XW6-29075-33188

2 vaccinations 11 coded responses 20 check-ins 11 free-text entries 5 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 335 / FL
Registered: 2021-03-28

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

2021-03-27
Dose 1 — Pfizer-BioNTech
2021-03-28
Registered in v-safe
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Palpitations — Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Abdominal discomfort, Haemorrhage, Thrombosis — Feeling: Good · Diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain

Adult check-in
2021-04-05
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-04-13
Survey response — 14 day, dose 1
MedDRA: Arthralgia, Swelling — Feeling: Poor · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-15
Dose 2 — Pfizer-BioNTech
2021-04-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Pain — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-17
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-19
Report sent to call center — days 1–6 daily, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-20
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-20
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy, Medical counselling, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-21
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-22
Survey response — 7 day, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-22
Report sent to call center — 7 day, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-29
Survey response — 14 day, dose 2
MedDRA: Arrhythmia, Hypertension — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-06
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — 28 day, dose 2
Feeling: Fair

Adult check-in
2021-05-20
Survey response — 35 day, dose 2
MedDRA: Injection site pain, Lymphadenopathy, Pain, Swelling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-27
Health check-in — 42 day, dose 2
Feeling: Fair

Adult check-in
2021-07-15
Health check-in — 3 month, dose 2
Feeling: Good

Adult check-in
2021-10-19
Survey response — 6 month, dose 2
MedDRA: Palpitations — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-02-25
Call 1 — Left Voicemail
2022-04-15
Health check-in — 12 month, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-27	Pfizer-BioNTech
2	2021-04-15	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-17	Unsuccessful
2021-04-19	Unsuccessful
2021-04-20	Unsuccessful
2021-04-21	Unsuccessful
2021-04-22	Unsuccessful

Free text

Release 6

Systemic reaction (other): Heart flip flops overnight

Systemic reaction (other): I had some menstrual bleeding yesterday (i am 56 and finished that a while back). There were some minor abdominal discomfort then minor bleeding and a small clot passed. None today.

Release 7

Symptoms: Visibly swollen and painful left arm and shoulder

Systemic reaction (other): Severely swollen lymph nodes with pain

Systemic reaction (other): Lymph nodes remain swollen and painful. Doctor has prescribed antibiotic, stating it appears the vaccine has caused them to get "stuck" in overdrive.

Systemic reaction (other): Lymph nodes still severely swollen and painful

Systemic reaction (other): Severely swollen and painful lymph nodes still from first vaccine, now compounded by second vaccine. Under physician care trying to resolve.

Systemic reaction (other): Pain and swelling of lymph nodes is finally today showing a little improvement. Still swollen, several weeks now, but not quite as large or as painful

Release 8

Symptoms: High blood pressure and heart arrhythmia

Symptoms: Lymph node swelling and shoulder pain in injection arm still a problem. Some days swelling and pain larger than other days.

Release 10

Symptoms: Heart was flip flopping pretty bad on Saturday. Had never had issues with heart until after taking vaccine.

Free-text releases are not linked to a specific 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	Arrhythmia	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Injection site pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Swelling	✓	✓	✓
SRO	Abdominal discomfort	✓	✓	✓
SRO	Haemorrhage	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Medical counselling	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Palpitations	✓	✓	✓
SRO	Thrombosis	✓	✓	✓
SRO	Vaccine positive rechallenge	✓	✓	✓

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