56N-18009-07928

2 vaccinations 11 coded responses 21 check-ins 11 free-text entries 8 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 606 / IL
Registered: 2021-07-15

Relationship: Self
Race: Other
Ethnicity: Hispanic or Latino

Timeline

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

2021-07-14
Dose 1 — Pfizer-BioNTech
2021-07-15
Registered in v-safe
2021-07-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-18
Survey response — days 1–6 daily, dose 1
MedDRA: Hospitalisation, Joint swelling — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Systemic reaction (other): Swelling of the left leg , Im at the hospital now. · Healthcare visit (other): Im still at the hospital

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Survey response — days 1–6 daily, dose 1
MedDRA: Peripheral swelling — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · 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: Still swelling in the thigh.

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Survey response — day 7, dose 1
MedDRA: Peripheral swelling — Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Swelling in leg, will have an ultrasound tomorrow.

MedDRA releases: 2024-11 · check-in free text available
2021-07-21
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-26
Call 1 — Left Voicemail
2021-08-06
Dose 2 — Pfizer-BioNTech
2021-08-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches

Adult check-in
2021-08-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-08-08
Survey response — days 1–6 daily, dose 2
MedDRA: Asthenia, Body temperature increased, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Yesterday all day i felt very weak, at one point my temp was 100.1. I took some ibuprofen and that helped. I also put cold compresses on my forehead.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-09
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2021-08-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-08-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-08-12
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-08-13
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-08-20
Survey response — day 14, dose 2
MedDRA: Breast pain — Feeling: Fair · 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 alot of pain in my breasts.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-20
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-25
Call 1 — Left Voicemail
2021-08-29
Survey response — day 21, dose 2
MedDRA: Blood oestrogen increased, Breast pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I am still experiencing breast pain. I was examined by my primary doctor and was told that it was hormonal.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-29
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-01
Call 1 — Could Not Reach Participant
2021-09-03
Survey response — day 28, dose 2
MedDRA: Breast pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I continue to have breast pain.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-15
Survey response — day 35, dose 2
MedDRA: Breast pain, Hormone level abnormal, Mastitis, Office visit — Feeling: Poor · 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'm continuing to have alot of breast pain. My condition has not improved. My doctor first said it was hormonal. Yesterday she prescribed antibiotics and ibrophen said it could be an infection.

MedDRA releases: 2024-11 · check-in free text available
2021-09-15
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-16
Call 1 — Left Voicemail
2021-09-17
Survey response — day 42, dose 2
MedDRA: Breast pain, Infection, Office visit — Feeling: Poor · 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: Continuation of breast pain. Doctor prescribed antibiotics. She said it is probably an infection. I really want a mammogram, but the doctor did give sent me for one. I have a follow with the doctor next week.

MedDRA releases: 2024-11 · check-in free text available
2021-09-17
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call successful
Participant prefers to complete VAERS report online
2021-09-30
Call successful
Participant prefers to complete VAERS report online
2021-11-07
Survey response — 3 months, dose 2
MedDRA: Menstrual disorder, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Menstrual cycle problems and I still have a swelling in my left leg. I believe ,this all started after my vaccination.

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2021-11-11
Call successful
Participant prefers to complete VAERS report online
2022-02-06
Survey response — 6 months, dose 2
MedDRA: Chest pain, Influenza — Feeling: Poor · Be unable to do your normal daily activities

Free text: Flu symptoms, chest pain

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-14	Pfizer-BioNTech	No
2	2021-08-06	Pfizer-BioNTech	No

Call center

8 call center cases

3 successful · 5 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-18

Systemic reaction (other): Swelling of the left leg , Im at the hospital now.

Healthcare visit (other): Im still at the hospital

2021-07-19

Systemic reaction (other): Still swelling in the thigh.

Release 9 — day 7, dose 1

2021-07-21

Systemic reaction (other): Swelling in leg, will have an ultrasound tomorrow.

Release 9 — days 1–6 daily, dose 2

2021-08-08

Systemic reaction (other): Yesterday all day i felt very weak, at one point my temp was 100.1. I took some ibuprofen and that helped. I also put cold compresses on my forehead.

Release 9 — day 14, dose 2

2021-08-20

Symptoms: I have had alot of pain in my breasts.

Release 9 — day 21, dose 2

2021-08-29

Symptoms: I am still experiencing breast pain. I was examined by my primary doctor and was told that it was hormonal.

Release 9 — day 28, dose 2

2021-09-03

Symptoms: I continue to have breast pain.

Release 9 — day 35, dose 2

2021-09-15

Symptoms: I'm continuing to have alot of breast pain. My condition has not improved. My doctor first said it was hormonal. Yesterday she prescribed antibiotics and ibrophen said it could be an infection.

Release 9 — day 42, dose 2

2021-09-17

Symptoms: Continuation of breast pain. Doctor prescribed antibiotics. She said it is probably an infection. I really want a mammogram, but the doctor did give sent me for one. I have a follow with the doctor next week.

Release 10 — 3 months, dose 2

2021-11-07

Symptoms: Menstrual cycle problems and I still have a swelling in my left leg. I believe ,this all started after my vaccination.

Release 11 — 6 months, dose 2

2022-02-06

Symptoms: Flu symptoms, chest pain

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	Hospitalisation	·	·	✓
SD	Blood oestrogen increased	✓	·	✓
SD	Breast pain	✓	·	✓
SD	Chest pain	·	·	✓
SD	Hormone level abnormal	·	·	✓
SD	Infection	·	·	✓
SD	Influenza	·	·	✓
SD	Mastitis	·	·	✓
SD	Menstrual disorder	·	·	✓
SD	Office visit	✓	·	✓
SD	Peripheral swelling	·	·	✓
SRO	Asthenia	✓	·	✓
SRO	Body temperature increased	✓	·	✓
SRO	Hospitalisation	·	·	✓
SRO	Joint swelling	·	·	✓
SRO	Peripheral swelling	·	·	✓
SRO	Self-medication	✓	·	✓

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