XXK-17676-76378

5 vaccinations 13 coded responses 25 check-ins 11 free-text entries 3 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 741 / OK
Registered: 2021-09-29

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

2021-01-06
Dose 1 — Pfizer-BioNTech
2021-01-27
Dose 2 — Pfizer-BioNTech
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-29
Registered in v-safe
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness

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

MedDRA releases: 2024-11 · check-in answers available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever

MedDRA releases: 2024-11 · check-in answers available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

MedDRA releases: 2024-11 · check-in answers available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Diarrhea

Adult check-in
2021-10-05
Survey response — 7 day, dose 3
MedDRA: Musculoskeletal stiffness — Feeling: Good · Fever

MedDRA releases: 2024-11 · check-in answers available
2021-10-12
Health check-in — 14 day, dose 3
Feeling: Fair

Adult check-in
2021-10-19
Health check-in — 21 day, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — 35 day, dose 3
Feeling: Good

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

Adult check-in
2021-12-28
Survey response — 3 month, dose 3
MedDRA: Nephrolithiasis, Unevaluable event — 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

MedDRA releases: 2024-11 · check-in answers available
2021-12-28
Report sent to call center — 3 month, 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 · 1 call case(s)
2021-12-30
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-03-31
Survey response — 6 month, dose 3
MedDRA: Heavy menstrual bleeding — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2022-07-18
Dose 4 — Pfizer-BioNTech
2022-09-28
Health check-in — 12 month, dose 3
Feeling: Good

Adult check-in
2022-10-05
Dose 5 — Pfizer-BioNTech
2022-10-07
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain, Swelling · None

Adult check-in
2022-10-10
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness

Adult check-in
2022-10-11
Survey response — days 1–6 daily, dose 5
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain

MedDRA releases: 2024-11 · check-in answers available
2022-10-12
Survey response — 7 day, dose 5
MedDRA: Ear discomfort, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: Poor · Headache, Fatigue or tiredness

MedDRA releases: 2024-11 · check-in answers available
2022-10-19
Survey response — 14 day, dose 5
MedDRA: Rash, Rash macular — Feeling: Fair

MedDRA releases: 2024-11 · check-in answers available
2022-10-28
Survey response — 21 day, dose 5
MedDRA: Migraine — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11 · check-in answers available
2022-10-28
Report sent to call center — 21 day, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-31
Call successful
Does not wish to fill out VAERS report
2022-11-04
Health check-in — 28 day, dose 5
Feeling: Good

Adult check-in
2022-11-18
Health check-in — 42 day, dose 5
Feeling: Good

Adult check-in
2023-01-06
Survey response — 3 month, dose 5
MedDRA: Nephrolithiasis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2024-11 · check-in answers available
2023-04-05
Survey response — 6 month, dose 5
MedDRA: Anxiety — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11 · check-in answers available
2023-04-05
Report sent to call center — 6 month, dose 5
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-04-06
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-06	Pfizer-BioNTech	No
2	2021-01-27	Pfizer-BioNTech	No
3	2021-09-28	Pfizer-BioNTech	No
4	2022-07-18	Pfizer-BioNTech	No
5	2022-10-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-12-28	Successful 2021-12-30	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-10-28	Successful 2022-10-31	Does not wish to fill out VAERS report
2023-04-05	Unsuccessful

Free text

Release 9

Systemic reaction (other): Lymph nodes in armpit on arm where I got injection are swollen.

Systemic reaction (other): Swollen lymph nodes in armpit

Systemic reaction (other): Lymph nodes are still swollen

Systemic reaction (other): Lymph nodes are still a little sore but much better

Release 10

Systemic reaction (other): Neck is stiff

Symptoms: Kidney stones

Healthcare visit (other): Ct scan, ultrasound

Release 11

Symptoms: Periods are longer

Release 12

Systemic reaction (other): Sore throat

Systemic reaction (other): Congestion, post nasal drip, ears are backed up.

Symptoms: I've had large red splotches show up one across my chest and now one on my cheek that have lasted for a couple days before going away. I have scheduled to go to the dr tomorrow to get checked out.

Symptoms: A couple migraines

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
HCVO	Unevaluable event	·	·	✓
SD	Anxiety	·	·	✓
SD	Heavy menstrual bleeding	·	·	✓
SD	Migraine	·	·	✓
SD	Nephrolithiasis	·	·	✓
SD	Rash	·	·	✓
SD	Rash macular	·	·	✓
SRO	Ear discomfort	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Musculoskeletal stiffness	·	·	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Respiratory tract congestion	·	·	✓
SRO	Upper-airway cough syndrome	·	·	✓

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