Y67-70220-88521

2 vaccinations 22 coded responses 24 check-ins 22 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 902 / CA
Registered: 2021-07-10

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-07-09
Dose 1 — Pfizer-BioNTech
2021-07-10
Registered in v-safe
2021-07-10
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth swelling, Pharyngeal swelling — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Mouth/throat swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-11
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth swelling — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild oral swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-12
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth swelling, Swollen tongue — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities

Free text: Mouth tongue swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Survey response — days 1–6 daily, dose 1
MedDRA: Swollen tongue — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild - Tongue swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-14
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-07-15
Survey response — days 1–6 daily, dose 1
MedDRA: Mouth swelling — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild mouth swelling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-16
Survey response — day 7, dose 1
MedDRA: Swollen tongue — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Mild tongue swelling

MedDRA releases: 2024-11 · check-in free text available
2021-07-23
Survey response — day 14, dose 1
MedDRA: Asthma, Ear pain, Headache, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities

Free text: My asthma has been slightly worse. New- Headaches and left earache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Dose 2 — Pfizer-BioNTech
2021-07-30
Survey response — day 0, dose 2
MedDRA: Mouth swelling, Pharyngeal swelling, Swollen tongue — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Swelling mouth, tongue, throat

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Earache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-01
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Mouth swelling — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Earache, mouth swelling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-02
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain, Mouth swelling, Swollen tongue — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Earache + mouth tongue swelling

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-03
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-04
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Ear pain — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath and earache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-05
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Ear pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath, earache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Survey response — day 7, dose 2
MedDRA: Dyspnoea, Ear pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Short of breath earache

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-13
Survey response — day 14, dose 2
MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activities

Free text: Dizziness, fatigue

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-22
Survey response — day 21, dose 2
MedDRA: Dizziness, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache, dizziness

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-27
Survey response — day 28, dose 2
MedDRA: Ear pain, Headache, Urinary tract infection — Feeling: Fair · Be unable to do your normal daily activities

Free text: Earache, headache, UTI

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Survey response — day 35, dose 2
MedDRA: Ear pain, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Earache, uti

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-05
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-10
Call successful
Participant prefers to complete VAERS report online
2021-09-11
Survey response — day 42, dose 2
MedDRA: Dyspnoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Shortness of breath

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — 3 months, dose 2
MedDRA: Back pain, Headache, Influenza, Nasopharyngitis — Feeling: Poor · Be unable to work or attend school

Free text: Cold/flu, back pain, headaches

MedDRA releases: 2024-11 · check-in free text available
2022-01-30
Health check-in — 6 months, dose 2
Feeling: Poor

Adult check-in
2022-08-04
Survey response — 12 months, dose 2
MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school

Free text: Covid

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-07-09	Pfizer-BioNTech	No
2	2021-07-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-09-05	Successful 2021-09-10	Participant prefers to complete VAERS report online

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-10

Systemic reaction (other): Mouth/throat swelling

2021-07-11

Systemic reaction (other): Mild oral swelling

2021-07-12

Systemic reaction (other): Mouth tongue swelling

2021-07-13

Systemic reaction (other): Mild - Tongue swelling

2021-07-15

Systemic reaction (other): Mild mouth swelling

Release 9 — day 7, dose 1

2021-07-16

Systemic reaction (other): Mild tongue swelling

Release 9 — day 14, dose 1

2021-07-23

Symptoms: My asthma has been slightly worse. New- Headaches and left earache

Release 9 — day 0, dose 2

2021-07-30

Systemic reaction (other): Swelling mouth, tongue, throat

Release 9 — days 1–6 daily, dose 2

2021-07-31

Systemic reaction (other): Earache

2021-08-01

Systemic reaction (other): Earache, mouth swelling

2021-08-02

Systemic reaction (other): Earache + mouth tongue swelling

2021-08-03

Systemic reaction (other): Shortness of breath

2021-08-04

Systemic reaction (other): Short of breath and earache

2021-08-05

Systemic reaction (other): Short of breath, earache

Release 9 — day 7, dose 2

2021-08-06

Systemic reaction (other): Short of breath earache

Release 9 — day 14, dose 2

2021-08-13

Symptoms: Dizziness, fatigue

Release 9 — day 21, dose 2

2021-08-22

Symptoms: Headache, dizziness

Release 9 — day 28, dose 2

2021-08-27

Symptoms: Earache, headache, UTI

Release 9 — day 35, dose 2

2021-09-05

Symptoms: Earache, uti

Release 9 — day 42, dose 2

2021-09-11

Symptoms: Shortness of breath

Release 10 — 3 months, dose 2

2021-10-30

Symptoms: Cold/flu, back pain, headaches

Release 12 — 12 months, dose 2

2022-08-04

Symptoms: Covid

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	Asthma	✓	·	✓
SD	Back pain	·	·	✓
SD	COVID-19	·	·	✓
SD	Dizziness	✓	·	✓
SD	Dyspnoea	·	·	✓
SD	Ear pain	✓	·	✓
SD	Fatigue	✓	·	✓
SD	Headache	✓	·	✓
SD	Influenza	·	·	✓
SD	Nasopharyngitis	·	·	✓
SD	Pre-existing disease	✓	·	✓
SD	Urinary tract infection	✓	·	✓
SRO	Dyspnoea	✓	·	✓
SRO	Ear pain	✓	·	✓
SRO	Mouth swelling	✓	✓	✓
SRO	Pharyngeal swelling	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓

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