629-89254-25275

5 vaccinations 19 coded responses 56 check-ins 18 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 852 / AZ
Registered: 2021-02-18

Relationship: Self
Race: N/A
Ethnicity: N/A

Timeline

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

2021-02-17
Dose 1 — Pfizer-BioNTech
2021-02-18
Registered in v-safe
2021-02-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-02-19
Survey response — days 1–6 daily, dose 1
MedDRA: Feeling hot, Rash — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Not sure if facial rash is from mask or vaccine. It coincided at a time yesterday when my temp went up to 100.3 (after I completed the v safe checkin). Mostly on my face but ears felt hot too. Or reaction to sensitive skin sunscreen?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-22
Survey response — days 1–6 daily, dose 1
MedDRA: Abnormal dreams, Insomnia, Middle insomnia — Feeling: Good · Fatigue or tiredness

Free text: Insomnia or mid night waking and intense dreams

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-24
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Survey response — day 14, dose 1
MedDRA: Middle insomnia, Rash, Sleep disorder — Feeling: Fair

Free text: I wanted to let you know that I had very weird sleep the first night (woke up for three hours starting at 1am which never happens) and that I confirmed the rash on my face was not from the mask since Ive had no rashes from the mask since then.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-10
Dose 2 — Pfizer-BioNTech
2021-03-10
Survey response — day 0, dose 2
MedDRA: Erythema — Feeling: Good · Site: Pain, Swelling · Nausea

Free text: My face is a bit red.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-11
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Body temperature decreased, Chills, Headache, Lymph node pain, Myalgia, Neck pain, Pruritus — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Free text: Starting at 8pm last night (after vsafe check in) my arm got very itchy and then I had a high fever, severe muscle aches and severe joint pain, chills, armpit and groin lymph pain. Still have chills and headache and neck pain and armpit pain and lower temp.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Lymph node in armpit swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-13
Survey response — days 1–6 daily, dose 2
MedDRA: Hunger, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea

Free text: Extremely hungry. Lymph node still tender/ swollen on both underarms. Worse on side with shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-15
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness, Nausea

Free text: Lymph node in armpit is still a little tender/swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Survey response — days 1–6 daily, dose 2
MedDRA: Fatigue, Somnolence — Feeling: Good · Fatigue or tiredness

Free text: Just a bit more tired than usual. Sleepy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-31
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-14
Survey response — day 35, dose 2
MedDRA: Mucous stools — Feeling: Good

Free text: Mucus in stool.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-09-08
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Dose 3 — Pfizer-BioNTech
2021-09-30
Survey response — day 7, dose 3
MedDRA: Chills, Fatigue, Headache, Pain, Pruritus, Pyrexia, Rash — Feeling: Good

Free text: After the 3rd dose, I had intense armpit itching/rash,minor chills/aches, headache, fatigue, and a slight fever but it was MUCH a less severe than with the 2nd dose.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-19
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-09
Dose 4 — Moderna
2022-04-10
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Pruritus, Vulvovaginal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen lymph node in underarm and itchy there. Vulvar pain.

MedDRA releases: 2024-11 · check-in free text available
2022-04-11
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy, Pruritus, Vulvovaginal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Swollen lymph node under arm and itchiness there too. Vulvar pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-12
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-04-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea

Adult check-in
2022-04-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Itching · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site

Adult check-in
2022-04-16
Health check-in — day 7, dose 4
Feeling: Good · Headache · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-04-30
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-07
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-14
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-05-21
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-09
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-15
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-15
Survey response — 6 months, dose 4
MedDRA: COVID-19, Unevaluable event — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Symptoms: I had Covid at the end of July/early august. · Healthcare visit (other): Had monoclonal antibody at outpatient hospital visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Report sent to call center — 6 months, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-10-16
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-17
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness, Abdominal pain

Adult check-in
2022-10-17
Call 1 — Left Voicemail
2022-10-17
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-18
Survey response — days 1–6 daily, dose 5
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Can it exacerbate depression?

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Adult check-in
2022-10-20
Survey response — days 1–6 daily, dose 5
MedDRA: Vaginal haemorrhage — Feeling: Good · Site: Swelling, Itching

Free text: Spotting like a period but not time yet.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Survey response — days 1–6 daily, dose 5
MedDRA: Asthenia, Menstruation irregular, Presyncope — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness

Free text: Early period. Weakness after BMs which is apparently vasovagal response. Never had before recently.

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — day 7, dose 5
MedDRA: Menstruation irregular — Feeling: Good · Site: Itching

Free text: Early period.

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-12
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-19
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-26
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-14
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-17
Survey response — 6 months, dose 5
MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-04-17
Report sent to call center — 6 months, dose 5
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-18
Call successful
Does not wish to fill out VAERS report

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-17	Pfizer-BioNTech
2	2021-03-10	Pfizer-BioNTech
3	2021-09-17	Pfizer-BioNTech	No
4	2022-04-09	Moderna	No
5	2022-10-15	Pfizer-BioNTech	Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Not sure if facial rash is from mask or vaccine. It coincided at a time yesterday when my temp went up to 100.3 (after I completed the v safe checkin). Mostly on my face but ears felt hot too. Or reaction to sensitive skin sunscreen?

2021-02-22

Systemic reaction (other): Insomnia or mid night waking and intense dreams

Release 4 — day 14, dose 1

2021-03-03

Symptoms: I wanted to let you know that I had very weird sleep the first night (woke up for three hours starting at 1am which never happens) and that I confirmed the rash on my face was not from the mask since Ive had no rashes from the mask since then.

Release 5 — day 0, dose 2

2021-03-10

Systemic reaction (other): My face is a bit red.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Starting at 8pm last night (after vsafe check in) my arm got very itchy and then I had a high fever, severe muscle aches and severe joint pain, chills, armpit and groin lymph pain. Still have chills and headache and neck pain and armpit pain and lower temp.

2021-03-12

Systemic reaction (other): Lymph node in armpit swollen.

2021-03-13

Systemic reaction (other): Extremely hungry. Lymph node still tender/ swollen on both underarms. Worse on side with shot.

2021-03-15

Systemic reaction (other): Lymph node in armpit is still a little tender/swollen

2021-03-16

Systemic reaction (other): Just a bit more tired than usual. Sleepy.

Release 7 — day 35, dose 2

2021-04-14

Symptoms: Mucus in stool.

Release 9 — day 7, dose 3

2021-09-30

Systemic reaction (other): After the 3rd dose, I had intense armpit itching/rash,minor chills/aches, headache, fatigue, and a slight fever but it was MUCH a less severe than with the 2nd dose.

Release 11 — days 1–6 daily, dose 4

2022-04-10

Systemic reaction (other): Swollen lymph node in underarm and itchy there. Vulvar pain.

2022-04-11

Systemic reaction (other): Swollen lymph node under arm and itchiness there too. Vulvar pain

Release 12 — 6 months, dose 4

2022-10-15

Symptoms: I had Covid at the end of July/early august.

Healthcare visit (other): Had monoclonal antibody at outpatient hospital visit

Release 12 — days 1–6 daily, dose 5

2022-10-18

Systemic reaction (other): Can it exacerbate depression?

2022-10-20

Systemic reaction (other): Spotting like a period but not time yet.

2022-10-21

Systemic reaction (other): Early period. Weakness after BMs which is apparently vasovagal response. Never had before recently.

Release 12 — day 7, dose 5

2022-10-22

Systemic reaction (other): Early period.

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	Unevaluable event	·	·	✓
SD	COVID-19	·	·	✓
SD	Middle insomnia	✓	✓	✓
SD	Mucous stools	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SRO	Abnormal dreams	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Asthenia	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Body temperature decreased	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Erythema	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling hot	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Hunger	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Middle insomnia	✓	✓	✓
SRO	Myalgia	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pain	·	·	✓
SRO	Presyncope	·	·	✓
SRO	Pruritus	✓	✓	✓
SRO	Pyrexia	·	·	✓
SRO	Rash	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Unevaluable event	·	·	✓
SRO	Vaginal haemorrhage	·	·	✓
SRO	Vulvovaginal pain	·	·	✓

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