6MT-17931-69709

3 vaccinations 8 coded responses 37 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 531 / WI
Registered: 2021-04-09

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

2021-04-09
Registered in v-safe
2021-04-09
Dose 1 — Pfizer-BioNTech
2021-04-09
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-30
Dose 2 — Pfizer-BioNTech
2021-04-30
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Joint pains

Adult check-in
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Eye pain, Insomnia — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Elevated blood pressure, insomnia, eye pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-14
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-28
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-04
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Survey response — day 42, dose 2
MedDRA: Herpes zoster, Lymphadenopathy — 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: I developed shingles and extreme swollen lymph nodes in my head, neck, chest, and armpits.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-07-30
Survey response — 3 months, dose 2
MedDRA: Pre-existing disease, Respiratory disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Breathing issues related to long Covid

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-10
Call 1 — Left Voicemail
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-13
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-11-15
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains

Free text: Swollen lymph node in key armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Very swollen, painful lymph node in left armpit.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Fair · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Systemic reaction (other): Swollen gland in left armpit. It is painful and itchy today. · Healthcare visit (other): Waiting to hear back from my doctor to see if she wants to see me regarding the swollen gland.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-11-18
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Still have swollen gland in left armpit.

MedDRA releases: 2024-11 · check-in free text available
2021-11-18
Call 1 — Left Voicemail
2021-11-19
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-11-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-11
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-18
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-25
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-02-12
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-05-14
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-15
Survey response — 12 months, dose 3
MedDRA: Herpes zoster, Sudden hearing loss — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sudden onset hearing loss, possibly due to a sinus infection. Shingles exactly 7 days after my last booster.

MedDRA releases: 2024-11 · check-in free text available
2022-11-15
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-16
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-09	Pfizer-BioNTech
2	2021-04-30	Pfizer-BioNTech
3	2021-11-13	Pfizer-BioNTech	Flu

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-01

Systemic reaction (other): Elevated blood pressure, insomnia, eye pain

Release 9 — day 42, dose 2

2021-06-11

Symptoms: I developed shingles and extreme swollen lymph nodes in my head, neck, chest, and armpits.

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Breathing issues related to long Covid

Release 10 — days 1–6 daily, dose 3

2021-11-15

Systemic reaction (other): Swollen lymph node in key armpit

2021-11-16

Systemic reaction (other): Very swollen, painful lymph node in left armpit.

2021-11-17

Systemic reaction (other): Swollen gland in left armpit. It is painful and itchy today.

Healthcare visit (other): Waiting to hear back from my doctor to see if she wants to see me regarding the swollen gland.

2021-11-18

Systemic reaction (other): Still have swollen gland in left armpit.

Release 12 — 12 months, dose 3

2022-11-15

Symptoms: Sudden onset hearing loss, possibly due to a sinus infection. Shingles exactly 7 days after my last booster.

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	Lymphadenopathy	·	·	✓
SD	Herpes zoster	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pre-existing disease	✓	·	✓
SD	Respiratory disorder	✓	·	✓
SD	Sudden hearing loss	·	·	✓
SRO	Blood pressure increased	✓	✓	✓
SRO	Eye pain	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pruritus	·	·	✓

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