Y7Q-42922-83888

4 vaccinations 7 coded responses 32 check-ins 7 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 913 / CA
Registered: 2021-03-18

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

Registered dependents

RQT-18229-78343 Child or adolescent in my care · Male · 2022-06-23

SCC-25993-76692 Child or adolescent in my care · Male · 2022-06-23

Timeline

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Oropharyngeal pain — Feeling: Good

Free text: Sore throat

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-14
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Survey response — 3 months, dose 2
MedDRA: Cough, Eye pruritus, Hypersensitivity, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities

Free text: Cold-like symptoms including congestion, cough, sore throat. Also itchy eyes most likely from allergies.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-09-15
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Dose 3 — Pfizer-BioNTech
2021-10-21
Survey response — day 14, dose 3
MedDRA: Breast induration, Breast mass, Lymphadenopathy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: The lymph node in my left armpit has been very swollen for the past 10 or so days. I have several hard lumps in my left breast, too.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Survey response — day 21, dose 3
MedDRA: Breast mass, Breast pain, Fatigue, Headache, Influenza like illness, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · 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

Free text: Symptoms: Cold or flu-like symptoms (congestion, sore throat, headache, body aches, fatigue). I also have pain in my left breast and several bumps in my breast these have been present for nearly 2 weeks. · Healthcare visit (other): Appointment scheduled for this Thursday

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — day 21, 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

Telehealth, virtual health, or email health consultation · 1 call case(s)
2021-10-29
Call 1 — Left Voicemail
2021-11-03
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-11-08
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-16
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-05
Survey response — 3 months, dose 3
MedDRA: Breast mass, Inflammation, Mastitis, Rash — Feeling: Good · 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: I still have 2 lumps in breast on the same side of the booster injection. These lumps do not appear to be related to be related to mastitis that I had right after the booster. I also have had several inflamed bumps in both armpits, one requiring meds

MedDRA releases: 2024-11 · check-in free text available
2022-01-05
Report sent to call center — 3 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-01-07
Call 1 — Left Voicemail
2022-02-22
Call 2 — Could Not Reach Participant
2022-04-06
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-04
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in
2022-11-11
Dose 4 — Pfizer-BioNTech
2022-11-14
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-16
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-11-19
Health check-in — day 7, dose 4
Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2022-11-25
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-12-03
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-12-09
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-12-18
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-12-23
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2023-02-12
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-05-12
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-10-04	Pfizer-BioNTech	No
4	2022-11-11	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-25	Unsuccessful
2022-01-05	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Sore throat

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Sore throat

2021-03-21

Systemic reaction (other): Sore throat

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Cold-like symptoms including congestion, cough, sore throat. Also itchy eyes most likely from allergies.

Release 10 — day 14, dose 3

2021-10-21

Symptoms: The lymph node in my left armpit has been very swollen for the past 10 or so days. I have several hard lumps in my left breast, too.

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Cold or flu-like symptoms (congestion, sore throat, headache, body aches, fatigue). I also have pain in my left breast and several bumps in my breast these have been present for nearly 2 weeks.

Healthcare visit (other): Appointment scheduled for this Thursday

Release 10 — 3 months, dose 3

2022-01-05

Symptoms: I still have 2 lumps in breast on the same side of the booster injection. These lumps do not appear to be related to be related to mastitis that I had right after the booster. I also have had several inflamed bumps in both armpits, one requiring meds cut off by CDC

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	Breast induration	·	·	✓
SD	Breast mass	·	·	✓
SD	Breast pain	·	·	✓
SD	Cough	✓	✓	✓
SD	Eye pruritus	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Inflammation	·	·	✓
SD	Influenza like illness	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Mastitis	·	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain	·	·	✓
SD	Rash	·	·	✓
SD	Respiratory tract congestion	✓	✓	✓
SRO	Oropharyngeal pain	✓	✓	✓

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