Y6E-51026-24571

5 vaccinations 10 coded responses 30 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 66+
ZIP prefix: 010 / MA
Registered: 2021-02-17

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

2021-01-21
Dose 1 — Pfizer-BioNTech
2021-02-11
Dose 2 — Pfizer-BioNTech
2021-02-17
Registered in v-safe
2021-02-17
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Free text: Swollen lymph node, left side, base of neck

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-18
Survey response — day 7, dose 2
MedDRA: Condition aggravated, Pre-existing disease, Tinnitus — Feeling: Good · Fatigue or tiredness

Free text: Ear ringing has been ongoing since injection. The other symptom Im struggling with is my glucose level. Harder time keeping it controlled.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-04
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-11
Survey response — day 28, dose 2
MedDRA: Rash, Tinnitus — Feeling: Fair

Free text: skin rash. I thought it was just dry skin from all the hand washing, but it's on my arms, along the hairline, neck and above the eyes. The back of my hands are pretty bad too. Ear ringing is still bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-25
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-14
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-29
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-02
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-10-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-10-05
Survey response — days 1–6 daily, dose 3
MedDRA: Oropharyngeal pain — Feeling: Good · Fatigue or tiredness

Free text: sore throat all this time - not sure if allergies???

MedDRA releases: 2024-11 · check-in free text available
2021-10-06
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy, Throat irritation — Feeling: Good · Fatigue or tiredness

Free text: Scratchy throat. Left lymph node in neck swollen.

MedDRA releases: 2024-11 · check-in free text available
2021-10-13
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-20
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-27
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-03
Survey response — day 35, dose 3
MedDRA: Fatigue, Oropharyngeal pain — Feeling: Fair

Free text: Sore throat continues. Very tired.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-29
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-30
Survey response — 6 months, dose 3
MedDRA: Arthralgia, Blood cholesterol increased, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Joints are very painful. Cholesterol is elevated so I was put on medication. Just alway tired.

MedDRA releases: 2024-11 · check-in free text available
2022-03-30
Report sent to call center — 6 months, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-31
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-05-12
Dose 4 — Moderna
2022-09-09
Dose 5 — Moderna
2022-09-29
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-10-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-07
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-10-15
Survey response — day 35, dose 5
MedDRA: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair

Free text: Sore throat, headache, fatigue. Tested negative for COVID

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Health check-in — day 42, dose 5
Feeling: Fair

Adult check-in
2022-12-09
Survey response — 3 months, dose 5
MedDRA: Fatigue, Influenza like illness, Pain, Pyrexia, Self-medication — Feeling: Fair · Be unable to do your normal daily activities

Free text: Extreme fatigue, body aches, low grade fever. Just feeling like I have the flu. Comes and goes. Some days I feel pretty good, others it's Advil/Tylenol just to get through the day.

MedDRA releases: 2024-11 · check-in free text available
2023-03-10
Survey response — 6 months, dose 5
MedDRA: Ageusia, Anosmia, Cough, Fatigue, Laboratory test abnormal — Feeling: Fair · Be unable to do your normal daily activities

MedDRA releases: 2024-11

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-21	Pfizer-BioNTech
2	2021-02-11	Pfizer-BioNTech
3	2021-09-29	Pfizer-BioNTech	No
4	2022-05-12	Moderna	No
5	2022-09-09	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-30	Successful 2022-03-31	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Swollen lymph node, left side, base of neck

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Ear ringing has been ongoing since injection. The other symptom Im struggling with is my glucose level. Harder time keeping it controlled.

Release 5 — day 28, dose 2

2021-03-11

Symptoms: skin rash. I thought it was just dry skin from all the hand washing, but it's on my arms, along the hairline, neck and above the eyes. The back of my hands are pretty bad too. Ear ringing is still bad.

Release 10 — days 1–6 daily, dose 3

2021-10-05

Systemic reaction (other): sore throat all this time - not sure if allergies???

Release 10 — day 7, dose 3

2021-10-06

Systemic reaction (other): Scratchy throat. Left lymph node in neck swollen.

Release 10 — day 35, dose 3

2021-11-03

Symptoms: Sore throat continues. Very tired.

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: Joints are very painful. Cholesterol is elevated so I was put on medication. Just alway tired.

Release 12 — day 35, dose 5

2022-10-15

Symptoms: Sore throat, headache, fatigue. Tested negative for COVID

Release 12 — 3 months, dose 5

2022-12-09

Symptoms: Extreme fatigue, body aches, low grade fever. Just feeling like I have the flu. Comes and goes. Some days I feel pretty good, others it's Advil/Tylenol just to get through the day.

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	Ageusia	·	·	✓
SD	Anosmia	·	·	✓
SD	Arthralgia	·	·	✓
SD	Blood cholesterol increased	·	·	✓
SD	Cough	·	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Laboratory test abnormal	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain	·	·	✓
SD	Pyrexia	·	·	✓
SD	Rash	✓	✓	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Self-medication	·	·	✓
SD	Tinnitus	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Throat irritation	·	·	✓
SRO	Tinnitus	✓	✓	✓

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