6U4-32144-57940

3 vaccinations 9 coded responses 25 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 945 / CA
Registered: 2021-07-23

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-07-01
Dose 1 — Pfizer-BioNTech
2021-07-22
Dose 2 — Pfizer-BioNTech
2021-07-23
Registered in v-safe
2021-07-23
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-07-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, 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

Adult check-in
2021-07-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lip dry — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Extremely dry lips despite drinking loads of water

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-07-28
Survey response — days 1–6 daily, dose 2
MedDRA: Lip dry — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Extremely dry lips despite drinking ample water.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-29
Survey response — day 7, dose 2
MedDRA: Lip dry — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site

Free text: Dry lips

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-08-12
Survey response — day 21, dose 2
MedDRA: Folliculitis — Feeling: Fair

Free text: I think I developed Folliculitis and still not going away since vaccination

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-19
Survey response — day 28, dose 2
MedDRA: Chest pain, Folliculitis — Feeling: Fair

Free text: Chest pain and more random folluculitis

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-09-02
Survey response — day 42, dose 2
MedDRA: Myalgia, Neck pain, Rash — Feeling: Poor

Free text: Muscle aches , pain side of neck, continued rashes.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-10-21
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-01-12
Dose 3 — Moderna
2022-01-13
Survey response — days 1–6 daily, dose 3
MedDRA: Headache, Migraine, Neck pain, Pulse abnormal — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Migraines, pulsing headache that seem to travel from back of neck to top of head. Sharp pulses of pain in headache

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Breast pain, Lymph node pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Pain in breast armpit area and lymph nodes on same side of injection site

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — days 1–6 daily, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-15
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches

Free text: Swollen lymph nodes on armpit/breast area (same side as injection site)

MedDRA releases: 2024-11 · check-in free text available
2022-01-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Muscle or body aches

Adult check-in
2022-01-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-01-18
Call 1 — Left Voicemail
2022-01-19
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-01-19
Call successful
Participant prefers to complete VAERS report online
2022-01-26
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-02-02
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-02-09
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-02-16
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-02-23
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-04-13
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-01	Pfizer-BioNTech	No
2	2021-07-22	Pfizer-BioNTech	No
3	2022-01-12	Moderna	No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 2

2021-07-26

Systemic reaction (other): Extremely dry lips despite drinking loads of water

2021-07-28

Systemic reaction (other): Extremely dry lips despite drinking ample water.

Release 9 — day 7, dose 2

2021-07-29

Systemic reaction (other): Dry lips

Release 9 — day 21, dose 2

2021-08-12

Symptoms: I think I developed Folliculitis and still not going away since vaccination

Release 9 — day 28, dose 2

2021-08-19

Symptoms: Chest pain and more random folluculitis

Release 9 — day 42, dose 2

2021-09-02

Symptoms: Muscle aches , pain side of neck, continued rashes.

Release 10 — days 1–6 daily, dose 3

2022-01-13

Systemic reaction (other): Migraines, pulsing headache that seem to travel from back of neck to top of head. Sharp pulses of pain in headache

2022-01-14

Systemic reaction (other): Pain in breast armpit area and lymph nodes on same side of injection site

2022-01-15

Systemic reaction (other): Swollen lymph nodes on armpit/breast area (same side as injection site)

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	Chest pain	✓	·	✓
SD	Folliculitis	✓	·	✓
SD	Myalgia	✓	·	✓
SD	Neck pain	✓	·	✓
SD	Rash	✓	·	✓
SRO	Axillary pain	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Headache	·	·	✓
SRO	Lip dry	✓	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Migraine	·	·	✓
SRO	Neck pain	·	·	✓
SRO	Pulse abnormal	·	·	✓

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