5D7-27643-04660

3 vaccinations 15 coded responses 35 check-ins 15 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 762 / TX
Registered: 2021-03-07

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

2021-03-07
Registered in v-safe
2021-03-07
Dose 1 — Pfizer-BioNTech
2021-03-07
Survey response — day 0, dose 1
MedDRA: Dry mouth — Feeling: Good

Free text: Dry mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Diarrhea

Adult check-in
2021-03-09
Survey response — days 1–6 daily, dose 1
MedDRA: Asthenia, Myalgia — Feeling: Good · Muscle or body aches

Free text: Below my shot, I woke up with muscle pain and weakness but, just for an hour or so.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches

Adult check-in
2021-03-11
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Still my forearm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches

Free text: Still in right forearm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — day 7, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-28
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Eye disorder, Eye pain, Neck pain — Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Eye distortion and pain in right eye. Neck ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-31
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Extremely swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Lymph node swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-04-04
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: I still have very swollen lymph nodes

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

Adult check-in
2021-04-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-26
Survey response — day 28, dose 2
MedDRA: Eye disorder — Feeling: Fair · Be unable to work

Free text: My right eye is giving me major problems. Im now under the care of a retina specialist.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-11
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-29
Survey response — 3 months, dose 2
MedDRA: Arrhythmia — Feeling: Fair · Be unable to work or attend school

Free text: Heart arrhythmia

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-08
Call 1 — Left Voicemail
2021-12-05
Dose 3 — Moderna
2021-12-05
Health check-in — day 0, dose 3
Feeling: Good · Site: Swelling · Fever · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-07
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · 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

Adult check-in
2021-12-07
Report sent to call center — days 1–6 daily, 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)
2021-12-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-12-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2021-12-10
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-12-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-12-12
Health check-in — day 7, dose 3
Feeling: Fair · Site: Swelling · Fatigue or tiredness

Adult check-in
2021-12-19
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — day 21, dose 3
MedDRA: Nasopharyngitis — 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 a cold

MedDRA releases: 2024-11 · check-in free text available
2021-12-26
Report sent to call center — day 21, 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)
2021-12-27
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-01-02
Survey response — day 28, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to work or attend school

Free text: Sever sore throat and runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — day 35, dose 3
MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to do your normal daily activities

Free text: Afib

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-06
Survey response — 3 months, dose 3
MedDRA: Arrhythmia, Atrial fibrillation — Feeling: Fair · Be unable to work or attend school, 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: AFIB Heart Arrhythmia

MedDRA releases: 2024-11 · check-in free text available
2022-03-06
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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-11
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-07	Pfizer-BioNTech
2	2021-03-28	Pfizer-BioNTech
3	2021-12-05	Moderna	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-07

Systemic reaction (other): Dry mouth

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Below my shot, I woke up with muscle pain and weakness but, just for an hour or so.

2021-03-11

Systemic reaction (other): Still my forearm

2021-03-12

Systemic reaction (other): Still in right forearm

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Eye distortion and pain in right eye. Neck ache

2021-03-31

Systemic reaction (other): Extremely swollen lymph nodes

2021-04-01

Systemic reaction (other): Lymph node swelling

2021-04-02

Systemic reaction (other): Swollen lymph nodes

Release 6 — day 7, dose 2

2021-04-04

Systemic reaction (other): I still have very swollen lymph nodes

Release 8 — day 28, dose 2

2021-04-26

Symptoms: My right eye is giving me major problems. Im now under the care of a retina specialist.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Heart arrhythmia

Release 10 — day 21, dose 3

2021-12-26

Symptoms: I have a cold

Release 10 — day 28, dose 3

2022-01-02

Symptoms: Sever sore throat and runny nose

Release 10 — day 35, dose 3

2022-01-09

Symptoms: Afib

Release 11 — 3 months, dose 3

2022-03-06

Symptoms: AFIB Heart Arrhythmia

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	Arrhythmia	✓	✓	✓
SD	Atrial fibrillation	·	·	✓
SD	Eye disorder	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Rhinorrhoea	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Asthenia	✓	✓	✓
SRO	Dry mouth	✓	✓	✓
SRO	Eye disorder	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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