64L-19206-95923

5 vaccinations 9 coded responses 53 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 46-50
ZIP prefix: 461 / IN
Registered: 2021-03-26

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

2021-03-25
Dose 1 — Pfizer-BioNTech
2021-03-26
Registered in v-safe
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-10
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-15
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-04-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-22
Health check-in — day 7, dose 2
Feeling: Good · Site: Itching · None

Adult check-in
2021-04-29
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-15
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-06
Dose 3 — Pfizer-BioNTech
2021-10-07
Survey response — days 1–6 daily, dose 3
MedDRA: Pain, Pain of skin, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Everything hurts today. Even my skin! I have fibromyalgia, but this doubled my body pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-09
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph glands in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Glands in armpits and neck still sore

MedDRA releases: 2024-11 · check-in free text available
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-13
Health check-in — day 7, dose 3
Feeling: Good · Site: Swelling · None

Adult check-in
2021-10-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-03
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-10
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in
2022-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-05-07
Dose 4 — Pfizer-BioNTech
2022-05-08
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities

Free text: Swollen lymph gland in armpit of shot arm

MedDRA releases: 2024-11 · check-in free text available
2022-05-11
Survey response — days 1–6 daily, dose 4
MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches

Free text: Fever did not break until Tues 5/10

MedDRA releases: 2024-11 · check-in free text available
2022-05-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling · Headache, Fatigue or tiredness

Adult check-in
2022-05-14
Health check-in — day 7, dose 4
Feeling: Good · Site: Redness, Swelling · Headache

Adult check-in
2022-05-21
Survey response — day 14, dose 4
MedDRA: Fatigue, Lymphadenopathy, Oropharyngeal pain, Pain, Paranasal sinus hypersecretion, Pharyngeal erythema, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sinus drainage, Red/very sore throat, swollen glands in neck, achey, tired, negative home covid test

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Survey response — day 21, dose 4
MedDRA: Asthma, Injection site erythema, Injection site pain, Injection site swelling, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Asthma with sinus infection ,taking asthma inhalee, but needed antibiotic and prednisone ; injection site still slightly tender, but not red or swollen like it had been

MedDRA releases: 2024-11 · check-in free text available
2022-05-28
Report sent to call center — day 21, dose 4
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-31
Call 1 — Left Voicemail
2022-05-31
Call successful
Does not wish to fill out VAERS report
2022-06-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-08-08
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-14
Dose 5 — Pfizer-BioNTech
2022-10-15
Health check-in — days 1–6 daily, dose 5
Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2022-10-16
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Swollen lymph glands in armpit

MedDRA releases: 2024-11 · check-in free text available
2022-10-18
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains

Adult check-in
2022-10-19
Survey response — days 1–6 daily, dose 5
MedDRA: Lymph node pain — Feeling: Good

Free text: Still lymph nodes in armpit slightly sore

MedDRA releases: 2024-11 · check-in free text available
2022-10-20
Health check-in — days 1–6 daily, dose 5
Feeling: Good · None

Adult check-in
2022-10-21
Health check-in — day 7, dose 5
Feeling: Good · None

Adult check-in
2022-10-28
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 21, dose 5
Feeling: Good

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

Adult check-in
2022-11-18
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-25
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-14
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-25	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech
3	2021-10-06	Pfizer-BioNTech	No
4	2022-05-07	Pfizer-BioNTech	No
5	2022-10-14	Pfizer-BioNTech	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-07

Systemic reaction (other): Everything hurts today. Even my skin! I have fibromyalgia, but this doubled my body pain.

2021-10-09

Systemic reaction (other): Swollen lymph glands in armpit

2021-10-11

Systemic reaction (other): Glands in armpits and neck still sore

Release 11 — days 1–6 daily, dose 4

2022-05-08

Systemic reaction (other): Swollen lymph gland in armpit of shot arm

2022-05-11

Systemic reaction (other): Fever did not break until Tues 5/10

Release 11 — day 14, dose 4

2022-05-21

Symptoms: Sinus drainage, Red/very sore throat, swollen glands in neck, achey, tired, negative home covid test

Release 11 — day 21, dose 4

2022-05-28

Symptoms: Asthma with sinus infection ,taking asthma inhalee, but needed antibiotic and prednisone ; injection site still slightly tender, but not red or swollen like it had been

Release 12 — days 1–6 daily, dose 5

2022-10-16

Systemic reaction (other): Swollen lymph glands in armpit

2022-10-19

Systemic reaction (other): Still lymph nodes in armpit slightly sore

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	Fatigue	·	·	✓
SD	Injection site erythema	·	·	✓
SD	Injection site pain	·	·	✓
SD	Injection site swelling	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Paranasal sinus hypersecretion	·	·	✓
SD	Pharyngeal erythema	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sinusitis	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain of skin	·	·	✓
SRO	Pre-existing disease	·	·	✓
SRO	Pyrexia	·	·	✓

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