Y76-30647-62427

2 vaccinations 9 coded responses 19 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 104 / NY
Registered: 2021-03-04

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-04
Registered in v-safe
2021-03-30
Dose 1 — Pfizer-BioNTech
2021-03-30
Health check-in — day 0, dose 1
Feeling: Good · Nausea, Abdominal pain

Adult check-in
2021-03-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-04-01
Survey response — days 1–6 daily, dose 1
MedDRA: Chest discomfort, Influenza like illness, Nasal discomfort, Oropharyngeal discomfort — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: I feel a little pressure on my chest also a little symptoms in my nose and throat like flu

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-02
Survey response — days 1–6 daily, dose 1
MedDRA: Chest pain, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness

Free text: I have little pain in my chest and my throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-03
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Site: Pain

Free text: I dont know if it has to do with the vaccine, but I have developed an intense pain around the armpits in the arm where I was vaccinated

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain

Free text: My throat hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Report sent to call center — days 1–6 daily, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Survey response — day 7, dose 1
MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Report sent to call center — day 7, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-13
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-20
Dose 2 — Pfizer-BioNTech
2021-04-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-27
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-05-05
Survey response — day 14, dose 2
MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair

Free text: I have a few days with a little trouble on the left side of my chest. But I thought maybe it was some gase. But I still have it there. My right hand is swollen and there is a small bump in one of my fingers and it hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-13
Survey response — day 21, dose 2
MedDRA: Pain, Peripheral swelling — Feeling: Fair

Free text: body pain and finger and my hand are still swollen

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-18
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-06-01
Survey response — day 42, dose 2
MedDRA: Chills, Dizziness — Feeling: Fair

Free text: last night I had the chills and dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Call 1 — Requested Callback
2021-06-16
Call 1 — Requested Callback
2021-06-16
Call successful
Participant prefers to complete VAERS report online

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-30	Pfizer-BioNTech
2	2021-04-20	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-05	Successful	Participant prefers to complete VAERS report online
2021-04-06	Successful 2021-06-16	Participant prefers to complete VAERS report online

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-01

Systemic reaction (other): I feel a little pressure on my chest also a little symptoms in my nose and throat like flu

2021-04-02

Systemic reaction (other): I have little pain in my chest and my throat

2021-04-03

Systemic reaction (other): I dont know if it has to do with the vaccine, but I have developed an intense pain around the armpits in the arm where I was vaccinated

2021-04-04

Systemic reaction (other): My throat hurts

2021-04-05

Systemic reaction (other): Sore throat

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Sore throat

Release 8 — day 14, dose 2

2021-05-05

Symptoms: I have a few days with a little trouble on the left side of my chest. But I thought maybe it was some gase. But I still have it there. My right hand is swollen and there is a small bump in one of my fingers and it hurts

Release 8 — day 21, dose 2

2021-05-13

Symptoms: body pain and finger and my hand are still swollen

Release 8 — day 42, dose 2

2021-06-01

Symptoms: last night I had the chills and dizziness

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	Chills	✓	✓	✓
SD	Dizziness	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Peripheral swelling	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest discomfort	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Influenza like illness	✓	✓	✓
SRO	Nasal discomfort	✓	✓	✓
SRO	Oropharyngeal discomfort	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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