UYU-13783-93536

3 vaccinations 7 coded responses 29 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 31-35
ZIP prefix: 600 / IL
Registered: 2021-01-05

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

2021-01-05
Registered in v-safe
2021-01-05
Dose 1 — Pfizer-BioNTech
2021-01-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-25
Dose 2 — Pfizer-BioNTech
2021-01-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-29
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-01
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 28, dose 2
MedDRA: Breast feeding, Chills, Fatigue, Galactostasis, Mastitis, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Aches, chills, fatigue, clogged duct/ mastitis (currently breastfeeding)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-08-17
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness

Free text: Tingling

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Swollen axillary lymph nodes - same arm as shot

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphoedema, Taste disorder — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Taste bud sensitivity, lymphadema to axilla

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Gingival pain, Lymphadenopathy — Feeling: Good

Free text: Axillary lymph nodes swollen but not painful today. Gums sensitive

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-07
Survey response — day 7, dose 3
MedDRA: Gingival pain — Feeling: Good

Free text: Gum sensitivity

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Survey response — day 14, dose 3
MedDRA: Dysmenorrhoea — Feeling: Good

Free text: Menstrual type cramping despite being on birth control pills. Have read this is an occasional side effect?

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

Adult check-in
2021-10-30
Health check-in — day 28, dose 3
Feeling: Good

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

Adult check-in
2022-01-01
Health check-in — 3 months, dose 3
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-05	Pfizer-BioNTech
2	2021-01-25	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-22	Successful 2021-08-17	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — day 28, dose 2

2021-02-22

Symptoms: Aches, chills, fatigue, clogged duct/ mastitis (currently breastfeeding)

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Tingling

2021-10-02

Systemic reaction (other): Swollen axillary lymph nodes - same arm as shot

2021-10-03

Systemic reaction (other): Taste bud sensitivity, lymphadema to axilla

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): Axillary lymph nodes swollen but not painful today. Gums sensitive

Release 10 — day 7, dose 3

2021-10-07

Systemic reaction (other): Gum sensitivity

Release 10 — day 14, dose 3

2021-10-14

Symptoms: Menstrual type cramping despite being on birth control pills. Have read this is an occasional side effect?

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	Breast feeding	✓	✓	✓
SD	Chills	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Galactostasis	✓	✓	✓
SD	Mastitis	✓	✓	✓
SD	Pain	✓	✓	✓
SRO	Gingival pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Lymphoedema	·	·	✓
SRO	Paraesthesia	·	·	✓
SRO	Taste disorder	·	·	✓

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