6SG-25199-87350

2 vaccinations 14 coded responses 23 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 088 / NJ
Registered: 2021-04-03

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

2021-04-03
Registered in v-safe
2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-03
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-14
Health check-in — day 7, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-17
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-24
Survey response — day 0, dose 2
MedDRA: Erythema, Pruritus, Skin reaction — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Free text: A few mildly itchy pink spots on face and chest shoulder

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-25
Survey response — days 1–6 daily, dose 2
MedDRA: Pallor — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pale face

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pallor — Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pale face swollen lymph nodes in groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pallor — Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Pale face, swollen lymph nodes groin

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen Lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — day 14, dose 2
MedDRA: Arthralgia, Contusion, Office visit, Tooth fracture — 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: Developed bruises on arms and legs, broken tooth, pain in knees and hips; saw doctor who ordered bloodwork to check platelets but they were within normal range

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-15
Survey response — day 21, dose 2
MedDRA: Fatigue, Musculoskeletal chest pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: I woke up with pain over right rib cage and have fatigue -resting and will see a doctor if it doesn't go away

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Emergency care, Erythema of eyelid, Headache, Lymphadenopathy, Monocyte count increased, Monocyte percentage increased, Skin warm, Swelling of eyelid — Feeling: Fair · 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: My eyelids were swollen and 1 was red and hot. I had pain on the left side of my head and swollen lymph nodes. I went to the ER and had blood work to rule out a blood clot, but had slightly elevated monocytes percentage.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-29
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-05
Survey response — day 42, dose 2
MedDRA: Contusion, Epistaxis, Tooth disorder — Feeling: Fair · Be unable to do your normal daily activities, 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: I woke up with more bruises on separate days for no known reason- 1 on leg, 1 on arm, 1 on abdomen, some blood particles in nose when blowing, elevated eso on blood work, second time since vaccine. Also, back molar tooth crumpled. hemotologist pendi

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-05
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)
2021-07-24
Survey response — 3 months, dose 2
MedDRA: Contusion, Eyelid irritation, Eyelid oedema, Fatigue, Lymphadenopathy, Monocyte count increased, Pain in extremity, Rash — 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, Emergency room or emergency department visit

Free text: Severe rashes, burned eyelids with edema, bruises, swollen lymph nodes, elevated monocytes, possible activation of dormant chicken pox, fatigue, arm pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-24
Report sent to call center — 3 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-29
Call 1 — Could Not Reach Participant
2021-08-03
Call 2 — Could Not Reach Participant
2021-10-23
Survey response — 6 months, dose 2
MedDRA: Herpes zoster, Rash, Urticaria — 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: Hives, shingles, unknown rash on arm of shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Report sent to call center — 6 months, dose 2
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)
2021-10-26
Call 1 — Left Voicemail
2021-10-27
Call 2 — Left Voicemail
2021-10-27
Call successful
Participant prefers to complete VAERS report online
2022-04-24
Survey response — 12 months, dose 2
MedDRA: SARS-CoV-2 test positive, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: I just tested positive for COVID-19 with a the I health rapid test shipped by the government. · Healthcare visit (other): Unsure yet

MedDRA releases: 2024-11 · check-in free text available
2022-04-24
Report sent to call center — 12 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2022-04-25
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	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 7 — day 0, dose 2

2021-04-24

Systemic reaction (other): A few mildly itchy pink spots on face and chest shoulder

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Pale face

Release 8 — days 1–6 daily, dose 2

2021-04-26

Systemic reaction (other): Pale face swollen lymph nodes in groin

2021-04-27

Systemic reaction (other): Pale face, swollen lymph nodes groin

2021-04-29

Systemic reaction (other): Swollen Lymph nodes

2021-04-30

Systemic reaction (other): Swollen lymph nodes

Release 8 — day 7, dose 2

2021-05-01

Systemic reaction (other): Swollen lymph nodes

Release 8 — day 14, dose 2

2021-05-08

Symptoms: Developed bruises on arms and legs, broken tooth, pain in knees and hips; saw doctor who ordered bloodwork to check platelets but they were within normal range

Release 8 — day 21, dose 2

2021-05-15

Symptoms: I woke up with pain over right rib cage and have fatigue -resting and will see a doctor if it doesn't go away

Release 8 — day 28, dose 2

2021-05-22

Symptoms: My eyelids were swollen and 1 was red and hot. I had pain on the left side of my head and swollen lymph nodes. I went to the ER and had blood work to rule out a blood clot, but had slightly elevated monocytes percentage.

Release 8 — day 42, dose 2

2021-06-05

Symptoms: I woke up with more bruises on separate days for no known reason- 1 on leg, 1 on arm, 1 on abdomen, some blood particles in nose when blowing, elevated eso on blood work, second time since vaccine. Also, back molar tooth crumpled. hemotologist pendi cut off by CDC

Release 9 — 3 months, dose 2

2021-07-24

Symptoms: Severe rashes, burned eyelids with edema, bruises, swollen lymph nodes, elevated monocytes, possible activation of dormant chicken pox, fatigue, arm pain

Release 10 — 6 months, dose 2

2021-10-23

Symptoms: Hives, shingles, unknown rash on arm of shot

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: I just tested positive for COVID-19 with a the I health rapid test shipped by the government.

Healthcare visit (other): Unsure yet

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	Unevaluable event	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Contusion	✓	✓	✓
SD	Emergency care	✓	✓	✓
SD	Epistaxis	✓	✓	✓
SD	Erythema of eyelid	✓	✓	✓
SD	Eyelid irritation	✓	·	✓
SD	Eyelid oedema	✓	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Monocyte count increased	✓	✓	✓
SD	Monocyte percentage increased	✓	·	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Pain in extremity	✓	·	✓
SD	Rash	✓	·	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Skin warm	✓	✓	✓
SD	Swelling of eyelid	✓	✓	✓
SD	Tooth disorder	✓	✓	✓
SD	Tooth fracture	✓	✓	✓
SD	Urticaria	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pallor	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Skin reaction	✓	✓	✓

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