5EB-14833-67699

4 vaccinations 7 coded responses 31 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 121 / NY
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Unevaluable event — Feeling: Good · Site: Pain

Free text: You didnt send me checkins and I was locked out of my account on 2/6 and 2/7 and I had numerous moderate symptoms that I have had no way to inform you about. I already sent an email alerting you of this. My data are useless to you without this!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Survey response — 3 months, dose 2
MedDRA: Breast inflammation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Breast tissue inflammation, localized. Lasted about 10 weeks. Mammogram and ultrasound 8 weeks after second shot showed no abnormalities, issue self resolved around 10 weeks after second shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-01
Dose 3 — Pfizer-BioNTech
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, 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
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen and painful lymph node in the armpit of the arm I got the shot

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

Free text: painful inflammation of armpit lymph node, less than yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Discomfort, Lymphadenopathy — Feeling: Good

Free text: uncomfortable swelling in armpit lymph node on arm that got injection

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenitis — Feeling: Good · Fatigue or tiredness

Free text: still have armpit lymph node inflammation but it is almost gone.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-15
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-05
Survey response — day 35, dose 3
MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Reaction to previous exposure to any vaccine — Feeling: Fair

Free text: Extremely heavy and painful menstrual period. Happened after the other two shots, too.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-15
Call successful
Participant prefers to complete VAERS report online
2022-09-16
Dose 4 — Pfizer-BioNTech
2022-10-01
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2023-03-19
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2021-10-01	Pfizer-BioNTech	No
4	2022-09-16	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): You didnt send me checkins and I was locked out of my account on 2/6 and 2/7 and I had numerous moderate symptoms that I have had no way to inform you about. I already sent an email alerting you of this. My data are useless to you without this!

Release 8 — 3 months, dose 2

2021-05-07

Symptoms: Breast tissue inflammation, localized. Lasted about 10 weeks. Mammogram and ultrasound 8 weeks after second shot showed no abnormalities, issue self resolved around 10 weeks after second shot.

Release 9 — days 1–6 daily, dose 3

2021-10-03

Systemic reaction (other): Swollen and painful lymph node in the armpit of the arm I got the shot

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): painful inflammation of armpit lymph node, less than yesterday.

2021-10-05

Systemic reaction (other): uncomfortable swelling in armpit lymph node on arm that got injection

2021-10-06

Systemic reaction (other): still have armpit lymph node inflammation but it is almost gone.

Release 10 — day 35, dose 3

2021-11-05

Symptoms: Extremely heavy and painful menstrual period. Happened after the other two shots, too.

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	Breast inflammation	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Reaction to previous exposure to any vaccine	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenitis	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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