6DM-14880-70301

3 vaccinations 15 coded responses 36 check-ins 15 free-text entries 3 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 274 / NC
Registered: 2021-02-05

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

2021-02-05
Registered in v-safe
2021-02-05
Dose 1 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 1
Feeling: Good · Chills, Nausea

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Itching · Headache

Adult check-in
2021-02-12
Survey response — day 7, dose 1
MedDRA: Myalgia — Feeling: Good

Free text: Muscle aches due to exercise.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-02
Dose 2 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-03-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

Free text: Lymph node in armpit same as shot. Very sore and swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-05
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities

Free text: Swollen lymph node in armpit on side of vaccine. Painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-06
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Redness, Itching · Muscle or body aches

Free text: Lymph node in armpit is swollen and hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches

Free text: Lymph node still swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-08
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-09
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-16
Survey response — day 14, dose 2
MedDRA: Tongue disorder — Feeling: Good

Free text: White wart like thing on my tongue. Left side. Had multiple surface structures. Really annoying and changing (growing) since last Wednesday. Yesterday mostly gone. Was not an ulcer. Gargled with Lysterine daily. Not sure if that really had impact.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 28, dose 2
MedDRA: Dysgeusia, Ear pain, Foreign body sensation in eyes, Taste disorder — Feeling: Fair

Free text: Iron taste in mouth sporadically Pain in my right ear, Feeling like something is under my right eyelid especially at night and in morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Survey response — day 42, dose 2
MedDRA: Office visit, Papule, Tongue discolouration — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: White spot on tongue. Like a wart. Showed up within two weeks is second vaccine. Changes from day to day, but still there. · Healthcare visit (other): Went to primary on 4/1. She said be sure and have dentist look at it and that Id probably be referred to oral surgeon for removal and biopsy.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Epistaxis, Headache, Nasopharyngitis, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a virus/cold with congestion, runny nose fever, sore throat, headache, bloody noseStill have white wart-like thing on tongue that appeared after 2nd vaccine in March. A biopsy is scheduled for 6/14/21.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-26
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node injection arm

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good

Free text: Very mild lymph pain in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Health check-in — day 7, dose 3
Feeling: Good · Site: Itching · None

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

Adult check-in
2021-10-17
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-24
Survey response — day 28, dose 3
MedDRA: Pre-existing disease, Sciatica — Feeling: Good · Be unable to do your normal daily activities

Free text: Sciatica flare up.

MedDRA releases: 2024-11 · check-in free text available
2021-10-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-26
Survey response — 3 months, dose 3
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2024-11 · check-in free text available
2022-02-23
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-28
Survey response — 6 months, dose 3
MedDRA: Office visit, Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Post menopausal bleeding/spotting · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-03-28
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-26
Survey response — 12 months, dose 3
MedDRA: Headache, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — 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

Free text: Headache, sore throat, runny nose, positive Covid test

MedDRA releases: 2024-11 · check-in free text available
2022-09-26
Report sent to call center — 12 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-09-27
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-05	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-09-26	Pfizer-BioNTech	Flu

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-12

Systemic reaction (other): Muscle aches due to exercise.

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Lymph node in armpit same as shot. Very sore and swollen.

2021-03-05

Systemic reaction (other): Swollen lymph node in armpit on side of vaccine. Painful

2021-03-06

Systemic reaction (other): Lymph node in armpit is swollen and hurts

2021-03-07

Systemic reaction (other): Lymph node still swollen

Release 5 — day 14, dose 2

2021-03-16

Symptoms: White wart like thing on my tongue. Left side. Had multiple surface structures. Really annoying and changing (growing) since last Wednesday. Yesterday mostly gone. Was not an ulcer. Gargled with Lysterine daily. Not sure if that really had impact. cut off by CDC

Release 6 — day 28, dose 2

2021-03-30

Symptoms: Iron taste in mouth sporadically Pain in my right ear, Feeling like something is under my right eyelid especially at night and in morning

Release 7 — day 42, dose 2

2021-04-13

Symptoms: White spot on tongue. Like a wart. Showed up within two weeks is second vaccine. Changes from day to day, but still there.

Healthcare visit (other): Went to primary on 4/1. She said be sure and have dentist look at it and that Id probably be referred to oral surgeon for removal and biopsy.

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Had a virus/cold with congestion, runny nose fever, sore throat, headache, bloody noseStill have white wart-like thing on tongue that appeared after 2nd vaccine in March. A biopsy is scheduled for 6/14/21.

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Swollen lymph node injection arm

2021-10-02

Systemic reaction (other): Very mild lymph pain in armpit

Release 10 — day 28, dose 3

2021-10-24

Symptoms: Sciatica flare up.

Release 10 — 3 months, dose 3

2021-12-26

Symptoms: Sore throat

Release 11 — 6 months, dose 3

2022-03-28

Symptoms: Post menopausal bleeding/spotting

Healthcare visit (other): Office visit

Release 12 — 12 months, dose 3

2022-09-26

Symptoms: Headache, sore throat, runny nose, positive Covid test

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	✓	✓	✓
SD	Dysgeusia	✓	·	✓
SD	Ear pain	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Foreign body sensation in eyes	✓	·	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Papule	○	✓	○
SD	Postmenopausal haemorrhage	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Respiratory tract congestion	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sciatica	·	·	✓
SD	Taste disorder	○	✓	○
SD	Tongue discolouration	✓	·	✓
SD	Tongue disorder	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Myalgia	✓	✓	✓

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