66J-20576-53372

5 vaccinations 12 coded responses 55 check-ins 12 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 765 / TX
Registered: 2021-01-19

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

2020-12-27
Dose 1 — Pfizer-BioNTech
2021-01-17
Dose 2 — Pfizer-BioNTech
2021-01-19
Registered in v-safe
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Nausea · Be unable to work

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Headache · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Made appointment for tomorrow for arm pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Joint range of motion decreased, Pain — Feeling: Good · Site: Pain, Itching · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain and some difficulty moving shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-01-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Joint pains · Be unable to work

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

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

Adult check-in
2021-02-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-21
Survey response — day 35, dose 2
MedDRA: Headache, Nasal congestion, Pain, Sneezing — Feeling: Fair

Free text: Woke up this am sneezing, stuffy, headache, achy

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-03-31
Call 1 — Left Voicemail
2021-03-31
Call successful
Participant prefers to complete VAERS report online
2021-04-18
Survey response — 3 months, dose 2
MedDRA: COVID-19, Cough, Hypoaesthesia, Wheezing — Feeling: Fair

Free text: Had COVID. Have some residual cough/wheezing and numb feet.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Call 1 — Left Voicemail
2021-07-18
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-08-31
Health check-in — day 0, dose 3
Feeling: Good · Fatigue or tiredness, Diarrhea

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · 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
2021-09-02
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · 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
2021-09-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None · Be unable to work or attend school

Adult check-in
2021-09-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2021-09-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-09-07
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-09-14
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-09-21
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-09-28
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-10-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-11-30
Survey response — 3 months, dose 3
MedDRA: Muscle spasms, Pain in extremity, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Been having an issue with leg swelling, bilateral calf pain and cramping

MedDRA releases: 2024-11 · check-in free text available
2021-11-30
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2021-12-01
Call 1 — Left Voicemail
2022-03-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-22
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Headache

Adult check-in
2022-04-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache

Adult check-in
2022-04-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-27
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-04-28
Health check-in — day 7, dose 4
Feeling: Good · None

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

Adult check-in
2022-05-12
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-05-19
Survey response — day 28, dose 4
MedDRA: Cough, Pyrexia — Feeling: Fair

Free text: Cough, low grade fever

MedDRA releases: 2024-11 · check-in free text available
2022-05-26
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-06-02
Survey response — day 42, dose 4
MedDRA: COVID-19, Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Some worsening of the numbness in left foot. Feet have been numb since covid 3/26/21

MedDRA releases: 2024-11 · check-in free text available
2022-07-21
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-22
Dose 5 — Pfizer-BioNTech
2022-09-22
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-09-23
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

Free text: Swollen lymph nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Nausea

Adult check-in
2022-09-25
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Nausea, Diarrhea

Free text: Swollen lymph nodes under arm

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches

Adult check-in
2022-09-27
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache

Adult check-in
2022-09-28
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache

Free text: Swollen lymph node under arm, resolving

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Survey response — day 7, dose 5
MedDRA: Axillary pain — Feeling: Good · Site: Pain

Free text: Mild pain under arm is resolving

MedDRA releases: 2024-11 · check-in free text available
2022-10-06
Survey response — day 14, dose 5
MedDRA: Body temperature increased, SARS-CoV-2 test negative — Feeling: Fair

Free text: Persistent low grade fever between 99 and 100 since the vaccination. Have done 3 home covid tests, all negative.

MedDRA releases: 2024-11 · check-in free text available
2022-10-13
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-20
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-27
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-03
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-22
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-23
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Pfizer-BioNTech
2	2021-01-17	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No
5	2022-09-22	Pfizer-BioNTech	No

Call center

3 call center cases

1 successful · 2 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-21

Healthcare visit (other): Made appointment for tomorrow for arm pain

2021-01-22

Systemic reaction (other): Pain and some difficulty moving shoulder

Release 4 — day 35, dose 2

2021-02-21

Symptoms: Woke up this am sneezing, stuffy, headache, achy

Release 7 — 3 months, dose 2

2021-04-18

Symptoms: Had COVID. Have some residual cough/wheezing and numb feet.

Release 10 — 3 months, dose 3

2021-11-30

Symptoms: Been having an issue with leg swelling, bilateral calf pain and cramping

Release 11 — day 28, dose 4

2022-05-19

Symptoms: Cough, low grade fever

Release 11 — day 42, dose 4

2022-06-02

Symptoms: Some worsening of the numbness in left foot. Feet have been numb since covid 3/26/21

Release 12 — days 1–6 daily, dose 5

2022-09-23

Systemic reaction (other): Swollen lymph nodes under arm

2022-09-25

Systemic reaction (other): Swollen lymph nodes under arm

2022-09-28

Systemic reaction (other): Swollen lymph node under arm, resolving

Release 12 — day 7, dose 5

2022-09-29

Systemic reaction (other): Mild pain under arm is resolving

Release 12 — day 14, dose 5

2022-10-06

Symptoms: Persistent low grade fever between 99 and 100 since the vaccination. Have done 3 home covid tests, all negative.

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	Pain in extremity	✓	✓	✓
SD	Body temperature increased	·	·	✓
SD	Condition aggravated	·	·	○
SD	Cough	✓	✓	✓
SD	COVID-19	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Muscle spasms	·	·	✓
SD	Nasal congestion	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Peripheral swelling	·	·	✓
SD	Pre-existing disease	·	·	○
SD	Pyrexia	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Sneezing	✓	✓	✓
SD	Wheezing	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Joint range of motion decreased	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	✓	✓	✓

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