7QP-23973-99589

4 vaccinations 11 coded responses 43 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 221 / VA
Registered: 2021-03-20

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

5JR-31465-12463 Child or adolescent in my care · Female · 2022-06-22

HLX-24922-02844 Child or adolescent in my care · Male · 2022-06-22

Timeline

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

2021-03-20
Registered in v-safe
2021-03-20
Dose 1 — Pfizer-BioNTech
2021-03-20
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-27
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-03
Survey response — day 14, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Dose 2 — Pfizer-BioNTech
2021-04-10
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Bilateral Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Free text: Swollen lymph nodes and feet

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-24
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-09
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-13
Dose 3 — Pfizer-BioNTech
2021-10-14
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen lymph node on the side with the shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-15
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen painful lymph nodes on injection site side

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-10-18
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-20
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-27
Health check-in — day 14, dose 3
Feeling: Good

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

Adult check-in
2021-11-17
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-12
Survey response — 3 months, dose 3
MedDRA: Heart rate increased, Pregnancy — Feeling: Good · Be unable to do your normal daily activities

Free text: Pregnancy symptoms /hear rate increase

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Survey response — 6 months, dose 3
MedDRA: Delivery — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: Birthed a baby

MedDRA releases: 2024-11 · check-in free text available
2022-04-16
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-04-20
Call 1 — Could Not Reach Participant
2022-04-26
Call successful
Not applicable - Accidental Reporting
2022-10-08
Dose 4 — Moderna
Co-administered: Flu
2022-10-09
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Dizziness, excessive sweating

MedDRA releases: 2024-11 · check-in free text available
2022-10-10
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-10-11
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-10-12
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2022-10-14
Survey response — days 1–6 daily, dose 4
MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Free text: Runny nose

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Health check-in — day 7, dose 4
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2022-11-07
Survey response — day 28, dose 4
MedDRA: Cough, Paranasal sinus discomfort, Secretion discharge — 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 · Telehealth, virtual health, or email health consultation

Free text: Chest cough sinus pressure, lots of mucous

MedDRA releases: 2024-11 · check-in free text available
2022-11-07
Report sent to call center — day 28, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-11-08
Call 1 — Left Voicemail
2022-11-20
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-20	Pfizer-BioNTech
2	2021-04-10	Pfizer-BioNTech
3	2021-10-13	Pfizer-BioNTech	No
4	2022-10-08	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2022-04-16	Successful 2022-04-26	Not applicable - Accidental Reporting
2022-11-07	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-04-03

Symptoms: Sore throat

Release 7 — days 1–6 daily, dose 2

2021-04-12

Systemic reaction (other): Bilateral Swollen lymph nodes

2021-04-13

Systemic reaction (other): Swollen lymph nodes and feet

Release 10 — days 1–6 daily, dose 3

2021-10-14

Systemic reaction (other): Swollen lymph node on the side with the shot

2021-10-15

Systemic reaction (other): Swollen painful lymph nodes on injection site side

2021-10-16

Systemic reaction (other): Swollen lymph nodes

Release 10 — 3 months, dose 3

2022-01-12

Symptoms: Pregnancy symptoms /hear rate increase

Release 11 — 6 months, dose 3

2022-04-16

Symptoms: Birthed a baby

Release 12 — days 1–6 daily, dose 4

2022-10-09

Systemic reaction (other): Dizziness, excessive sweating

2022-10-14

Systemic reaction (other): Runny nose

Release 12 — day 28, dose 4

2022-11-07

Symptoms: Chest cough sinus pressure, lots of mucous

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	Cough	·	·	✓
SD	Delivery	·	·	✓
SD	Heart rate increased	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Paranasal sinus discomfort	·	·	✓
SD	Pregnancy	·	·	✓
SD	Secretion discharge	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Hyperhidrosis	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Peripheral swelling	✓	✓	✓
SRO	Rhinorrhoea	·	·	✓

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