Y93-24679-26305

2 vaccinations 9 coded responses 16 check-ins 9 free-text entries 7 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 750 / TX
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 1
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-08
Report sent to call center — day 0, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-09
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The above checked items are definitely not mild.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-09
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site erythema, Injection site pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: The injection sight is a bit red and tender today but not bad.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-10
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-11
Survey response — days 1–6 daily, dose 1
MedDRA: Injection site pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My arm feels bruised at the injection site.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-01-12
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities

1 call case(s)
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Survey response — day 0, dose 2
MedDRA: Muscle contractions involuntary, Muscle tightness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Free text: My muscles in my upper body feel tight line theyre constricting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle tightness — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: My muscles feel like they are constricting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Pre-existing disease — Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tiredness

Free text: My shingles are trying to breakout, and Ive had the shingles vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

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

Adult check-in
2021-02-28
Survey response — day 28, dose 2
MedDRA: Arthralgia, Fatigue, Headache, Lymph node palpable — Feeling: Fair · Be unable to do your normal daily activities

Free text: I have two moving lumps under the skin. One is under my left ear, and the other is on the left clavicle. The left side is the arm in which I had the shot. Ive also experienced extreme fatigue and aches in my joints and headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Survey response — day 35, dose 2
MedDRA: Breast mass, Discomfort, Mass, Sleep disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: There is a lump on my left clavicle and under my left breast on top of the ribs. Im going to the doctor to see if they are swollen lymph nodes. The one on my rib is uncomfortable & I cant lay on my left side to sleep. My shots were in the left · Healthcare visit (other): Appointment made with my regular physician.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-07
Report sent to call center — day 35, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-14
Survey response — day 42, dose 2
MedDRA: Breast mass, Office visit, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Lumps under each of my breasts and swollen area on left clavicle. · Healthcare visit (other): Gynocoligist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-14
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-03
Call 1 — Left Voicemail
2021-06-03
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-01-08	priority 2/3
2021-01-09	priority 2/3
2021-01-10	priority 2/3
2021-01-11	priority 2/3
2021-01-12	priority 2/3
2021-03-07	Unsuccessful
2021-03-14	Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): The above checked items are definitely not mild.

2021-01-10

Systemic reaction (other): The injection sight is a bit red and tender today but not bad.

2021-01-11

Systemic reaction (other): My arm feels bruised at the injection site.

Release 3 — day 0, dose 2

2021-01-29

Systemic reaction (other): My muscles in my upper body feel tight line theyre constricting

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): My muscles feel like they are constricting

2021-02-03

Systemic reaction (other): My shingles are trying to breakout, and Ive had the shingles vaccine.

Release 4 — day 28, dose 2

2021-02-28

Symptoms: I have two moving lumps under the skin. One is under my left ear, and the other is on the left clavicle. The left side is the arm in which I had the shot. Ive also experienced extreme fatigue and aches in my joints and headaches.

Release 5 — day 35, dose 2

2021-03-07

Symptoms: There is a lump on my left clavicle and under my left breast on top of the ribs. Im going to the doctor to see if they are swollen lymph nodes. The one on my rib is uncomfortable & I cant lay on my left side to sleep. My shots were in the left

Healthcare visit (other): Appointment made with my regular physician.

Release 5 — day 42, dose 2

2021-03-14

Symptoms: Lumps under each of my breasts and swollen area on left clavicle.

Healthcare visit (other): Gynocoligist

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	✓	✓	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Arthralgia	✓	✓	✓
SD	Breast mass	✓	✓	✓
SD	Discomfort	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Lymph node palpable	✓	✓	✓
SD	Mass	✓	✓	✓
SD	Sleep disorder	✓	✓	✓
SD	Swelling	✓	✓	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Injection site bruising	○	○	○
SRO	Injection site erythema	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Muscle contractions involuntary	✓	✓	✓
SRO	Muscle tightness	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓
SRO	Unevaluable event	○	○	○

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