443-24627-94113

5 vaccinations 10 coded responses 30 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 217 / MD
Registered: 2021-03-11

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Sore throat and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Sore throat and runny nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-26
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-02
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Dose 3 — Pfizer-BioNTech
2022-04-01
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-04-12
Dose 4 — Pfizer-BioNTech
2022-10-28
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-28
Survey response — day 0, dose 5
MedDRA: Dysphagia, Pain, Parotitis — Feeling: Poor · Fever · Be unable to do your normal daily activities

Free text: I reported parotitis on right side with severe pain and difficulty swallowing.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Survey response — days 1–6 daily, dose 5
MedDRA: Dysphagia, Malaise, Medical counselling, Swelling face — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Extremely difficult to swallow.large amount of facial swelling especially on right side.Am very sick. · Healthcare visit (other): My husband is a physician. He is keeping a close watch.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — days 1–6 daily, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-30
Survey response — days 1–6 daily, dose 5
MedDRA: Headache, Pain, Self-medication, Swelling face — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Am able to drink fairly well. Facial swelling is slightly reduced. Pain still mod/severe. Requires constant analgesia. Headache improved.

MedDRA releases: 2024-11 · check-in free text available
2022-10-31
Survey response — days 1–6 daily, dose 5
MedDRA: Decreased appetite, Pain, Swelling — Feeling: Poor · Fever · Be unable to do your normal daily activities

Free text: Swelling is reduced since yesterday. Pain level is less. Am able to drink adequate amounts. Eating is still a big problem. I have an appointment with an ENT physician Tuesday at 9:30

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Survey response — days 1–6 daily, dose 5
MedDRA: Dysphagia, Office visit, Pain, Swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Pain is decreased, swelling is decreased. My ability to eat and drink has improved. Consulted with an ENT physician today. Have begun medication. · Healthcare visit (other): Private practice

MedDRA releases: 2024-11 · check-in free text available
2022-11-01
Report sent to call center — days 1–6 daily, dose 5
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-11-01
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-02
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-11-03
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-04
Survey response — day 7, dose 5
MedDRA: Office visit — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I saw physician today.

MedDRA releases: 2024-11 · check-in free text available
2022-11-12
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-11-19
Survey response — day 21, dose 5
MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Fair

Free text: Throat is very sore. Voice is definitely hoarse.

MedDRA releases: 2024-11 · check-in free text available
2022-11-25
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-12-02
Survey response — day 35, dose 5
MedDRA: Cough, Fatigue — Feeling: Good · Be unable to do your normal daily activities

Free text: Constant dry cough. Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-12-10
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-11	Pfizer-BioNTech	No
4	2022-04-12	Pfizer-BioNTech	No
5	2022-10-28	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Sore throat and runny nose

2021-03-17

Systemic reaction (other): Sore throat and runny nose

Release 12 — day 0, dose 5

2022-10-28

Systemic reaction (other): I reported parotitis on right side with severe pain and difficulty swallowing.

Release 12 — days 1–6 daily, dose 5

2022-10-29

Systemic reaction (other): Extremely difficult to swallow.large amount of facial swelling especially on right side.Am very sick.

Healthcare visit (other): My husband is a physician. He is keeping a close watch.

2022-10-30

Systemic reaction (other): Am able to drink fairly well. Facial swelling is slightly reduced. Pain still mod/severe. Requires constant analgesia. Headache improved.

2022-10-31

Systemic reaction (other): Swelling is reduced since yesterday. Pain level is less. Am able to drink adequate amounts. Eating is still a big problem. I have an appointment with an ENT physician Tuesday at 9:30

2022-11-01

Systemic reaction (other): Pain is decreased, swelling is decreased. My ability to eat and drink has improved. Consulted with an ENT physician today. Have begun medication.

Healthcare visit (other): Private practice

Release 12 — day 7, dose 5

2022-11-04

Systemic reaction (other): I saw physician today.

Release 12 — day 21, dose 5

2022-11-19

Symptoms: Throat is very sore. Voice is definitely hoarse.

Release 12 — day 35, dose 5

2022-12-02

Symptoms: Constant dry cough. Fatigue

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	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
SD	Cough	·	·	✓
SD	Dysphonia	·	·	✓
SD	Fatigue	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Decreased appetite	·	·	✓
SRO	Dysphagia	·	·	✓
SRO	Headache	·	·	✓
SRO	Malaise	·	·	✓
SRO	Office visit	·	·	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Parotitis	·	·	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Self-medication	·	·	✓
SRO	Swelling	·	·	✓
SRO	Swelling face	·	·	✓

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