Y3S-31489-52710

2 vaccinations 13 coded responses 23 check-ins 13 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 303 / GA
Registered: 2021-10-02

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-10-02
Registered in v-safe
2021-10-02
Dose 1 — Pfizer-BioNTech
2021-10-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-10-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good · Site: Pain

Free text: The day of the shot, I felt a little lightheaded. It went away about 2 hours later.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good · Site: Pain

Free text: Blurred vision in left eye since the shot.

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

Free text: Blurred vision left eye.

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good

Free text: Blurred left eye vision better today.

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good

Free text: Blurred vision

MedDRA releases: 2024-11 · check-in free text available
2021-10-08
Survey response — days 1–6 daily, dose 1
MedDRA: Vision blurred — Feeling: Good

Free text: Blurred vision

MedDRA releases: 2024-11 · check-in free text available
2021-10-09
Survey response — day 7, dose 1
MedDRA: Vision blurred — Feeling: Good

Free text: Blurred vision

MedDRA releases: 2024-11 · check-in free text available
2021-10-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-10-23
Dose 2 — Pfizer-BioNTech
2021-10-23
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-10-24
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Facial pain — Feeling: Poor · Joint pains, Muscle or body aches

Free text: Lower back pain left & right cheek area

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Lower back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-26
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Muscle strain — Feeling: Good · Muscle or body aches

Free text: Lower back pain feels like my back has been strained.

MedDRA releases: 2024-11 · check-in free text available
2021-10-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Lower back pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Good

Free text: Lower back pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-11-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-11-13
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-11-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-11-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-12-04
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2022-01-22
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Very swollen lymph nodes along my neck near and around my left clavicle. The swollen lymph nodes are massing together. There's pain in my left arm.

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-25
Call 1 — Could Not Reach Participant
2022-01-28
Call 2 — Requested Callback
2022-01-31
Call successful
Other

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-10-02	Pfizer-BioNTech	No
2	2021-10-23	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-01-22	Successful 2022-01-31	Other

Free text

Release 9 — days 1–6 daily, dose 1

2021-10-03

Systemic reaction (other): The day of the shot, I felt a little lightheaded. It went away about 2 hours later.

Release 10 — days 1–6 daily, dose 1

2021-10-04

Systemic reaction (other): Blurred vision in left eye since the shot.

2021-10-05

Systemic reaction (other): Blurred vision left eye.

2021-10-06

Systemic reaction (other): Blurred left eye vision better today.

2021-10-07

Systemic reaction (other): Blurred vision

2021-10-08

Systemic reaction (other): Blurred vision

Release 10 — day 7, dose 1

2021-10-09

Systemic reaction (other): Blurred vision

Release 10 — days 1–6 daily, dose 2

2021-10-24

Systemic reaction (other): Lower back pain left & right cheek area

2021-10-25

Systemic reaction (other): Lower back pain.

2021-10-26

Systemic reaction (other): Lower back pain feels like my back has been strained.

2021-10-28

Systemic reaction (other): Lower back pain

2021-10-29

Systemic reaction (other): Lower back pain.

Release 11 — 3 months, dose 2

2022-01-22

Symptoms: Very swollen lymph nodes along my neck near and around my left clavicle. The swollen lymph nodes are massing together. There's pain in my left arm.

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	Lymphadenopathy	·	·	✓
SD	Pain in extremity	·	·	✓
SRO	Back pain	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Facial pain	·	·	✓
SRO	Muscle strain	·	·	✓
SRO	Vision blurred	·	·	✓

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