XXG-42571-37025

4 vaccinations 21 coded responses 37 check-ins 20 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 914 / CA
Registered: 2021-03-22

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-21
Dose 1 — Pfizer-BioNTech
2021-03-22
Registered in v-safe
2021-03-22
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Dizziness, Dysgeusia, Immediate post-injection reaction, Induration, Injection site warmth, Rash — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-23
Survey response — days 1–6 daily, dose 1
MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-24
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Ear pain, Hyperhidrosis, Nasal congestion, Pyrexia, Sinus congestion, Tinnitus — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Chills, Dizziness, Hyperhidrosis, Middle ear effusion — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Hyperhidrosis, Otorrhoea — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-28
Health check-in — 7 day, dose 1
Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-04
Health check-in — 14 day, dose 1
Feeling: Fair

Adult check-in
2021-04-11
Dose 2 — Pfizer-BioNTech
2021-04-11
Survey response — 0 day, dose 2
MedDRA: Immediate post-injection reaction, Taste disorder — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Back pain, Haemangioma, Neck pain — Feeling: Poor · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-13
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia, Axillary pain, Pain — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-15
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site joint pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-18
Survey response — 7 day, dose 2
MedDRA: Fatigue, Pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-25
Survey response — 14 day, dose 2
MedDRA: Fatigue — 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
2021-05-02
Health check-in — 21 day, dose 2
Feeling: Fair

Adult check-in
2021-05-09
Health check-in — 28 day, dose 2
Feeling: Good

Adult check-in
2021-05-16
Health check-in — 35 day, dose 2
Feeling: Fair

Adult check-in
2021-05-23
Health check-in — 42 day, dose 2
Feeling: Good

Adult check-in
2021-07-13
Survey response — 3 month, dose 2
MedDRA: Urinary tract infection — Feeling: Good · 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
2021-07-13
Report sent to call center — 3 month, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-22
Call 2 — Left Voicemail
2021-10-10
Health check-in — 6 month, dose 2
Feeling: Fair

Adult check-in
2021-11-24
Dose 3 — Pfizer-BioNTech
2022-04-11
Health check-in — 12 month, dose 2
Feeling: Good

Adult check-in
2022-04-21
Dose 4 — Pfizer-BioNTech
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Pain in jaw, Sinus congestion, Toothache — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-04-24
Survey response — days 1–6 daily, dose 4
MedDRA: Sinus pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2022-04-25
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Dizziness, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2022-04-26
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain — Feeling: Fair · Joint pains, Muscle or body aches

MedDRA releases: 2024-11 · check-in answers available
2022-04-27
Survey response — days 1–6 daily, dose 4
MedDRA: Axillary pain, Dizziness — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-04-28
Survey response — 7 day, dose 4
MedDRA: Axillary pain, Ear pain — Feeling: Fair · Joint pains, Muscle or body aches

MedDRA releases: 2024-11 · check-in answers available
2022-05-05
Survey response — 14 day, dose 4
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2022-05-12
Health check-in — 21 day, dose 4
Feeling: Good

Adult check-in
2022-05-19
Health check-in — 28 day, dose 4
Feeling: Good

Adult check-in
2022-05-26
Health check-in — 35 day, dose 4
Feeling: Good

Adult check-in
2022-06-02
Health check-in — 42 day, dose 4
Feeling: Good

Adult check-in
2022-07-21
Health check-in — 3 month, dose 4
Feeling: Good

Adult check-in
2022-10-20
Survey response — 6 month, dose 4
MedDRA: Invasive ductal breast carcinoma — Feeling: Good · Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2023-04-23
Survey response — 12 month, dose 4
MedDRA: Neoplasm malignant — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization

MedDRA releases: 2024-11 · check-in answers available
2023-04-23
Report sent to call center — 12 month, dose 4
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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2023-04-24
Call 1 — Left Voicemail
2023-04-24
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-21	Pfizer-BioNTech
2	2021-04-11	Pfizer-BioNTech
3	2021-11-24	Pfizer-BioNTech	No
4	2022-04-21	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-13	Unsuccessful
2023-04-23	Unsuccessful

Free text

Release 6

Systemic reaction (other): Immediately upon injection there was a hot sensation at the injection site, but no real pain initially. Also had an aftertaste a strawberries and bananas in my mouth for about 10 minutes after injection, and a mild red rash on the lower arm under the injection site. Pain in the joint bundle of the left shoulder where the injection was given. Feeling of slight dizziness and/or wooziness afterwards. At around 12 hours following initial injection pain increased and the arm began to feel very hard and painful pain in the joint and nerve area of that shoulder.

Systemic reaction (other): Mild loose stools, not watery

Systemic reaction (other): Felt feverish but temp subnormal, sweated a lot more than usual, chills, tinnitus and pains in ears, and minor congestion right nasal sinus

Systemic reaction (other): Sweats & Chills, wet ears, & dizziness.

Systemic reaction (other): Sweating and wet ears

Release 7

Systemic reaction (other): Immediately carter injection taste of strawberries and bananas

Systemic reaction (other): Intense ache in all joints. Especially the shoulder above injection site and neck near injection site. Also lower back where I have an Hemangioma on the L5. Hurts awfully. Armpit near injection site aches. Feels like a knife going into shoulder joint.

Systemic reaction (other): Constant aching pain in most joints and former fracture sites, at about an eight. Worse at elbow under injection sites, and shoulder above injection site. Underarm near injection site sore at about a four.

Systemic reaction (other): He heavier join pain above and below injection site

Systemic reaction (other): Great fatigue and body ache

Symptoms: Very fatigued. Tried to work in yard and arm where vaccinated became weak and tremulous after very little exertion.

Release 9

Symptoms: I have an UTI the last two weeks. On antibiotics. Did notice that my sense of smell which was deadened by nasal surgery in 1987, has vastly improved since getting the vaccine

Release 11

Systemic reaction (other): My sinuses became swollen and the roots of ALL my teeth, jaw, and jaw joints joints were severely painful.

Systemic reaction (other): Sinuses in pain

Systemic reaction (other): Swelling and mild pain in armpit of arm (left) vaccinated. Mild dizziness

Systemic reaction (other): Pain in armpit of arm injected

Systemic reaction (other): Dizziness, and armpit pain near injection site.

Systemic reaction (other): Eustachian tubes hurt, armpit under injection site hurts

Symptoms: Just my endemic Cervical Stenosis and spinal issues are a bit worse

Release 12

Symptoms: Diagnosed with Invasive Ductal Breast Cancer, stage two.

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	Condition aggravated	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Invasive ductal breast carcinoma	·	·	✓
SD	Neoplasm malignant	·	·	✓
SD	Pre-existing disease	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chills	✓	✓	✓
SRO	Diarrhoea	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Fatigue	✓	✓	✓
SRO	Haemangioma	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Immediate post-injection reaction	✓	✓	✓
SRO	Induration	✓	✓	✓
SRO	Injection site joint pain	✓	✓	✓
SRO	Injection site warmth	✓	✓	✓
SRO	Middle ear effusion	✓	✓	✓
SRO	Nasal congestion	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Oedema peripheral	·	·	✓
SRO	Otorrhoea	✓	✓	✓
SRO	Pain	✓	✓	✓
SRO	Pain in jaw	·	·	✓
SRO	Pyrexia	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Sinus pain	·	·	✓
SRO	Taste disorder	✓	✓	✓
SRO	Tinnitus	✓	✓	✓
SRO	Toothache	·	·	✓

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