Y8C-21316-54339

3 vaccinations 18 coded responses 18 check-ins 18 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 912 / CA
Registered: 2021-03-18

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

2021-03-17
Dose 1 — Pfizer-BioNTech
2021-03-18
Registered in v-safe
2021-03-18
Survey response — days 1–6 daily, dose 1
MedDRA: Ophthalmic migraine, Tinnitus — Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness

Free text: Ocular migraine, brief tinnitus

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-19
Survey response — days 1–6 daily, dose 1
MedDRA: Dehydration, Pruritus — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Dehydration (yesterday and today, despite drinking 120 oz per day), some very mild occasional itching

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

Free text: Mild itching all over (it started the day after my shot)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-31
Survey response — day 14, dose 1
MedDRA: Breast cyst, Lymphadenopathy — Feeling: Good

Free text: Slightly swollen lymph nodes, cystic breasts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 21, dose 1
MedDRA: Pruritus — Feeling: Good

Free text: General itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Dose 2 — Pfizer-BioNTech
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal distension, Decreased appetite, Dehydration, Flatulence, Pruritus, Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Itching, grogginess, bloating, gas, anorexia, dehydration

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Night sweats — Feeling: Good · Fever · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Night sweats

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Condition aggravated, Pre-existing disease — Feeling: Good · Muscle or body aches, Abdominal pain

Free text: Back pain (30 min), hormonal surge (Im menopausal, so its unusual)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Pruritus — Feeling: Good · Headache, Fatigue or tiredness

Free text: Itching

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Survey response — day 7, dose 2
MedDRA: Breast cyst, Discomfort, Fatigue, Feeling abnormal, Memory impairment, Menopause, Night sweats — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Night sweats, tire easily, foggy & forgetful, hormone surge (pelvic heaviness, breast cysts) despite being menopausal

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-22
Survey response — day 14, dose 2
MedDRA: Pre-existing disease — Feeling: Good

Free text: Hormonal surges (Im 2 yrs post-menopausal and havent had hormone surges like this for over a year)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-20
Survey response — day 42, dose 2
MedDRA: Fatigue, Hot flush, Menopausal symptoms — Feeling: Good

Free text: Hot flashes and hormonal flares (Im post-menopausal and hadnt experienced them for more than a year before my shots); and some residual fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-10-07
Survey response — 6 months, dose 2
MedDRA: Adverse reaction, Breast tenderness, Condition aggravated, Office visit, Ovarian cyst, Postmenopause, Pre-existing disease, Premenstrual syndrome, Scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: I continue to have more hormonal symptoms than I did before the vaccine. I'm post-menopausal, but my last ovary scan showed more follicles than expected; my breasts are tender again; I have PMS-type symptoms, and my hot flashes returned. · Healthcare visit (other): In-person doctor exam

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-10-12
Call 1 — Left Voicemail
2021-12-08
Dose 3 — Moderna
2021-12-10
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia, Dyspnoea, Immediate post-injection reaction, Spinal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste in mouth (started right after I received the shot), shortness of breath yesterday, and what felt like spinal pain yesterday

MedDRA releases: 2024-11 · check-in free text available
2021-12-13
Survey response — days 1–6 daily, dose 3
MedDRA: Dysgeusia, Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Headache

Free text: Swollen painful lymph node in injection-side armpit (better, but still tender); metallic taste is gone

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Survey response — day 7, dose 3
MedDRA: Abdominal distension, Dyspepsia, Fatigue, Nausea — Feeling: Fair · Fatigue or tiredness

Free text: Tire easily, bloated, not digesting well, mildly nauseous

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Survey response — day 35, dose 3
MedDRA: COVID-19 — 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

Free text: Caught Covid - typical symptoms of Omicron

MedDRA releases: 2024-11 · check-in free text available
2022-01-14
Report sent to call center — day 35, 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)
2022-01-17
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-17	Pfizer-BioNTech
2	2021-04-08	Pfizer-BioNTech
3	2021-12-08	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-07	Unsuccessful
2022-01-14	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-18

Systemic reaction (other): Ocular migraine, brief tinnitus

2021-03-19

Systemic reaction (other): Dehydration (yesterday and today, despite drinking 120 oz per day), some very mild occasional itching

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Mild itching all over (it started the day after my shot)

Release 6 — day 14, dose 1

2021-03-31

Symptoms: Slightly swollen lymph nodes, cystic breasts

Release 7 — day 21, dose 1

2021-04-07

Symptoms: General itching

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Itching, grogginess, bloating, gas, anorexia, dehydration

2021-04-10

Systemic reaction (other): Itching

2021-04-11

Systemic reaction (other): Night sweats

2021-04-12

Systemic reaction (other): Back pain (30 min), hormonal surge (Im menopausal, so its unusual)

2021-04-14

Systemic reaction (other): Itching

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Night sweats, tire easily, foggy & forgetful, hormone surge (pelvic heaviness, breast cysts) despite being menopausal

Release 7 — day 14, dose 2

2021-04-22

Symptoms: Hormonal surges (Im 2 yrs post-menopausal and havent had hormone surges like this for over a year)

Release 8 — day 42, dose 2

2021-05-20

Symptoms: Hot flashes and hormonal flares (Im post-menopausal and hadnt experienced them for more than a year before my shots); and some residual fatigue.

Release 10 — 6 months, dose 2

2021-10-07

Symptoms: I continue to have more hormonal symptoms than I did before the vaccine. I'm post-menopausal, but my last ovary scan showed more follicles than expected; my breasts are tender again; I have PMS-type symptoms, and my hot flashes returned.

Healthcare visit (other): In-person doctor exam

Release 10 — days 1–6 daily, dose 3

2021-12-10

Systemic reaction (other): Metallic taste in mouth (started right after I received the shot), shortness of breath yesterday, and what felt like spinal pain yesterday

2021-12-13

Systemic reaction (other): Swollen painful lymph node in injection-side armpit (better, but still tender); metallic taste is gone

Release 10 — day 7, dose 3

2021-12-15

Systemic reaction (other): Tire easily, bloated, not digesting well, mildly nauseous

Release 10 — day 35, dose 3

2022-01-14

Symptoms: Caught Covid - typical symptoms of Omicron

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	Adverse reaction	·	·	✓
SD	Breast cyst	✓	✓	✓
SD	Breast tenderness	·	·	✓
SD	Condition aggravated	·	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Hot flush	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menopausal symptoms	✓	✓	✓
SD	Ovarian cyst	·	·	✓
SD	Postmenopause	·	·	✓
SD	Pre-existing disease	✓	✓	✓
SD	Premenstrual syndrome	·	·	✓
SD	Pruritus	✓	✓	✓
SD	Scan abnormal	·	·	✓
SRO	Abdominal distension	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Breast cyst	✓	✓	✓
SRO	Condition aggravated	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓
SRO	Dehydration	✓	✓	✓
SRO	Discomfort	✓	✓	✓
SRO	Dysgeusia	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Dyspnoea	·	·	✓
SRO	Fatigue	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Flatulence	✓	✓	✓
SRO	Immediate post-injection reaction	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Memory impairment	✓	✓	✓
SRO	Menopause	✓	✓	✓
SRO	Nausea	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Ophthalmic migraine	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Pruritus	✓	✓	✓
SRO	Somnolence	✓	✓	✓
SRO	Spinal pain	·	·	✓
SRO	Tinnitus	✓	✓	✓

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