6L2-26720-05460

3 vaccinations 5 coded responses 18 check-ins 5 free-text entries 2 call cases

Sex: Female
Age at first dose: 21-25
ZIP prefix: 920 / CA
Registered: 2021-04-11

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

2021-04-11
Registered in v-safe
2021-04-11
Dose 1 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-20
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-02
Dose 2 — Pfizer-BioNTech
2021-05-02
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Headache

Adult check-in
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-06-15
Survey response — day 42, dose 2
MedDRA: Eczema, Immune system disorder, Infection, Office visit, Pyrexia, Sinusitis, Staphylococcal infection — Feeling: Fair

Free text: eczema break out on my leg. Dermatologist unsure why Im getting it in her locations. Have also had lymph node infection, sinus infection, and staph infection I believe due to a weakened immune system after I ran a fever from the vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-05
Survey response — 3 months, dose 2
MedDRA: Breast enlargement, Eczema, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Ive had bad headaches, eczema on my leg (which I have never had before), and seen an increase in size in by breast.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-11-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-21
Call successful
Participant prefers to complete VAERS report online
2022-01-07
Dose 3 — Moderna
2022-01-08
Survey response — days 1–6 daily, dose 3
MedDRA: Presyncope, Tinnitus — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: presyncope, ringing in ears

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes in neck

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-01-21
Survey response — day 14, dose 3
MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · 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: Severe diarrhea and stomach pain.

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-11	Pfizer-BioNTech
2	2021-05-02	Pfizer-BioNTech
3	2022-01-07	Moderna	No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — day 42, dose 2

2021-06-15

Symptoms: eczema break out on my leg. Dermatologist unsure why Im getting it in her locations. Have also had lymph node infection, sinus infection, and staph infection I believe due to a weakened immune system after I ran a fever from the vaccine.

Release 9 — 3 months, dose 2

2021-08-05

Symptoms: Ive had bad headaches, eczema on my leg (which I have never had before), and seen an increase in size in by breast.

Release 10 — days 1–6 daily, dose 3

2022-01-08

Systemic reaction (other): presyncope, ringing in ears

2022-01-12

Systemic reaction (other): Swollen lymph nodes in neck

Release 11 — day 14, dose 3

2022-01-21

Symptoms: Severe diarrhea and stomach pain.

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
SD	Abdominal pain upper	·	·	✓
SD	Breast enlargement	✓	·	✓
SD	Diarrhoea	·	·	✓
SD	Eczema	✓	✓	✓
SD	Headache	✓	·	✓
SD	Immune system disorder	✓	✓	✓
SD	Infection	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SD	Sinusitis	✓	✓	✓
SD	Staphylococcal infection	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Presyncope	·	·	✓
SRO	Tinnitus	·	·	✓

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