XY6-24227-18559

3 vaccinations 16 coded responses 38 check-ins 16 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 379 / TN
Registered: 2021-03-17

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

2021-03-17
Registered in v-safe
2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-17
Health check-in — 0 day, dose 1
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Nausea, Abdominal pain

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-24
Health check-in — 7 day, dose 1
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — 14 day, dose 1
Feeling: Good

Adult check-in
2021-04-07
Dose 2 — Pfizer-BioNTech
2021-04-07
Health check-in — 0 day, dose 2
Feeling: Good · None

Adult check-in
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Tremor — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Lymphadenopathy — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain — Feeling: Poor · Site: Pain · 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
2021-04-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Abdominal pain

Adult check-in
2021-04-14
Health check-in — 7 day, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-21
Health check-in — 14 day, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — 21 day, dose 2
Feeling: Good

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

Adult check-in
2021-05-12
Survey response — 35 day, dose 2
MedDRA: Abdominal pain, Dizziness, Fatigue, Headache, Rhinorrhoea — Feeling: Fair

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-05-19
Survey response — 42 day, dose 2
MedDRA: Gastrooesophageal reflux disease, Ovarian cyst, Pre-existing disease, Rash — Feeling: Good

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-07
Survey response — 3 month, dose 2
MedDRA: Ovarian cancer — 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 · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
2021-07-07
Report sent to call center — 3 month, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-12
Call successful
Participant prefers to complete VAERS report online
2021-08-31
Dose 3 — Pfizer-BioNTech
2021-08-31
Health check-in — 0 day, dose 3
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-09-01
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school

Adult check-in
2021-09-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-03
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

MedDRA releases: 2021-09,2024-11 · check-in answers available
2021-09-07
Health check-in — 7 day, dose 3
Feeling: Good · None

Adult check-in
2021-09-14
Health check-in — 14 day, dose 3
Feeling: Good

Adult check-in
2021-09-21
Survey response — 21 day, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Good

MedDRA releases: 2024-11 · check-in answers available
2021-09-28
Health check-in — 28 day, dose 3
Feeling: Good

Adult check-in
2021-10-05
Health check-in — 35 day, dose 3
Feeling: Good

Adult check-in
2021-10-12
Survey response — 42 day, dose 3
MedDRA: Fatigue, Headache, Nausea — Feeling: Poor · Be unable to work or attend school

MedDRA releases: 2024-11 · check-in answers available
2021-11-30
Health check-in — 3 month, dose 3
Feeling: Good

Adult check-in
2022-03-01
Health check-in — 6 month, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-07	Pfizer-BioNTech
3	2021-08-31	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-07	Successful 2021-07-12	Participant prefers to complete VAERS report online

Free text

Release 5

Systemic reaction (other): Dizzy

Release 7

Systemic reaction (other): Shaking

Systemic reaction (other): Swollen Lymph nodes under arm

Systemic reaction (other): Swollen lymph nodes and insomnia

Systemic reaction (other): Swollen lymph node

Systemic reaction (other): Intense abdominal pain

Release 8

Symptoms: Abdominal pain, fatigue, headache, dizzy, temp 99.7, runny nose. Check up with doctors scheduled for Friday.

Symptoms: Increased GERD, skin rash and complex ovarian cyst

Release 9

Symptoms: Benign Tumor on Ovary. Had to remove tumor and ovary.

Systemic reaction (other): Large swollen lymph node

Systemic reaction (other): Large swollen lymph node armpit of injection side

Systemic reaction (other): Lymph node swollen under armpit still. Very painful

Systemic reaction (other): Swollen lymph node under armpit

Symptoms: Experiencing fatigue and sore throat

Release 10

Symptoms: Nausea, fatigue, headaches

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	Abdominal pain	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Gastrooesophageal reflux disease	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nausea	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Ovarian cancer	✓	✓	✓
SD	Ovarian cyst	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Rhinorrhoea	✓	✓	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	·	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Tremor	✓	✓	✓

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