4SZ-11764-76359

3 vaccinations 12 coded responses 28 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 902 / CA
Registered: 2021-03-27

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

2021-03-24
Dose 1 — Pfizer-BioNTech
2021-03-27
Registered in v-safe
2021-03-27
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising, Injection site pain, Injection site pruritus — Feeling: Good

Free text: Pain and mild bruising at injection site first two days, itching at injection site third day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-14
Survey response — day 0, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: Was vaccinated about four hours ago no symptoms of significance yet

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: Muscle spasms — Feeling: Fair · Site: Pain · Chills · Be unable to do your normal daily activities

Free text: Leg cramps - severe

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site warmth, Temperature intolerance — Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Free text: Heat sensitivity when exposed to sun, at/near injection site even through long sleeve.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Headache — Feeling: Fair · Site: Redness, Itching · Fever · Chills, Headache, Fatigue or tiredness

Free text: Mild headache and general fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-05-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-03
Dose 3 — Pfizer-BioNTech
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Itching · Chills, Headache · Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-12-10
Survey response — day 7, dose 3
MedDRA: Injection site reaction, Temperature intolerance — Feeling: Good · Site: Itching

Free text: Heat Sensitivity at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — day 14, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen lymph gland on right side of neck. Two bean size nodes swollen. Started last Saturday and are gradually diminishing in size. At first noticeable with slight pain. Now no pain and one is size of small pea other small bean.

MedDRA releases: 2024-11 · check-in free text available
2021-12-25
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy, Rash, Skin laceration — Feeling: Good

Free text: Rash on legs and slightly swollen lymph gland on neck opposite side of injected arm. Scalp wounds

MedDRA releases: 2024-11 · check-in free text available
2022-01-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-09
Survey response — day 35, dose 3
MedDRA: Skin lesion — Feeling: Good

Free text: Scalp lesions

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Survey response — day 42, dose 3
MedDRA: Impaired healing, Skin exfoliation, Skin lesion — Feeling: Good

Free text: Scalp lesions that scale and don't heal. At base of hairline.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Survey response — 3 months, dose 3
MedDRA: Medical counselling, Self-medication, Subcutaneous abscess — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Still suffering Scalp lesions from booster dose , though somewhat fewer. Still treating with Aquaphor ointment and antihistamines. Some improvement but not healed yet. · Healthcare visit (other): Pharmacist consultation. Took one look and said "Ah, Moderna." To rho h i replied "Actually it was Pfizer." This makes me hope a better mom MRNA Vaccine will become available.

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-03-08
Call 1 — Left Voicemail
2022-06-05
Survey response — 6 months, dose 3
MedDRA: Pruritus, Skin discolouration, Skin lesion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Continue to battle scalp lesions and skin discoloration which were reaction to second dose. They had nearly cleared and came back with a vengeance spreading far beyond the original ones, causing severe itchiness, skin discoloration. No mRNA boost now

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-06-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-06-06
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-12-05
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-24	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech
3	2021-12-03	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Pain and mild bruising at injection site first two days, itching at injection site third day

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): Was vaccinated about four hours ago no symptoms of significance yet

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Leg cramps - severe

2021-04-19

Systemic reaction (other): Heat sensitivity when exposed to sun, at/near injection site even through long sleeve.

2021-04-20

Systemic reaction (other): Mild headache and general fatigue

Release 10 — day 7, dose 3

2021-12-10

Systemic reaction (other): Heat Sensitivity at injection site

Release 10 — day 14, dose 3

2021-12-17

Symptoms: Swollen lymph gland on right side of neck. Two bean size nodes swollen. Started last Saturday and are gradually diminishing in size. At first noticeable with slight pain. Now no pain and one is size of small pea other small bean.

Release 10 — day 21, dose 3

2021-12-25

Symptoms: Rash on legs and slightly swollen lymph gland on neck opposite side of injected arm. Scalp wounds

Release 10 — day 35, dose 3

2022-01-09

Symptoms: Scalp lesions

Release 10 — day 42, dose 3

2022-01-15

Symptoms: Scalp lesions that scale and don't heal. At base of hairline.

Release 11 — 3 months, dose 3

2022-03-06

Symptoms: Still suffering Scalp lesions from booster dose , though somewhat fewer. Still treating with Aquaphor ointment and antihistamines. Some improvement but not healed yet.

Healthcare visit (other): Pharmacist consultation. Took one look and said "Ah, Moderna." To rho h i replied "Actually it was Pfizer." This makes me hope a better mom MRNA Vaccine will become available.

Release 11 — 6 months, dose 3

2022-06-05

Symptoms: Continue to battle scalp lesions and skin discoloration which were reaction to second dose. They had nearly cleared and came back with a vengeance spreading far beyond the original ones, causing severe itchiness, skin discoloration. No mRNA boost now cut off by CDC

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	·	·	✓
SD	Impaired healing	·	·	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pruritus	·	·	✓
SD	Rash	·	·	✓
SD	Self-medication	·	·	✓
SD	Skin discolouration	·	·	✓
SD	Skin exfoliation	·	·	✓
SD	Skin laceration	·	·	✓
SD	Skin lesion	·	·	✓
SD	Subcutaneous abscess	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Injection site pruritus	✓	✓	✓
SRO	Injection site reaction	·	·	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Temperature intolerance	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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