Y6G-28063-52891

3 vaccinations 14 coded responses 33 check-ins 14 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 752 / TX
Registered: 2021-01-15

Relationship: Self
Race: White
Ethnicity: N/A

Timeline

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · None

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-18
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-21
Survey response — days 1–6 daily, dose 1
MedDRA: Cough — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · 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

Free text: Deep, dry cough

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Report sent to call center — days 1–6 daily, dose 1
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)
2021-01-22
Health check-in — day 7, dose 1
Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-02-05
Dose 2 — Pfizer-BioNTech
2021-02-05
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper, Chest pain, Headache, Heat therapy, Hypersomnia, Lymph node pain, Lymphadenopathy, Neck pain, Pulmonary pain, Vision blurred — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Huge sore lymph node under left arm, which is where I got the vaccine. Cant focus my eyes, pain in upper left abdomen and lower left lung. Pain under cranium on the left and down the left side of my cervical and thoracic spine. Slept 13 plus hours again last night as I had the first night after getting the vaccine; without Roserem or diazepam and only 1/2 of a Norflex. Heat is helping upper back and neck.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain, Chest pain, Lymphadenopathy, Pulmonary pain — Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Chest pain in lungs, abdominal pain near spleen, very large lymph nodes in armpit of arm where vaccine was given.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Rash — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Rash on scalp in addition to the symptoms from yesterday.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-02-11
Survey response — days 1–6 daily, dose 2
MedDRA: Somnolence — Feeling: Good · Site: Pain, Itching · Fever · Muscle or body aches

Free text: Slept at least 13 hours a day, every day since 2nd vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-05
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-12
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-07
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-05-24
Call 1 — Left Voicemail
2021-08-06
Survey response — 6 months, dose 2
MedDRA: Oxygen saturation decreased — Feeling: Fair · Be unable to work or attend school, 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: Have gone from mot using oxygen to being on it 24 hours a day.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-06
Report sent to call center — 6 months, 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)
2021-08-13
Call 1 — Left Voicemail
2022-01-07
Dose 3 — Moderna
2022-01-07
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2022-01-08
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2022-01-09
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2022-01-10
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Itching · Fever · Joint pains

Free text: Swollen Lymph nodes on side of body where vaccination was given

MedDRA releases: 2024-11 · check-in free text available
2022-01-11
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Grossly enlarged lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Office visit — Feeling: Poor · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Swollen lymph nodes · Healthcare visit (other): Doctor office

MedDRA releases: 2024-11 · check-in free text available
2022-01-12
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-01-13
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Free text: Swollen Lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-13
Call 1 — Left Voicemail
2022-01-14
Survey response — day 7, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen Lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-21
Survey response — day 14, dose 3
MedDRA: Injection site pain — Feeling: Poor · Be unable to do your normal daily activities

Free text: Pain at vaccination site - started to hurt and has become worse each day this last week.

MedDRA releases: 2024-11 · check-in free text available
2022-01-28
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2022-02-04
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2022-02-11
Survey response — day 35, dose 3
MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Nausea

MedDRA releases: 2024-11 · check-in free text available
2022-02-11
Report sent to call center — day 35, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-14
Call 1 — Left Voicemail
2022-02-18
Survey response — day 42, dose 3
MedDRA: Hepatitis A — Feeling: Fair · 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

Free text: Acquisition of Hapatitis A

MedDRA releases: 2024-11 · check-in free text available
2022-02-18
Report sent to call center — day 42, dose 3
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-02-23
Call 1 — Left Voicemail
2022-04-08
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-05	Pfizer-BioNTech
3	2022-01-07	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-01-18	priority 2/3
2021-01-21	Unsuccessful
2021-08-06	Unsuccessful
2022-01-12	Unsuccessful
2022-02-11	Unsuccessful
2022-02-18	Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-21

Systemic reaction (other): Deep, dry cough

Release 3 — days 1–6 daily, dose 2

2021-02-07

Systemic reaction (other): Huge sore lymph node under left arm, which is where I got the vaccine. Cant focus my eyes, pain in upper left abdomen and lower left lung. Pain under cranium on the left and down the left side of my cervical and thoracic spine. Slept 13 plus hours again last night as I had the first night after getting the vaccine; without Roserem or diazepam and only 1/2 of a Norflex. Heat is helping upper back and neck.

2021-02-08

Systemic reaction (other): Chest pain in lungs, abdominal pain near spleen, very large lymph nodes in armpit of arm where vaccine was given.

2021-02-09

Systemic reaction (other): Rash on scalp in addition to the symptoms from yesterday.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Slept at least 13 hours a day, every day since 2nd vaccine

Release 9 — 6 months, dose 2

2021-08-06

Symptoms: Have gone from mot using oxygen to being on it 24 hours a day.

Release 10 — days 1–6 daily, dose 3

2022-01-10

Systemic reaction (other): Swollen Lymph nodes on side of body where vaccination was given

2022-01-11

Systemic reaction (other): Grossly enlarged lymph nodes

2022-01-12

Systemic reaction (other): Swollen lymph nodes

Healthcare visit (other): Doctor office

2022-01-13

Systemic reaction (other): Swollen Lymph nodes

Release 10 — day 7, dose 3

2022-01-14

Systemic reaction (other): Swollen Lymph nodes

Release 11 — day 14, dose 3

2022-01-21

Symptoms: Pain at vaccination site - started to hurt and has become worse each day this last week.

Release 11 — day 35, dose 3

2022-02-11

Symptoms: Nausea

Release 11 — day 42, dose 3

2022-02-18

Symptoms: Acquisition of Hapatitis A

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	Office visit	·	·	✓
SD	Hepatitis A	·	·	✓
SD	Injection site pain	·	·	✓
SD	Nausea	·	·	✓
SD	Oxygen saturation decreased	✓	·	✓
SRO	Abdominal pain	✓	✓	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Cough	✓	✓	✓
SRO	Headache	✓	✓	✓
SRO	Heat therapy	✓	✓	✓
SRO	Hypersomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neck pain	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Rash	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Vision blurred	✓	✓	✓

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