9ZA-12324-80930

3 vaccinations 12 coded responses 35 check-ins 11 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 762 / TX
Registered: 2020-12-19

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

2020-12-19
Registered in v-safe
2020-12-19
Dose 1 — Pfizer-BioNTech
2020-12-19
Survey response — day 0, dose 1
MedDRA: Muscle twitching — Feeling: Fair

Free text: It was random but if felt muscle twitching around my lips.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-20
Survey response — days 1–6 daily, dose 1
MedDRA: Muscle twitching, Rhinorrhoea, Sinus congestion — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea

Free text: Sinus congestion/runny nose, tiny muscle twitching around lips/mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-21
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Paranasal sinus discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Nasal congestion, sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-22
Survey response — days 1–6 daily, dose 1
MedDRA: Nasal congestion, Paranasal sinus discomfort — Feeling: Fair · Diarrhea

Free text: Nasal congestion, sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-28
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-01-02
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-09
Dose 2 — Pfizer-BioNTech
2021-01-09
Survey response — day 0, dose 2
MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

Free text: Heartburn

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-01-11
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: Painful swollen lump in right armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-01-30
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-06
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-13
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair

Free text: Swollen lymph node, right armpit.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-20
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-11
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-10
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2022-01-09
Survey response — 12 months, dose 2
MedDRA: COVID-19 — 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: Diagnosed with Covid on 12/31/2021

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
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

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-11
Call 1 — Left Voicemail
2022-04-18
Dose 3 — Pfizer-BioNTech
2022-04-20
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Left armpit swelling and pain

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-04-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-04-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2022-04-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2022-05-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-05-09
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-05-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 35, dose 3
MedDRA: Dyspnoea, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shortness of breath; Foot pain

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-24
Call 2 — Left Voicemail
2022-05-24
Call 1 — Left Voicemail
2022-05-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 3
Feeling: Poor

Adult check-in
2022-10-19
Survey response — 6 months, dose 3
MedDRA: Glucose tolerance impaired, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Pre-diabetes · Healthcare visit (other): Office visit

MedDRA releases: 2024-11 · check-in free text available
2022-10-19
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-10-20
Call successful
Not applicable - Accidental Reporting
2022-10-20
Call successful
Participant prefers to complete VAERS report online
2022-10-20
Call successful
Participant prefers to complete VAERS report online
2023-04-19
Survey response — 12 months, dose 3
MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-04-19
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2023-04-20
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-19	Pfizer-BioNTech
2	2021-01-09	Pfizer-BioNTech
3	2022-04-18	Pfizer-BioNTech	No

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 1 — day 0, dose 1

2020-12-19

Systemic reaction (other): It was random but if felt muscle twitching around my lips.

Release 1 — days 1–6 daily, dose 1

2020-12-20

Systemic reaction (other): Sinus congestion/runny nose, tiny muscle twitching around lips/mouth

2020-12-21

Systemic reaction (other): Nasal congestion, sinus pressure

2020-12-22

Systemic reaction (other): Nasal congestion, sinus pressure

Release 1 — day 0, dose 2

2021-01-09

Systemic reaction (other): Heartburn

Release 1 — days 1–6 daily, dose 2

2021-01-11

Systemic reaction (other): Painful swollen lump in right armpit.

Release 4 — day 35, dose 2

2021-02-13

Symptoms: Swollen lymph node, right armpit.

Release 10 — 12 months, dose 2

2022-01-09

Symptoms: Diagnosed with Covid on 12/31/2021

Release 11 — days 1–6 daily, dose 3

2022-04-20

Systemic reaction (other): Left armpit swelling and pain

Release 11 — day 35, dose 3

2022-05-23

Symptoms: Shortness of breath; Foot pain

Release 12 — 6 months, dose 3

2022-10-19

Symptoms: Pre-diabetes

Healthcare visit (other): Office visit

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	Office visit	·	·	✓
SD	COVID-19	·	·	✓
SD	Dyspnoea	·	·	✓
SD	Glucose tolerance impaired	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain in extremity	·	·	✓
SD	Pre-existing disease	·	·	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dyspepsia	✓	✓	✓
SRO	Lymphadenopathy	○	○	○
SRO	Muscle twitching	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓

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