G8C-23046-07694

3 vaccinations 10 coded responses 31 check-ins 10 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 921 / CA
Registered: 2021-01-19

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

2020-12-31
Dose 1 — Pfizer-BioNTech
2021-01-19
Registered in v-safe
2021-01-19
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-19
Health check-in — day 0, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-21
Survey response — days 1–6 daily, dose 2
MedDRA: Chills, Fluid retention, Headache — Feeling: Good · Site: Pain · Headache

Free text: Yesterday- body soreness, headache, chills; link expired

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-22
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Headache

Free text: Lightheaded

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-23
Survey response — days 1–6 daily, dose 2
MedDRA: Tinnitus — Feeling: Good

Free text: Ringing in the left ear- minimal today, more intense yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-02
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-20
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-13
Dose 3 — Pfizer-BioNTech
2021-12-13
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Ear discomfort, Ear pain, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain

Free text: Swollen and tender lymph node under left armpit; left arm was an injection site; also some pain/pressure in the right ear

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Lymph node swelling and tenderness under left arm (side of the injection)

MedDRA releases: 2024-11 · check-in free text available
2021-12-17
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen and tender lymph node under arm

MedDRA releases: 2024-11 · check-in free text available
2021-12-18
Survey response — days 1–6 daily, dose 3
MedDRA: Breast pain, Lymphadenopathy — Feeling: Fair · Abdominal pain

Free text: Lymph node swelling under left arm and pain above left breast

MedDRA releases: 2024-11 · check-in free text available
2021-12-19
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node and pain underneath left armpit and above left breast

MedDRA releases: 2024-11 · check-in free text available
2021-12-20
Health check-in — day 7, dose 3
Feeling: Good · Headache

Adult check-in
2021-12-27
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-01-03
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-10
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-24
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-14
Survey response — 3 months, dose 3
MedDRA: Ovarian cystectomy, Pre-existing disease — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Hospitalization

Free text: On 3/3/2022 I had a laparoscopy with removal of ovarian cysts to address chronic pelvic pain.

MedDRA releases: 2024-11 · check-in free text available
2022-03-14
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

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
2022-03-15
Call 1 — Left Voicemail
2022-06-13
Survey response — 6 months, dose 3
MedDRA: Abortion spontaneous, Pain, Uterine dilation and curettage — Feeling: Good · Be unable to work or attend school

Free text: Pregnancy, miscarriage, D&C, 2 days later- whole body aches for 2 days

MedDRA releases: 2024-11 · check-in free text available
2022-12-16
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-31	Pfizer-BioNTech
2	2021-01-19	Pfizer-BioNTech
3	2021-12-13	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-14	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Yesterday- body soreness, headache, chills; link expired

2021-01-22

Systemic reaction (other): Lightheaded

2021-01-23

Systemic reaction (other): Ringing in the left ear- minimal today, more intense yesterday

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): Swollen and tender lymph node under left armpit; left arm was an injection site; also some pain/pressure in the right ear

2021-12-16

Systemic reaction (other): Lymph node swelling and tenderness under left arm (side of the injection)

2021-12-17

Systemic reaction (other): Swollen and tender lymph node under arm

2021-12-18

Systemic reaction (other): Lymph node swelling under left arm and pain above left breast

2021-12-19

Systemic reaction (other): Swollen lymph node and pain underneath left armpit and above left breast

Release 11 — 3 months, dose 3

2022-03-14

Symptoms: On 3/3/2022 I had a laparoscopy with removal of ovarian cysts to address chronic pelvic pain.

Release 12 — 6 months, dose 3

2022-06-13

Symptoms: Pregnancy, miscarriage, D&C, 2 days later- whole body aches for 2 days

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	Abortion spontaneous	·	·	✓
SD	Ovarian cystectomy	·	·	✓
SD	Pain	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Uterine dilation and curettage	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Chills	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Ear discomfort	·	·	✓
SRO	Ear pain	·	·	✓
SRO	Fluid retention	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Tinnitus	✓	✓	✓

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