4ZV-11069-52131

3 vaccinations 17 coded responses 37 check-ins 17 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 296 / SC
Registered: 2021-01-14

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

2021-01-13
Dose 1 — Pfizer-BioNTech
2021-01-14
Registered in v-safe
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Soreness in my armpit (same arm where I got my shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle tightness — Feeling: Fair · Fatigue or tiredness

Free text: Tightness in my arm pit (same arm as vaccination)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — day 7, dose 1
MedDRA: Axillary pain, Sinusitis — Feeling: Good

Free text: I am still having pain/soreness under my left armpit (same area where I got the vaccination). I was also diagnosed with a sinus infection on 1/18/21, which I expect is unrelated to the vaccination, but wanted to report it nevertheless.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-27
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-06
Dose 2 — Pfizer-BioNTech
2021-02-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Sore neck (same side as vaccination site)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Soreness in left armpit (opposite arm of vaccination)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Soreness in left armpit (maybe a lymph node?)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Pyrexia, Sinusitis — Feeling: Poor · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I was diagnosed with a sinus infection on January 11th. I currently am on my 3rd round of antibiotics and still having symptoms. So some of my symptoms today may be due to my infection. Im having a lot of ear pain and a low fever.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness

Free text: Soreness in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Pain in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — day 7, dose 2
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness

Free text: Soreness in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-27
Survey response — day 21, dose 2
MedDRA: Ear pain, Eustachian tube dysfunction, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I was diagnosed with Eustachia Tube Dysfunction and ventilation tubes were placed in my ears. Note: ear pain has been ongoing for several weeks, but began prior to my first vaccination. Pain began January 11th and my first vaccination was January 13

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-06
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
2021-03-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-16
Call 1 — Left Voicemail
2021-07-16
Call 1 — Left Voicemail
2021-08-07
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-02
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Palpitations — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Under-arm pain/soreness & heart racing (though it never got above 99 bpm)

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness

Free text: Soreness in underarm area

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Good · Fatigue or tiredness

Free text: Under arm soreness (same arm as injection)

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-09
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-16
Survey response — day 14, dose 3
MedDRA: Ear pain — Feeling: Fair

Free text: Ear ache

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-06
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-01
Survey response — 3 months, dose 3
MedDRA: Ear infection, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Ear infection, sore throat, congested nose

MedDRA releases: 2024-11 · check-in free text available
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Survey response — 12 months, dose 3
MedDRA: Ear infection, Pregnancy, Sinusitis, Upper respiratory tract infection — 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: I have had several sinus and ear infections. I currently have an upper respiratory infection. I am also pregnant (not sure if I was pregnant last time you contacted me).

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Report sent to call center — 12 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)
2022-10-03
Call 2 — Left Voicemail
2022-10-03
Call 2 — Left Voicemail
2022-10-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-13	Pfizer-BioNTech
2	2021-02-06	Pfizer-BioNTech
3	2021-10-02	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-16	priority 2/3
2021-02-10	Unsuccessful
2021-02-27	Unsuccessful
2022-10-02	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-16

Systemic reaction (other): Soreness in my armpit (same arm where I got my shot)

2021-01-19

Systemic reaction (other): Tightness in my arm pit (same arm as vaccination)

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I am still having pain/soreness under my left armpit (same area where I got the vaccination). I was also diagnosed with a sinus infection on 1/18/21, which I expect is unrelated to the vaccination, but wanted to report it nevertheless.

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Sore neck (same side as vaccination site)

2021-02-08

Systemic reaction (other): Soreness in left armpit (opposite arm of vaccination)

2021-02-09

Systemic reaction (other): Soreness in left armpit (maybe a lymph node?)

2021-02-10

Systemic reaction (other): I was diagnosed with a sinus infection on January 11th. I currently am on my 3rd round of antibiotics and still having symptoms. So some of my symptoms today may be due to my infection. Im having a lot of ear pain and a low fever.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Soreness in left armpit

2021-02-12

Systemic reaction (other): Pain in left armpit

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Soreness in left armpit

Release 4 — day 21, dose 2

2021-02-27

Symptoms: I was diagnosed with Eustachia Tube Dysfunction and ventilation tubes were placed in my ears. Note: ear pain has been ongoing for several weeks, but began prior to my first vaccination. Pain began January 11th and my first vaccination was January 13 cut off by CDC

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Under-arm pain/soreness & heart racing (though it never got above 99 bpm)

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Soreness in underarm area

2021-10-06

Systemic reaction (other): Under arm soreness (same arm as injection)

Release 10 — day 14, dose 3

2021-10-16

Symptoms: Ear ache

Release 10 — 3 months, dose 3

2022-01-01

Symptoms: Ear infection, sore throat, congested nose

Release 12 — 12 months, dose 3

2022-10-02

Symptoms: I have had several sinus and ear infections. I currently have an upper respiratory infection. I am also pregnant (not sure if I was pregnant last time you contacted me).

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	Ear infection	·	·	✓
SD	Ear pain	✓	✓	✓
SD	Eustachian tube dysfunction	✓	✓	✓
SD	Nasal congestion	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Pregnancy	·	·	✓
SD	Sinusitis	·	·	✓
SD	Upper respiratory tract infection	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Palpitations	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Sinusitis	✓	✓	✓

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