — days 1–6 daily, dose 2

2021-10-18

Systemic reaction (other): Burning and stinging along the veins in legs and left forearm.

Release 10 — day 7, dose 2

2021-10-21

Systemic reaction (other): The connective tissues in especially my knees are hurting really bad.

Release 10 — day 14, dose 2

2021-10-27

Symptoms: The 2nd dose messed up my INR, and inflamed myentire lymph system. The inflammation caused me arm and chest pain sending me to the ER. I have had headaches which I've not had in years, burning along my veins and pain in my connective tissue areas. cut off by CDC

Release 10 — day 42, dose 2

2021-11-25

Symptoms: I continue having pain in connective tissue areas and my lymph nodes are still enlarged.

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
SD	Burning sensation	·	·	✓
SD	Chest pain	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Connective tissue disorder	·	·	✓
SD	Emergency care	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	International normalised ratio abnormal	·	·	✓
SD	Lymphadenitis	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	·	·	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Arthralgia	·	·	✓
SRO	Burning sensation	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Connective tissue disorder	·	·	✓
SRO	Cough	·	·	✓
SRO	Heart rate increased	·	·	✓
SRO	Pain	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Sensation of foreign body	·	·	✓

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