7M7-29959-59835

3 vaccinations 9 coded responses 32 check-ins 9 free-text entries 5 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 532 / WI
Registered: 2021-03-12

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

2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-12
Registered in v-safe
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-16
Survey response — days 1–6 daily, dose 1
MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swelling in legs/ankles

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-28
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-01
Health check-in — day 0, dose 2
Feeling: Fair · Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work

Adult check-in
2021-04-03
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-04-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-08
Health check-in — day 7, dose 2
Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-04-16
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-04-24
Survey response — day 21, dose 2
MedDRA: Diarrhoea — Feeling: Fair

Free text: Some diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — day 28, dose 2
MedDRA: Fatigue, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: Had muscle achy-ness, fatigue and low grade fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-06
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-01
Survey response — 3 months, dose 2
MedDRA: Ear infection, Otitis externa — Feeling: Fair · Be unable to work or attend school

Free text: Outer ear infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-30
Survey response — 6 months, dose 2
MedDRA: Musculoskeletal chest pain, Therapeutic nerve ablation — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

Free text: Nerve ablation for rib pain exasperated the issue.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail
2021-10-29
Dose 3 — Pfizer-BioNTech
2021-11-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-11-05
Health check-in — day 7, dose 3
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-19
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-11-26
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-05
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-12
Survey response — day 42, dose 3
MedDRA: Abdominal pain, Blood pressure fluctuation — 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: Worse abdomen pain. Worked blood pressure (flip/flop) between low and high.

MedDRA releases: 2024-11 · check-in free text available
2021-12-12
Report sent to call center — day 42, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-12-13
Call 1 — Left Voicemail
2022-01-28
Survey response — 3 months, dose 3
MedDRA: Ageusia, Anosmia, Ear swelling, Influenza virus test negative, SARS-CoV-2 test negative, Swelling — Feeling: Fair · 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: Swelling in neck and ear. Undetectable by RSV, strep, COVID PCR, and flu tests. Am in the middle of a round of antibiotics. Also lost taste and smell approx 2 weeks before that.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Report sent to call center — 3 months, dose 3
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)
2022-02-02
Call successful
Participant prefers to complete VAERS report online
2022-04-30
Survey response — 6 months, dose 3
MedDRA: Ovarian cyst ruptured — Feeling: Fair · Be unable to work or attend school, 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: Large ovarian cyst with subsequent rupture

MedDRA releases: 2024-11 · check-in free text available
2022-04-30
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Emergency room or emergency department visit · 1 call case(s)
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-05-03
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-29
Survey response — 12 months, dose 3
MedDRA: Endometriosis, Mass, Nephrolithiasis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Large endometriosis mass, large kidney stones

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Report sent to call center — 12 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-10-31
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	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-29	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-30	Successful 2022-05-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-12	Successful 2022-05-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-01-28	Successful 2022-02-02	Participant prefers to complete VAERS report online
2022-04-30	Successful 2022-05-03	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-10-29	Successful 2022-10-31	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Swelling in legs/ankles

Release 7 — day 21, dose 2

2021-04-24

Symptoms: Some diarrhea

Release 8 — day 28, dose 2

2021-05-01

Symptoms: Had muscle achy-ness, fatigue and low grade fever

Release 9 — 3 months, dose 2

2021-07-01

Symptoms: Outer ear infection

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Nerve ablation for rib pain exasperated the issue.

Release 10 — day 42, dose 3

2021-12-12

Symptoms: Worse abdomen pain. Worked blood pressure (flip/flop) between low and high.

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: Swelling in neck and ear. Undetectable by RSV, strep, COVID PCR, and flu tests. Am in the middle of a round of antibiotics. Also lost taste and smell approx 2 weeks before that.

Release 11 — 6 months, dose 3

2022-04-30

Symptoms: Large ovarian cyst with subsequent rupture

Release 12 — 12 months, dose 3

2022-10-29

Symptoms: Large endometriosis mass, large kidney stones

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	·	·	✓
SD	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Blood pressure fluctuation	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Ear infection	✓	·	✓
SD	Ear swelling	·	·	✓
SD	Endometriosis	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Influenza virus test negative	·	·	✓
SD	Mass	·	·	✓
SD	Musculoskeletal chest pain	·	·	✓
SD	Myalgia	✓	✓	✓
SD	Nephrolithiasis	·	·	✓
SD	Otitis externa	○	✓	○
SD	Ovarian cyst ruptured	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Swelling	·	·	✓
SD	Therapeutic nerve ablation	·	·	✓
SRO	Joint swelling	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓

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