6JD-13433-51362

4 vaccinations 6 coded responses 29 check-ins 6 free-text entries 6 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 954 / CA
Registered: 2021-02-15

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

2021-02-09
Dose 1 — Pfizer-BioNTech
2021-02-15
Registered in v-safe
2021-02-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — day 14, 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, Swelling · Nausea

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
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: Swelling face — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen lump near temple area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-16
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
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: Medical counselling, Swelling face — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: I have a swollen spot on my temple. I actually noticed it a few days after my second vaccine dose. It has become a bit smaller over the last week but my (b)(6) doctor has referred me for an FNA test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — 3 months, dose 2
MedDRA: Condition aggravated, Dyspnoea, Lung disorder, Oxygen saturation decreased, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: My new symptoms are related to a chronic condition that effects my lungs and include shortness of breath and low oxygen levels; 87.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-01
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-21
Call 1 — Left Voicemail
2021-08-31
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-06
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-04
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2021-10-18
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-06
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-07
Survey response — 6 months, dose 3
MedDRA: Emergency care — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Was in the ER due to medication reaction.

MedDRA releases: 2024-11 · check-in free text available
2022-03-07
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-03-08
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-04-16
Dose 4 — Pfizer-BioNTech
2022-05-14
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-21
Survey response — day 35, dose 4
MedDRA: Emergency care, Gait inability, Office visit, Sensory disturbance — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Symptoms: Knees could not walk. Had to be treated at ER. · Healthcare visit (other): Had CT scan, giving meds and a walker. Follow up with orthopedic doctor.

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-05-24
Call successful
Does not wish to fill out VAERS report
2022-05-28
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-16
Survey response — 3 months, dose 4
MedDRA: Adverse drug reaction, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Reaction to two different antibiotics and visited the ER.

MedDRA releases: 2024-11 · check-in free text available
2022-07-16
Report sent to call center — 3 months, dose 4
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · 1 call case(s)
2022-07-18
Call successful
Participant prefers to complete VAERS report online
2022-10-15
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-09	Pfizer-BioNTech
2	2021-03-02	Pfizer-BioNTech
3	2021-09-06	Pfizer-BioNTech	No
4	2022-04-16	Pfizer-BioNTech	No

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — day 14, dose 2

2021-03-16

Symptoms: Swollen lump near temple area.

Release 6 — day 28, dose 2

2021-03-30

Symptoms: I have a swollen spot on my temple. I actually noticed it a few days after my second vaccine dose. It has become a bit smaller over the last week but my (b)(6) doctor has referred me for an FNA test.

redacted (b)(6)

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: My new symptoms are related to a chronic condition that effects my lungs and include shortness of breath and low oxygen levels; 87.

Release 11 — 6 months, dose 3

2022-03-07

Symptoms: Was in the ER due to medication reaction.

Release 11 — day 35, dose 4

2022-05-21

Symptoms: Knees could not walk. Had to be treated at ER.

Healthcare visit (other): Had CT scan, giving meds and a walker. Follow up with orthopedic doctor.

Release 12 — 3 months, dose 4

2022-07-16

Symptoms: Reaction to two different antibiotics and visited the ER.

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	Adverse drug reaction	·	·	✓
SD	Condition aggravated	✓	✓	✓
SD	Dyspnoea	✓	✓	✓
SD	Emergency care	·	·	✓
SD	Gait inability	·	·	✓
SD	Lung disorder	✓	✓	✓
SD	Medical counselling	✓	✓	✓
SD	Oxygen saturation decreased	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Sensory disturbance	·	·	✓
SD	Swelling face	✓	✓	✓

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