5V8-22546-08306

3 vaccinations 11 coded responses 24 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 019 / MA
Registered: 2021-03-08

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

2021-02-15
Dose 1 — Pfizer-BioNTech
2021-03-07
Dose 2 — Pfizer-BioNTech
2021-03-08
Registered in v-safe
2021-03-08
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Breast pain, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Severe arm pain radiating down whole arm, breast, upper back

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: Soreness under armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Armpit a little sore

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-03-23
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-04
Survey response — day 28, dose 2
MedDRA: Injection site discolouration — Feeling: Good

Free text: Still have discoloration at injection site on arm from first shot on February 15th. Looks like a bruise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Survey response — 6 months, dose 2
MedDRA: Dizziness, Hypertension, Unevaluable event — 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: Symptoms: High blood pressure and dizzy · Healthcare visit (other): Went to emergency room but walked out because it was a 6 hour wait. Call PC next morning

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-06
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call 1 — Left Voicemail
2021-09-10
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-10-03
Dose 3 — Pfizer-BioNTech
2021-10-03
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Joint pains

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain

Free text: Swollen and sore under armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain

Free text: Mild soreness and swelling under armpit

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

Adult check-in
2021-10-18
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

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

Adult check-in
2021-11-08
Survey response — day 35, dose 3
MedDRA: Abdominal discomfort — Feeling: Fair

Free text: Stomach upset.

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Survey response — day 42, dose 3
MedDRA: Gastritis — 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, Emergency room or emergency department visit

Free text: Gastritis

MedDRA releases: 2024-11 · check-in free text available
2021-11-14
Report sent to call center — day 42, 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 · Emergency room or emergency department visit · 1 call case(s)
2021-11-15
Call 1 — Requested Callback
2021-11-15
Callback requested for
05:30PM ET
2021-11-18
Call successful
Does not wish to fill out VAERS report
2022-01-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-03
Survey response — 6 months, dose 3
MedDRA: Small fibre neuropathy — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Small Fiber Neuropathy

MedDRA releases: 2024-11 · check-in free text available
2022-04-03
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · 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)
2022-04-05
Call successful
Does not wish to fill out VAERS report
2022-10-06
Survey response — 12 months, dose 3
MedDRA: Condition aggravated, Office visit, Pre-existing disease — 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Symptoms: Small fiber neuropathy. Neurologist says the vaccine may have caused a flare in symptoms. The last year and a half have been difficult. · Healthcare visit (other): Neurologist, Rheumatologist, PCP, gastroenterologist

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
2022-10-07
Call 1 — Left Voicemail
2022-10-07
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-15	Pfizer-BioNTech
2	2021-03-07	Pfizer-BioNTech
3	2021-10-03	Pfizer-BioNTech	No

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-08

Systemic reaction (other): Severe arm pain radiating down whole arm, breast, upper back

2021-03-09

Systemic reaction (other): Soreness under armpit

2021-03-10

Systemic reaction (other): Armpit a little sore

Release 6 — day 28, dose 2

2021-04-04

Symptoms: Still have discoloration at injection site on arm from first shot on February 15th. Looks like a bruise.

Release 9 — 6 months, dose 2

2021-09-06

Symptoms: High blood pressure and dizzy

Healthcare visit (other): Went to emergency room but walked out because it was a 6 hour wait. Call PC next morning

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Swollen and sore under armpit

2021-10-07

Systemic reaction (other): Mild soreness and swelling under armpit

Release 10 — day 35, dose 3

2021-11-08

Symptoms: Stomach upset.

Release 10 — day 42, dose 3

2021-11-14

Symptoms: Gastritis

Release 11 — 6 months, dose 3

2022-04-03

Symptoms: Small Fiber Neuropathy

Release 12 — 12 months, dose 3

2022-10-06

Symptoms: Small fiber neuropathy. Neurologist says the vaccine may have caused a flare in symptoms. The last year and a half have been difficult.

Healthcare visit (other): Neurologist, Rheumatologist, PCP, gastroenterologist

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	Office visit	·	·	✓
HCVO	Unevaluable event	✓	·	✓
SD	Abdominal discomfort	·	·	✓
SD	Condition aggravated	·	·	✓
SD	Dizziness	✓	·	✓
SD	Gastritis	·	·	✓
SD	Hypertension	✓	·	✓
SD	Injection site discolouration	✓	✓	✓
SD	Office visit	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Small fibre neuropathy	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓

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