4HT-21353-45487

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 294 / SC
Registered: 2021-01-21

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-21
Registered in v-safe
2021-01-21
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Survey response — days 1–6 daily, dose 1
MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site

Free text: Rash on my chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-08
Dose 2 — Pfizer-BioNTech
2021-02-18
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-02-22
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-22
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral, Pain in extremity, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: My arm and pit are badly swollen and painful.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain, Breast swelling, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Im very concerned with the excessive swelling and pain under my arm pit and breast area

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-10-04
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-10-06
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches

Adult check-in
2021-10-11
Call 1 — Left Voicemail
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 35, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I had a flu shot on October 28 on October 29 my lymph nodes were and are still inflamed above my right clavicle the shot was given in my right arm. I am experiencing pain and severe swelling. I have never had a reaction to a flu shot.

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-05
Call successful
Participant prefers to complete VAERS report online
2021-11-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-31
Survey response — 3 months, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain — 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 · Outpatient clinic or urgent care clinic visit

Free text: Headache, sore throat, fatigue and body aches

MedDRA releases: 2024-11 · check-in free text available
2021-12-31
Report sent to call center — 3 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-04
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-30
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-01
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-08	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-25

Systemic reaction (other): Rash on my chest

Release 9 — days 1–6 daily, dose 3

2021-10-02

Systemic reaction (other): My arm and pit are badly swollen and painful.

2021-10-03

Healthcare visit (other): Im very concerned with the excessive swelling and pain under my arm pit and breast area

Release 10 — day 35, dose 3

2021-11-03

Symptoms: I had a flu shot on October 28 on October 29 my lymph nodes were and are still inflamed above my right clavicle the shot was given in my right arm. I am experiencing pain and severe swelling. I have never had a reaction to a flu shot.

Release 10 — 3 months, dose 3

2021-12-31

Symptoms: Headache, sore throat, fatigue and body aches

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	Axillary pain	·	·	✓
HCVO	Breast pain	·	·	✓
HCVO	Breast swelling	·	·	✓
HCVO	Oedema peripheral	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SRO	Axillary pain	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain in extremity	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Rash	✓	✓	✓

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