LR6-12989-89658

3 vaccinations 12 coded responses 31 check-ins 12 free-text entries 5 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 549 / WI
Registered: 2020-12-30

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

2020-12-29
Dose 1 — Pfizer-BioNTech
2020-12-30
Registered in v-safe
2020-12-30
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea

Free text: Worst bruise from an injection ever and I get yearly flu shots.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Survey response — days 1–6 daily, dose 1
MedDRA: Hypoaesthesia, Mobility decreased, Neck pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities

Free text: Injection arm is numb and right side of neck is in severe pain and I can't turn my head. Injection was in right arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2020-12-31
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea

Adult check-in
2021-01-02
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site bruising — Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness

Free text: Still have the ugliest bruise at injection site. I am a nurse and have had multiple vaccines- this was done perfectly fine and I am so surprised at how bad my bruise is

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-03
Survey response — days 1–6 daily, dose 1
MedDRA: Contusion — Feeling: Good · Site: Pain, Swelling

Free text: Still major bruising

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-05
Health check-in — day 7, dose 1
Feeling: Good · Site: Swelling · None

Adult check-in
2021-01-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-17
Dose 2 — Pfizer-BioNTech
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Adult check-in
2021-01-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-01-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-19
Survey response — 3 months, dose 2
MedDRA: Hepatic cyst, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Lymph node enlargement that keeps worsening at 13 weeks, and a new liver cyst that was not present on an MRI done prior to first vaccine. · Healthcare visit (other): Will need follow up on cyst that developed on liver post vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-07
Call 1 — Left Voicemail
2021-07-18
Survey response — 6 months, dose 2
MedDRA: Hepatic cyst, Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: New liver cyst and Ive never had a liver cyst, and also my lymph nodes are still extremely large

MedDRA releases: 2024-11 · check-in free text available
2021-07-18
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-24
Call 1 — Left Voicemail
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache

Free text: Swollen right armpit lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches

Free text: Swollen right armpit lymph node

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Sore throat runny nose

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2021-10-07
Health check-in — day 7, dose 3
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-12
Survey response — day 14, dose 3
MedDRA: Arthralgia — Feeling: Good

Free text: Joint pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Survey response — day 28, dose 3
MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Frequent headaches

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Report sent to call center — day 28, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-28
Call 1 — Left Voicemail
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-03-31
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-09-28
Survey response — 12 months, dose 3
MedDRA: COVID-19 — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Covid positive in June

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
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 · Emergency room or emergency department visit · 1 call case(s)
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-29
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-09-29
Call successful
Participant prefers to complete VAERS report online
2022-09-29
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-29	Pfizer-BioNTech
2	2021-01-17	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No

Call center

5 call center cases

4 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-30

Systemic reaction (other): Worst bruise from an injection ever and I get yearly flu shots.

2020-12-31

Systemic reaction (other): Injection arm is numb and right side of neck is in severe pain and I can't turn my head. Injection was in right arm

2021-01-02

Systemic reaction (other): Still have the ugliest bruise at injection site. I am a nurse and have had multiple vaccines- this was done perfectly fine and I am so surprised at how bad my bruise is

2021-01-03

Systemic reaction (other): Still major bruising

Release 7 — 3 months, dose 2

2021-04-19

Symptoms: Lymph node enlargement that keeps worsening at 13 weeks, and a new liver cyst that was not present on an MRI done prior to first vaccine.

Healthcare visit (other): Will need follow up on cyst that developed on liver post vaccine

Release 9 — 6 months, dose 2

2021-07-18

Symptoms: New liver cyst and Ive never had a liver cyst, and also my lymph nodes are still extremely large

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Swollen right armpit lymph node

2021-10-01

Systemic reaction (other): Swollen right armpit lymph node

2021-10-03

Systemic reaction (other): Sore throat runny nose

Release 10 — day 14, dose 3

2021-10-12

Symptoms: Joint pain

Release 10 — day 28, dose 3

2021-10-26

Symptoms: Frequent headaches

Release 12 — 12 months, dose 3

2022-09-28

Symptoms: Covid positive in June

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	Hepatic cyst	✓	✓	✓
SD	Arthralgia	·	·	✓
SD	COVID-19	·	·	✓
SD	Headache	·	·	✓
SD	Hepatic cyst	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SRO	Contusion	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site bruising	✓	✓	✓
SRO	Injection site hypoaesthesia	○	○	○
SRO	Lymphadenopathy	·	·	✓
SRO	Mobility decreased	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Rhinorrhoea	·	·	✓

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