6HV-16750-03507

2 vaccinations 9 coded responses 24 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 56-60
ZIP prefix: 140 / NY
Registered: 2021-05-05

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

2021-05-05
Registered in v-safe
2021-05-05
Dose 1 — Pfizer-BioNTech
2021-05-05
Health check-in — day 0, dose 1
Feeling: Fair · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lymph node pain in arm pit near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness

Free text: Pain in armpit lymph nodes near injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain — Feeling: Fair

Free text: Lymph node pain (decreasing)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-12
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — day 14, dose 1
MedDRA: Lung disorder — Feeling: Good

Free text: Lungs feel like i swallowed water accidentally, want to cough it up. Could be long term covid effects, i don't know.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Dose 2 — Pfizer-BioNTech
2021-05-26
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Chest and back pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Survey response — days 1–6 daily, dose 2
MedDRA: Cough — Feeling: Fair · Site: Pain · Headache

Free text: Feeling of wanting to cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-05-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Musculoskeletal pain — Feeling: Good

Free text: Back shoulder blade pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-06-01
Health check-in — day 7, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-09
Survey response — day 14, dose 2
MedDRA: Injection site pain — Feeling: Good

Free text: Pain at injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-22
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-08-24
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-23
Survey response — 6 months, dose 2
MedDRA: Chest pain, Lung disorder, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Chest pain (negative results), lung issues (not yet resolved with practioner) · Healthcare visit (other): Appointment with cardiologist and testing

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-24
Call successful
Participant prefers to complete VAERS report online
2022-05-25
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Pfizer-BioNTech
2	2021-05-25	Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-07

Systemic reaction (other): Lymph node pain in arm pit near injection site

2021-05-08

Systemic reaction (other): Pain in armpit lymph nodes near injection site

2021-05-09

Systemic reaction (other): Lymph node pain (decreasing)

Release 8 — day 14, dose 1

2021-05-19

Symptoms: Lungs feel like i swallowed water accidentally, want to cough it up. Could be long term covid effects, i don't know.

Release 8 — days 1–6 daily, dose 2

2021-05-26

Systemic reaction (other): Chest and back pain

2021-05-27

Systemic reaction (other): Feeling of wanting to cough

2021-05-29

Systemic reaction (other): Back shoulder blade pain

Release 9 — day 14, dose 2

2021-06-09

Symptoms: Pain at injection site.

Release 10 — 6 months, dose 2

2021-11-23

Symptoms: Chest pain (negative results), lung issues (not yet resolved with practioner)

Healthcare visit (other): Appointment with cardiologist and testing

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	Chest pain	·	·	✓
SD	Injection site pain	✓	✓	✓
SD	Lung disorder	✓	✓	✓
SD	Office visit	·	·	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Musculoskeletal pain	✓	✓	✓
SRO	Throat irritation	○	○	○

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