5ZL-90054-16742

3 vaccinations 5 coded responses 29 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 100 / NY
Registered: 2021-04-13

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

2021-03-22
Dose 1 — Pfizer-BioNTech
2021-04-12
Dose 2 — Pfizer-BioNTech
2021-04-13
Registered in v-safe
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Wound complication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: A still-healing surgical wound on my forehead is intensely sore - like it was right after surgery

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Pain, Pre-existing disease — Feeling: Good

Free text: Still experiencing some unexpected pain from a 2 week old surgical wound - unclear if this is in any way related to the shot but was definitely worse after shot than it had been for several days prior

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-21
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 21, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Confirmed in a screening breast MRI swollen lymph nodes on the side where I received the vaccine. Just reporting this as an instance of this side effect - doctor confirms this is normal immune response and I am not experiencing related symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-14
Dose 3 — Pfizer-BioNTech
2021-10-14
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-10-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-23
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-04
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-14
Survey response — 6 months, dose 3
MedDRA: Breast disorder, Magnetic resonance imaging abnormal — 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

Free text: I had 3 biopsies today for areas of concern in my breasts, shown in an MRI two weeks ago.

MedDRA releases: 2024-11 · check-in free text available
2022-04-14
Report sent to call center — 6 months, 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 · 1 call case(s)
2022-04-20
Call 1 — Requested Callback
2022-04-20
Callback requested for
06:00PM ET
2022-04-20
Call successful
Participant prefers to complete VAERS report online
2022-10-14
Survey response — 12 months, dose 3
MedDRA: Breast hyperplasia, Mass excision — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Suspected breast cancer - was atypical duct hyperplasia · Healthcare visit (other): Surgery to remove the mass

MedDRA releases: 2024-11 · check-in free text available
2022-10-14
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-17
Call successful
Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-22	Pfizer-BioNTech
2	2021-04-12	Pfizer-BioNTech
3	2021-10-14	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): A still-healing surgical wound on my forehead is intensely sore - like it was right after surgery

2021-04-16

Systemic reaction (other): Still experiencing some unexpected pain from a 2 week old surgical wound - unclear if this is in any way related to the shot but was definitely worse after shot than it had been for several days prior

Release 8 — day 21, dose 2

2021-05-03

Symptoms: Confirmed in a screening breast MRI swollen lymph nodes on the side where I received the vaccine. Just reporting this as an instance of this side effect - doctor confirms this is normal immune response and I am not experiencing related symptoms

Release 11 — 6 months, dose 3

2022-04-14

Symptoms: I had 3 biopsies today for areas of concern in my breasts, shown in an MRI two weeks ago.

Release 12 — 12 months, dose 3

2022-10-14

Symptoms: Suspected breast cancer - was atypical duct hyperplasia

Healthcare visit (other): Surgery to remove the mass

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	Mass excision	·	·	✓
SD	Breast disorder	·	·	✓
SD	Breast hyperplasia	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Magnetic resonance imaging abnormal	·	·	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Wound complication	✓	✓	✓

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