5VL-33789-31101

3 vaccinations 7 coded responses 24 check-ins 7 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 481 / MI
Registered: 2021-05-24

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-24
Registered in v-safe
2021-05-24
Dose 1 — Pfizer-BioNTech
2021-05-24
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-06-07
Survey response — day 14, dose 1
MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Severe diarrhea and upset stomach

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-14
Dose 2 — Pfizer-BioNTech
2021-06-14
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-06-17
Survey response — days 1–6 daily, dose 2
MedDRA: Anxiety, Panic attack — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · 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: Severe anxiety & panic attacks

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-06-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-06-28
Call 1 — Left Voicemail
2021-06-29
Survey response — day 14, dose 2
MedDRA: Lymph node pain — Feeling: Good · Be unable to do your normal daily activities

Free text: Lymphnoids in both arms are still hurting especially when i move certain ways. Scheduled appointment with Breast Center to see what's going on.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-29
Call successful
Does not wish to fill out VAERS report
2021-07-05
Survey response — day 21, dose 2
MedDRA: Breast pain, Lymph node pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Lymphnoids & breast pain still an issue. Exam & Tests next week.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — day 28, dose 2
MedDRA: Axillary pain, Breast pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pain under both arms & breasts persists, worsening more & more. Dr. appointment is this Thurs, Jul 15th. Will update info after test results

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-19
Survey response — day 35, dose 2
MedDRA: Axillary pain, Breast pain, Lymph node pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Sore lymphnoids causing pain under arms & breast pain · Healthcare visit (other): In person visit to (b)(6) Center

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-21
Call successful
Participant prefers to complete VAERS report online
2021-07-30
Survey response — day 42, dose 2
MedDRA: Breast pain, Lymph node pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lymphnoids & breasts pain continue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-11
Call 1 — Left Voicemail
2021-10-09
Dose 3 — Pfizer-BioNTech
2021-12-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-24	Pfizer-BioNTech
2	2021-06-14	Pfizer-BioNTech
3	2021-10-09	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-06-07

Symptoms: Severe diarrhea and upset stomach

Release 9 — days 1–6 daily, dose 2

2021-06-17

Systemic reaction (other): Severe anxiety & panic attacks

Release 9 — day 14, dose 2

2021-06-29

Symptoms: Lymphnoids in both arms are still hurting especially when i move certain ways. Scheduled appointment with Breast Center to see what's going on.

Release 9 — day 21, dose 2

2021-07-05

Symptoms: Lymphnoids & breast pain still an issue. Exam & Tests next week.

Release 9 — day 28, dose 2

2021-07-12

Symptoms: Pain under both arms & breasts persists, worsening more & more. Dr. appointment is this Thurs, Jul 15th. Will update info after test results

Release 9 — day 35, dose 2

2021-07-19

Symptoms: Sore lymphnoids causing pain under arms & breast pain

Healthcare visit (other): In person visit to (b)(6) Center

redacted (b)(6)

Release 9 — day 42, dose 2

2021-07-30

Symptoms: Lymphnoids & breasts pain continue

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	·	·	✓
SD	Abdominal discomfort	✓	✓	✓
SD	Axillary pain	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Diarrhoea	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SRO	Anxiety	✓	✓	✓
SRO	Panic attack	✓	✓	✓

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