65L-12081-71773

2 vaccinations 12 coded responses 14 check-ins 12 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 034 / NH
Registered: 2021-06-05

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

2021-06-03
Dose 1 — Pfizer-BioNTech
2021-06-05
Registered in v-safe
2021-06-05
Survey response — days 1–6 daily, dose 1
MedDRA: Breast pain, Chest pain, Cough — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Chest pain, cough, breast implant pain on Left side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-07
Survey response — days 1–6 daily, dose 1
MedDRA: Breast prosthesis user, Implant site pain — Feeling: Fair · Fatigue or tiredness

Free text: Mild Breast Implant pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-17
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-06-24
Dose 2 — Pfizer-BioNTech
2021-06-26
Survey response — days 1–6 daily, dose 2
MedDRA: Nipple pain, Pain — Feeling: Fair · Site: Itching · Fatigue or tiredness

Free text: Sharp Implant/Nipple pain; same pain as with first shot.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-27
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Free text: Mild chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Some capsular contraction/implant pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-01
Survey response — day 7, dose 2
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness

Free text: Mild chest pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-08
Survey response — day 14, dose 2
MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-15
Survey response — day 21, dose 2
MedDRA: Breast prosthesis user, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: Worsening Breast Implant pain.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-22
Survey response — day 28, dose 2
MedDRA: Breast pain, Breast prosthesis user — Feeling: Fair

Free text: Breast implant pain since first vaccine. Worse after second. Ongoing.

MedDRA releases: 2024-11 · check-in free text available
2021-07-29
Survey response — day 35, dose 2
MedDRA: Headache, Implant site pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Breast implant pain continues. Headaches.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-09-23
Survey response — 3 months, dose 2
MedDRA: Breast pain, Breast prosthesis user, Neuralgia, Office visit, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Shooting nerve pain; breast implant pain · Healthcare visit (other): Chiropractor

MedDRA releases: 2024-11 · check-in free text available
2021-09-23
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-27
Call 1 — Could Not Reach Participant
2021-09-30
Call 2 — Left Voicemail
2021-12-24
Survey response — 6 months, dose 2
MedDRA: Capsular contracture associated with breast implan, Device breakage, Unevaluable event — Feeling: Poor · 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: Symptoms: Intracapsular rupture of left breast implant after nearly constant capsular contraction following COVID vaccine. · Healthcare visit (other): Ultrasound, MRI; consult for explants is scheduled for Jan 10th

MedDRA releases: 2024-11 · check-in free text available
2021-12-24
Report sent to call center — 6 months, dose 2
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)
2021-12-27
Call 1 — Requested Callback
2022-01-03
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-03	Pfizer-BioNTech
2	2021-06-24	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-05

Systemic reaction (other): Chest pain, cough, breast implant pain on Left side

2021-06-07

Systemic reaction (other): Mild Breast Implant pain

Release 9 — days 1–6 daily, dose 2

2021-06-26

Systemic reaction (other): Sharp Implant/Nipple pain; same pain as with first shot.

2021-06-27

Systemic reaction (other): Mild chest pain

2021-06-28

Systemic reaction (other): Some capsular contraction/implant pain

Release 9 — day 7, dose 2

2021-07-01

Systemic reaction (other): Mild chest pain

Release 9 — day 14, dose 2

2021-07-08

Symptoms: Extreme fatigue

Release 9 — day 21, dose 2

2021-07-15

Symptoms: Worsening Breast Implant pain.

Release 9 — day 28, dose 2

2021-07-22

Symptoms: Breast implant pain since first vaccine. Worse after second. Ongoing.

Release 9 — day 35, dose 2

2021-07-29

Symptoms: Breast implant pain continues. Headaches.

Release 9 — 3 months, dose 2

2021-09-23

Symptoms: Shooting nerve pain; breast implant pain

Healthcare visit (other): Chiropractor

Release 10 — 6 months, dose 2

2021-12-24

Symptoms: Intracapsular rupture of left breast implant after nearly constant capsular contraction following COVID vaccine.

Healthcare visit (other): Ultrasound, MRI; consult for explants is scheduled for Jan 10th

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	Office visit	·	·	✓
HCVO	Unevaluable event	·	·	✓
SD	Breast pain	·	·	✓
SD	Breast prosthesis user	✓	·	✓
SD	Capsular contracture associated with breast implan	·	·	✓
SD	Device breakage	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	·	✓
SD	Implant site pain	✓	·	✓
SD	Neuralgia	·	·	✓
SD	Pain	✓	·	✓
SD	Pre-existing disease	✓	·	✓
SRO	Breast pain	✓	✓	✓
SRO	Breast prosthesis user	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Implant site pain	✓	✓	✓
SRO	Nipple pain	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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