5EZ-14000-69278

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 855 / AZ
Registered: 2021-01-15

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-01-14
Dose 1 — Pfizer-BioNTech
2021-01-15
Registered in v-safe
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-01-19
Survey response — days 1–6 daily, dose 1
MedDRA: Respiratory tract congestion — Feeling: Good · Fatigue or tiredness

Free text: Slight congestion the last few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling, Itching · None

Adult check-in
2021-01-28
Survey response — day 14, dose 1
MedDRA: Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Rash — Feeling: Fair

Free text: Arm swelling at injection site began suddenly day 9 with intense itching. Became very painful by the evening. It was over three inches. Grew in diameter by the next day over 4? Inches. It was warm to the touch and feverish that spot. Rash on chest

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-11
Dose 2 — Moderna
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling, Injection site warmth, Pyrexia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swelling at injection site is hot and feverish 103 at degrees Fahrenheit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-23
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-03-04
Survey response — day 21, dose 2
MedDRA: Lymph node pain, Lymph node palpable, Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph nodes in collar bone and under jaw bone went away then reappeared in the same spot over a week later. PainfulI can move lump under my skin with my fingers.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Survey response — 3 months, dose 2
MedDRA: Lymphadenitis, Lymphadenopathy, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Supraclavical lymph nodes present for 13 weeks. Throbbing pain comes and goes. Other pain felt nearby and has also increased. Recent Ultrasound showed Sternoclavicular joint prominence and small joint effusion. · Healthcare visit (other): Concern after lymphadenitis continued past 2 months and routine bloodwork show high white blood count and continues to. Have watched and followed up with recent imaging and tests. This is ongoing and continuing.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2022-02-11
Survey response — 12 months, dose 2
MedDRA: Neck mass, Tenderness — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I still have a tender lump on my collarbone since vaccination a year ago.

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-14
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-14	Pfizer-BioNTech
2	2021-02-11	Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Slight congestion the last few days

Release 3 — day 14, dose 1

2021-01-28

Symptoms: Arm swelling at injection site began suddenly day 9 with intense itching. Became very painful by the evening. It was over three inches. Grew in diameter by the next day over 4? Inches. It was warm to the touch and feverish that spot. Rash on chest

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Dizziness

2021-02-13

Systemic reaction (other): Swelling at injection site is hot and feverish 103 at degrees Fahrenheit.

Release 5 — day 21, dose 2

2021-03-04

Symptoms: Swollen lymph nodes in collar bone and under jaw bone went away then reappeared in the same spot over a week later. PainfulI can move lump under my skin with my fingers.

Release 8 — 3 months, dose 2

2021-05-13

Symptoms: Supraclavical lymph nodes present for 13 weeks. Throbbing pain comes and goes. Other pain felt nearby and has also increased. Recent Ultrasound showed Sternoclavicular joint prominence and small joint effusion.

Healthcare visit (other): Concern after lymphadenitis continued past 2 months and routine bloodwork show high white blood count and continues to. Have watched and followed up with recent imaging and tests. This is ongoing and continuing.

Release 11 — 12 months, dose 2

2022-02-11

Symptoms: I still have a tender lump on my collarbone since vaccination a year ago.

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	Lymphadenitis	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Injection site pruritus	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Injection site warmth	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymph node palpable	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Neck mass	·	·	✓
SD	Pain	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Tenderness	·	·	✓
SRO	Dizziness	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Pyrexia	✓	✓	✓
SRO	Respiratory tract congestion	✓	✓	✓

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