Y64-15026-10633

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 342 / FL
Registered: 2021-03-23

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

2021-03-23
Registered in v-safe
2021-03-23
Dose 1 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · None

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-25
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work

Free text: Swollen lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Swollen tender lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-28
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Lymph node pain — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Dizziness and tender lymph nodes in neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 1
MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Covid long-haul symptoms have flared up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 1
MedDRA: Condition aggravated, Post-acute COVID-19 syndrome, Pre-existing disease — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Flare of dysautonomia symptoms associated with long-haul covid

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 1
Feeling: Fair

Adult check-in
2021-04-14
Dose 2 — Pfizer-BioNTech
2021-04-21
Survey response — day 7, dose 2
MedDRA: Hypoaesthesia, Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Pins and needles, numbness, tingling and pain in arms and legs.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-21
Report sent to call center — day 7, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Survey response — day 14, dose 2
MedDRA: Headache, Hypoaesthesia, Pain in extremity, Paraesthesia, Photophobia — Feeling: Fair · 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

Free text: Tingling, numbness and pain in arms and legs unrelated to injection site. Ongoing and changing frequently. Increase in headaches as well as sensitivity to light.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Report sent to call center — day 14, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-05
Survey response — day 21, dose 2
MedDRA: Fluid retention, Headache, Immunisation reaction, Pain in extremity, Palpitations — Feeling: Fair · Be unable to work, 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

Free text: Severe bouts of heart palpitations (echo in late 2020 for long-covid check showed all was well). Sharp pains in legs and arms. Headaches that last for days. Retaining large amounts of water at random times, especially in legs. Long-haul/vaccine flare

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-05
Report sent to call center — day 21, 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)
2021-05-12
Survey response — day 28, dose 2
MedDRA: Chest pain, Condition aggravated, Pain in extremity, Pre-existing disease, Unevaluable event — Feeling: Fair · Be unable to work, 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

Free text: Symptoms: Chest pains. Worsening lung condition. Continued leg pain and swelling. · Healthcare visit (other): Sonogram of arm to check for DVT

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Report sent to call center — day 28, 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)
2021-05-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-07-14
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2022-02-28
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-14
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-23	Pfizer-BioNTech
2	2021-04-14	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-21	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-04-28	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-05	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-05-12	Successful 2022-02-28	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Swollen lymph nodes in neck

2021-03-26

Systemic reaction (other): Swollen tender lymph nodes in neck

2021-03-28

Systemic reaction (other): Dizziness and tender lymph nodes in neck

2021-03-29

Systemic reaction (other): Covid long-haul symptoms have flared up

Release 6 — day 7, dose 1

2021-03-30

Systemic reaction (other): Flare of dysautonomia symptoms associated with long-haul covid

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Pins and needles, numbness, tingling and pain in arms and legs.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Tingling, numbness and pain in arms and legs unrelated to injection site. Ongoing and changing frequently. Increase in headaches as well as sensitivity to light.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Severe bouts of heart palpitations (echo in late 2020 for long-covid check showed all was well). Sharp pains in legs and arms. Headaches that last for days. Retaining large amounts of water at random times, especially in legs. Long-haul/vaccine flare cut off by CDC

Release 8 — day 28, dose 2

2021-05-12

Symptoms: Chest pains. Worsening lung condition. Continued leg pain and swelling.

Healthcare visit (other): Sonogram of arm to check for DVT

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
HCVO	Unevaluable event	✓	✓	✓
SD	Chest pain	✓	✓	✓
SD	Condition aggravated	✓	✓	✓
SD	Fluid retention	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	✓	✓	✓
SD	Immunisation reaction	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Paraesthesia	✓	✓	✓
SD	Photophobia	✓	✓	✓
SD	Pre-existing disease	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Paraesthesia	✓	✓	✓
SRO	Post-acute COVID-19 syndrome	○	✓	○
SRO	Pre-existing disease	✓	✓	✓

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