6YN-12555-35587

3 vaccinations 15 coded responses 32 check-ins 15 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 275 / NC
Registered: 2021-06-07

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-05-28
Dose 1 — Pfizer-BioNTech
2021-06-07
Registered in v-safe
2021-06-07
Survey response — day 7, dose 1
MedDRA: Contusion, Muscle spasms — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: I have a dark purple bruise on my upper arm on the one that was not vaccinated. I had one on my leg as well but it cleared up. Cramping in my leg.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Survey response — day 14, dose 1
MedDRA: Chest pain, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Sore throat currently and chest pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Dose 2 — Pfizer-BioNTech
2021-06-18
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · Chills, Fatigue or tiredness, Diarrhea

Adult check-in
2021-06-19
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Cough sore throat and runny stuffy nose

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-20
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling, Itching · Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-06-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Adult check-in
2021-06-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Wheezing — Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and wheezing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-23
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness, Wheezing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Wheezing every day and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-24
Survey response — days 1–6 daily, dose 2
MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, Wheezing — Feeling: Good

Free text: Wheezing, cough, runny nose and sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-25
Survey response — day 7, dose 2
MedDRA: Arthralgia, Axillary pain, Wheezing — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Still wheezing pain under arms , shoulder pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-07-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-16
Survey response — day 28, dose 2
MedDRA: Neuralgia, Rash, Wheezing — Feeling: Good · Be unable to do your normal daily activities

Free text: I had a few rashes throughout my face and neck, I started wheezing again. Unexplained sharp pains ( like nerve pains) . This is new but cleared up in a few days.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — day 42, dose 2
MedDRA: Headache — Feeling: Good

Free text: More frequent headaches than usual.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-12-17
Survey response — 6 months, dose 2
MedDRA: Chronic kidney disease, Contusion, Diarrhoea, Hypoaesthesia, Lymphadenopathy, Paraesthesia, Wheezing — 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 · Outpatient clinic or urgent care clinic visit

Free text: I have swollen limp nods in my neck. Unexplained bruising. Stage 3 kidney disease which is shocking. Tingling and numbness in my legs. Diarrhea that comes on unexpectedly. Wheezing may not be related.

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Report sent to call center — 6 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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-18
Dose 3 — Pfizer-BioNTech
2021-12-18
Survey response — day 0, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Leg cramps

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities

Free text: Leg cramps

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-21
Call 1 — Left Voicemail
2021-12-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-12-25
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches

Adult check-in
2022-01-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-08
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-21
Survey response — 3 months, dose 3
MedDRA: Contusion, Gastrointestinal disorder, Pain in extremity, Skin discolouration — 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: Dark purple bruise on my left leg and it is sore but I didn't hurt my leg. It seems to clear and come back. I have stomach issues more frequently.

MedDRA releases: 2024-11 · check-in free text available
2022-03-21
Report sent to call center — 3 months, 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)
2022-03-23
Call 1 — Left Voicemail
2022-03-23
Call successful
Completed over the phone
2022-06-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-18
Survey response — 12 months, dose 3
MedDRA: Cyst, Left ventricular hypertrophy, Nerve injury — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: I have left ventricular hypo trophy, nerve damage in my right hand and cysts growing in odd places ( undiagnosed).

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-28	Pfizer-BioNTech
2	2021-06-18	Pfizer-BioNTech
3	2021-12-18	Pfizer-BioNTech	No

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 8 — day 7, dose 1

2021-06-07

Systemic reaction (other): I have a dark purple bruise on my upper arm on the one that was not vaccinated. I had one on my leg as well but it cleared up. Cramping in my leg.

Release 9 — day 14, dose 1

2021-06-11

Symptoms: Sore throat currently and chest pains

Release 9 — days 1–6 daily, dose 2

2021-06-19

Systemic reaction (other): Cough sore throat and runny stuffy nose

2021-06-22

Systemic reaction (other): Dizziness and wheezing

2021-06-23

Systemic reaction (other): Wheezing every day and dizziness

2021-06-24

Systemic reaction (other): Wheezing, cough, runny nose and sore throat

Release 9 — day 7, dose 2

2021-06-25

Systemic reaction (other): Still wheezing pain under arms , shoulder pain

Release 9 — day 28, dose 2

2021-07-16

Symptoms: I had a few rashes throughout my face and neck, I started wheezing again. Unexplained sharp pains ( like nerve pains) . This is new but cleared up in a few days.

Release 9 — day 42, dose 2

2021-07-30

Symptoms: More frequent headaches than usual.

Release 10 — 6 months, dose 2

2021-12-17

Symptoms: I have swollen limp nods in my neck. Unexplained bruising. Stage 3 kidney disease which is shocking. Tingling and numbness in my legs. Diarrhea that comes on unexpectedly. Wheezing may not be related.

Release 10 — day 0, dose 3

2021-12-18

Systemic reaction (other): Leg cramps

Release 10 — days 1–6 daily, dose 3

2021-12-19

Systemic reaction (other): Leg cramps

Release 10 — day 21, dose 3

2022-01-08

Symptoms: Swollen lymph nodes

Release 11 — 3 months, dose 3

2022-03-21

Symptoms: Dark purple bruise on my left leg and it is sore but I didn't hurt my leg. It seems to clear and come back. I have stomach issues more frequently.

Release 12 — 12 months, dose 3

2022-12-18

Symptoms: I have left ventricular hypo trophy, nerve damage in my right hand and cysts growing in odd places ( undiagnosed).

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	Chronic kidney disease	·	·	✓
SD	Contusion	·	·	✓
SD	Cyst	·	·	✓
SD	Diarrhoea	·	·	✓
SD	Gastrointestinal disorder	·	·	✓
SD	Headache	✓	·	✓
SD	Hypoaesthesia	·	·	✓
SD	Left ventricular hypertrophy	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Nerve injury	·	·	✓
SD	Neuralgia	✓	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Paraesthesia	·	·	✓
SD	Rash	✓	·	✓
SD	Skin discolouration	·	·	✓
SD	Wheezing	✓	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Wheezing	✓	✓	✓

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