4ZA-18012-90715

2 vaccinations 17 coded responses 23 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 786 / TX
Registered: 2021-05-20

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

2021-05-19
Dose 1 — Pfizer-BioNTech
2021-05-20
Registered in v-safe
2021-05-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-22
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Mouth swelling, Mouth ulceration — Feeling: Fair

Free text: Mouth ulcer swollen and swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-23
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain, Erythema, Lymphadenopathy, Mouth ulceration, Oral pain, Swelling — Feeling: Poor · Headache, Joint pains · Be unable to do your normal daily activities

Free text: Painful Mouth ulcer- swollen and red... Bothering gland and ear ache.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth ulceration — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Mouth ulcer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth ulceration — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: Mouth ulcer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — day 7, dose 1
MedDRA: Mouth ulceration — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mouth ulcer

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-09
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-06-11
Dose 2 — Pfizer-BioNTech
2021-06-11
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-12
Survey response — days 1–6 daily, dose 2
MedDRA: Stomatitis — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Mouth sore developing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Good · Headache, Diarrhea

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog, Oral pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Brain fog, mouthsore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Good · Headache

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Headache

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 7, dose 2
MedDRA: Brain fog — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 14, dose 2
MedDRA: Headache, Lymphadenopathy — Feeling: Good

Free text: Each new day I have a new headache Left lymph node still swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Survey response — day 21, dose 2
MedDRA: Brain fog, Chills, Cough, Fatigue, Insomnia, Lacrimation increased, Lymphadenopathy, Nasal congestion, Pyrexia, Rhinorrhoea, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Chills/ shivering, runny nose, nasal congestion, cough, fatigue, sneezing, sleeplessness, brain fog, swollen left lymph node, watery eyes, feverish

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen neck Lymph node is not getting any better

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Survey response — day 42, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Menstrual disorder — Feeling: Good

Free text: Unusual menustral cycle.Swollen neck lymph node STILL an issue and now has been sore.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-12
Survey response — 3 months, dose 2
MedDRA: Cough, Fatigue, Headache, Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, fatigue, cough. LYMPHNODE IS STILL SWOLLEN

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Survey response — 6 months, dose 2
MedDRA: Headache, Lymphadenopathy, Oropharyngeal pain — Feeling: Good · 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. Lymph node STILL SWOLLEN since vaccination

MedDRA releases: 2024-11 · check-in free text available
2021-12-10
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-19	Pfizer-BioNTech
2	2021-06-11	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-22

Systemic reaction (other): Mouth ulcer swollen and swollen lymph node

2021-05-23

Systemic reaction (other): Painful Mouth ulcer- swollen and red... Bothering gland and ear ache.

2021-05-24

Systemic reaction (other): Mouth ulcer

2021-05-25

Systemic reaction (other): Mouth ulcer

Release 8 — day 7, dose 1

2021-05-26

Systemic reaction (other): Mouth ulcer

Release 9 — days 1–6 daily, dose 2

2021-06-12

Systemic reaction (other): Mouth sore developing

2021-06-14

Systemic reaction (other): Brain fog

2021-06-15

Systemic reaction (other): Brain fog, mouthsore

2021-06-16

Systemic reaction (other): Brain fog

2021-06-17

Systemic reaction (other): Brain fog

Release 9 — day 7, dose 2

2021-06-18

Systemic reaction (other): Brain fog

Release 9 — day 14, dose 2

2021-06-25

Symptoms: Each new day I have a new headache Left lymph node still swollen.

Release 9 — day 21, dose 2

2021-07-02

Symptoms: Chills/ shivering, runny nose, nasal congestion, cough, fatigue, sneezing, sleeplessness, brain fog, swollen left lymph node, watery eyes, feverish

Release 9 — day 35, dose 2

2021-07-16

Symptoms: Swollen neck Lymph node is not getting any better

Release 9 — day 42, dose 2

2021-07-23

Symptoms: Unusual menustral cycle.Swollen neck lymph node STILL an issue and now has been sore.

Release 9 — 3 months, dose 2

2021-09-12

Symptoms: Headaches, fatigue, cough. LYMPHNODE IS STILL SWOLLEN

Release 10 — 6 months, dose 2

2021-12-10

Symptoms: Headache, sore throat. Lymph node STILL SWOLLEN since vaccination

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	Brain fog	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Cough	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Insomnia	✓	✓	✓
SD	Lacrimation increased	✓	✓	✓
SD	Lymph node pain	✓	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstrual disorder	✓	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mouth swelling	✓	✓	✓
SRO	Mouth ulceration	✓	✓	✓
SRO	Oral pain	✓	✓	✓
SRO	Stomatitis	✓	✓	✓
SRO	Swelling	✓	✓	✓

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