F33-19329-80742

3 vaccinations 9 coded responses 30 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 31-35
ZIP prefix: 191 / PA
Registered: 2021-01-22

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

2021-01-22
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-31
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-02-07
Survey response — day 14, dose 1
MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Dose 2 — Pfizer-BioNTech
2021-02-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-02-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Limb mass, Pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Im having some moderate shoulder pain and I can feel a painful lump on the back of my shoulder. It hurts to move my arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen and painful lymph node near armpit/shoulder area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Muscle or body aches

Free text: Painful swollen, hard lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-25
Survey response — day 14, dose 2
MedDRA: Neck pain — Feeling: Fair

Free text: Neck pain, likely unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-10
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-17
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Survey response — day 42, dose 2
MedDRA: Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Constant ringing in my right ear. May be unrelated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Call 1 — Could Not Reach Participant
2021-08-11
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-17
Call 2 — Could Not Reach Participant
2021-08-20
Call 3 — Could Not Reach Participant
2021-11-08
Dose 3 — Pfizer-BioNTech
2021-11-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-11-13
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities

Adult check-in
2021-11-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-25
Survey response — day 14, dose 3
MedDRA: Headache, Nasal congestion, Nasopharyngitis — Feeling: Fair

Free text: Mild cold symptoms. Woke up with a headache and nasal congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-12-06
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-15
Survey response — day 35, dose 3
MedDRA: Ectopic pregnancy — 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 · Emergency room or emergency department visit

Free text: They're unrelated to the vaccine. I'm having an ectopic pregnancy.

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Report sent to call center — day 35, 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)
2021-12-16
Call 1 — Could Not Reach Participant
2021-12-21
Call 2 — Could Not Reach Participant
2022-05-09
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-11-10
Survey response — 12 months, dose 3
MedDRA: Ovarian cyst ruptured — Feeling: Good · 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: I had an ovarian cyst that ruptured. Very likely unrelated.

MedDRA releases: 2024-11 · check-in free text available
2022-11-10
Report sent to call center — 12 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)
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-11
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	2021-01-22	Pfizer-BioNTech
2	2021-02-10	Pfizer-BioNTech
3	2021-11-08	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-13	Successful 2022-11-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-03-27	Successful 2022-11-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2021-12-15	Successful 2022-11-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-11-10	Successful 2022-11-11	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 3 — day 14, dose 1

2021-02-07

Symptoms: Fatigue

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Im having some moderate shoulder pain and I can feel a painful lump on the back of my shoulder. It hurts to move my arm.

2021-02-13

Systemic reaction (other): Swollen and painful lymph node near armpit/shoulder area

2021-02-14

Systemic reaction (other): Painful swollen, hard lymph node

Release 4 — day 14, dose 2

2021-02-25

Symptoms: Neck pain, likely unrelated.

Release 6 — day 42, dose 2

2021-03-27

Symptoms: Constant ringing in my right ear. May be unrelated.

Release 10 — day 14, dose 3

2021-11-25

Symptoms: Mild cold symptoms. Woke up with a headache and nasal congestion.

Release 10 — day 35, dose 3

2021-12-15

Symptoms: They're unrelated to the vaccine. I'm having an ectopic pregnancy.

Release 12 — 12 months, dose 3

2022-11-10

Symptoms: I had an ovarian cyst that ruptured. Very likely unrelated.

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	Ectopic pregnancy	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	·	·	✓
SD	Nasal congestion	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Neck pain	✓	✓	✓
SD	Ovarian cyst ruptured	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Limb mass	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain	✓	✓	✓

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