5XJ-22716-32038

3 vaccinations 7 coded responses 11 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 567 / MN
Registered: 2021-10-22

Relationship: Self
Race: N/A
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-29
Dose 1 — Pfizer-BioNTech
2021-02-20
Dose 2 — Pfizer-BioNTech
2021-10-22
Registered in v-safe
2021-10-22
Dose 3 — Pfizer-BioNTech
2021-10-25
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node in my armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph node in my armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-11-12
Survey response — day 21, dose 3
MedDRA: Dizziness, Feeling abnormal, Headache — Feeling: Poor · Be unable to do your normal daily activities

Free text: Iightheaded, dizzy, slight headache and just not myself

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Survey response — day 28, dose 3
MedDRA: Dizziness, Feeling hot, Headache, Inflammation, Influenza like illness, Oxygen saturation abnormal, Pre-existing disease, Tremor — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Asthma related inflammation and fluctuations in oxygen levels but helped with medications. Flu like shakes, headaches, dizziness & fever like but with no temperature

MedDRA releases: 2024-11 · check-in free text available
2021-11-19
Report sent to call center — day 28, 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)
2021-11-22
Call 1 — Left Voicemail
2021-11-28
Health check-in — day 35, dose 3
Feeling: Fair · Be unable to do your normal daily activities

Free text: Frequent Asthma attacks

Adult check-in · check-in free text available
2021-12-03
Survey response — day 42, dose 3
MedDRA: Asthma, Pre-existing disease — Feeling: Fair · 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: Bad Asthma attacks frequently

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Report sent to call center — day 42, 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)
2021-12-07
Call 1 — Left Voicemail
2021-12-09
Call successful
Participant prefers to complete VAERS report online
2022-01-21
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-04-28
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-10-24
Survey response — 12 months, dose 3
MedDRA: Back pain, Cough, Dry throat, Musculoskeletal chest pain, Nasal congestion, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities

Free text: Runny then stuffy nose. Dry throat and hard coughing and sore ribs and back from coughing

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

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech	No
2	2021-02-20	Pfizer-BioNTech	No
3	2021-10-22	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-11-19	Successful	Participant prefers to complete VAERS report online
2021-12-03	Successful 2021-12-09	Participant prefers to complete VAERS report online

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Swollen armpit

2021-10-26

Systemic reaction (other): Swollen lymph node in my armpit

2021-10-27

Systemic reaction (other): Swollen lymph node in my armpit

Release 10 — day 21, dose 3

2021-11-12

Symptoms: Iightheaded, dizzy, slight headache and just not myself

Release 10 — day 28, dose 3

2021-11-19

Symptoms: Asthma related inflammation and fluctuations in oxygen levels but helped with medications. Flu like shakes, headaches, dizziness & fever like but with no temperature

Release 10 — day 42, dose 3

2021-12-03

Symptoms: Bad Asthma attacks frequently

Release 12 — day 35, dose 3

2021-11-28

Symptoms: Frequent Asthma attacks

Release 12 — 12 months, dose 3

2022-10-24

Symptoms: Runny then stuffy nose. Dry throat and hard coughing and sore ribs and back from coughing

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	Asthma	·	·	✓
SD	Back pain	·	·	✓
SD	Cough	·	·	✓
SD	Dizziness	·	·	✓
SD	Dry throat	·	·	✓
SD	Feeling abnormal	·	·	✓
SD	Feeling hot	·	·	✓
SD	Headache	·	·	✓
SD	Inflammation	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Oxygen saturation abnormal	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Rhinorrhoea	·	·	✓
SD	Tremor	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓

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