5YT-20333-70337

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

Sex: Female
Age at first dose: 36-40
ZIP prefix: 480 / MI
Registered: 2020-12-30

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

2020-12-30
Registered in v-safe
2020-12-30
Dose 1 — Pfizer-BioNTech
2020-12-30
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-01
Survey response — days 1–6 daily, dose 1
MedDRA: Unevaluable event — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: I drank for New Year's Eve last night so my symptoms are likely due to hangover

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Depression, Fatigue — Feeling: Fair · Fatigue or tiredness

Free text: I'm also depressed so tiredness does come with the territory

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 7, dose 1
MedDRA: Axillary pain, Lymph node pain, Reaction to previous exposure to any vaccine, Self-medication — Feeling: Good · Muscle or body aches

Free text: Mild to Moderate pain/tenderness to the right underarm lymph node area (side of injection) had to take a Tylenol for pain relief. Consistent with flu shot armpit pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-13
Survey response — day 14, dose 1
MedDRA: Injection site bruising, Injection site erythema, Injection site swelling, Self-medication — Feeling: Good

Free text: I experienced a new raised/red welt at the injection site appx. 7 days post injection- it seemed to coincide with consuming ibuprofen. The welt subsided and I found new bruise to the injection site. No pain. Both symptoms have since resolved by 1/13

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-20
Dose 2 — Pfizer-BioNTech
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Injection site swelling, Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Significant swelling and pain of armpit lymph node right arm I injection site arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-03
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-10
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-17
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-24
Health check-in — day 35, dose 2
Feeling: Good

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

Adult check-in
2021-04-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-21
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Dose 3 — Pfizer-BioNTech
2022-01-20
Survey response — 12 months, dose 2
MedDRA: Abnormal faeces, Menopause — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: I appear to have worms in my stool. I am f/u w my pcp on 1/31. I also have more symptoms of pre-menopause.

MedDRA releases: 2024-11 · check-in free text available
2022-01-20
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)
2022-01-21
Call successful
Does not wish to fill out VAERS report
2022-09-30
Dose 4 — Pfizer-BioNTech
2022-10-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-21
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-30
Survey response — 3 months, dose 4
MedDRA: Influenza like illness, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Flu like symptoms last week. Fever of 102+ for 3 days. Symptoms have resolved.

MedDRA releases: 2024-11 · check-in free text available
2023-03-31
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-30	Pfizer-BioNTech
2	2021-01-20	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No
4	2022-09-30	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): I drank for New Year's Eve last night so my symptoms are likely due to hangover

2021-01-02

Systemic reaction (other): I'm also depressed so tiredness does come with the territory

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): Mild to Moderate pain/tenderness to the right underarm lymph node area (side of injection) had to take a Tylenol for pain relief. Consistent with flu shot armpit pain.

Release 1 — day 14, dose 1

2021-01-13

Symptoms: I experienced a new raised/red welt at the injection site appx. 7 days post injection- it seemed to coincide with consuming ibuprofen. The welt subsided and I found new bruise to the injection site. No pain. Both symptoms have since resolved by 1/13 cut off by CDC

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Significant swelling and pain of armpit lymph node right arm I injection site arm

Release 10 — 12 months, dose 2

2022-01-20

Symptoms: I appear to have worms in my stool. I am f/u w my pcp on 1/31. I also have more symptoms of pre-menopause.

Release 12 — 3 months, dose 4

2022-12-30

Symptoms: Flu like symptoms last week. Fever of 102+ for 3 days. Symptoms have resolved.

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	Abnormal faeces	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Injection site bruising	✓	✓	✓
SD	Injection site erythema	✓	✓	✓
SD	Injection site swelling	✓	✓	✓
SD	Menopause	·	·	✓
SD	Pyrexia	·	·	✓
SD	Self-medication	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Depression	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Reaction to previous exposure to any vaccine	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Unevaluable event	✓	✓	✓

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