Y94-11523-67655

3 vaccinations 6 coded responses 30 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 837 / ID
Registered: 2021-03-11

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-03-11
Registered in v-safe
2021-03-11
Dose 1 — Pfizer-BioNTech
2021-03-11
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches

Adult check-in
2021-03-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Chills

Adult check-in
2021-03-18
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-01
Dose 2 — Pfizer-BioNTech
2021-04-01
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-04-01
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-04-02
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-04-03
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Pain in upper back behind shoulder blade near left lung when I breathe its worse

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-04
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: The pain in arm is spreading and my lymph node in my arm pit is swollen on one side, painful to lie on that side. Still pain in my upper back under my shoulder blade near lung.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-05
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Injection site pain, Lymph node pain, Lymphadenopathy, Pain in extremity, Painful respiration, Pulmonary pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to do your normal daily activities

Free text: Pain at injection site spreading across arm and into underarm in Lymph node which is swollen and painful continue to have left side back/lung pain worse when I lie on that side at night, pain when breathing

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-04-10
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-25
Health check-in — day 0, dose 3
Feeling: Fair · Muscle or body aches

Adult check-in
2021-10-26
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-10-28
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Mass, Neck mass, Pulse abnormal — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, 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: My lymph node under my arm is swollen to size of golf ball, there is a lump at the base of my neck left side and a lump the size of my palm on my chest right below collarbone can feel pulse in my neck

MedDRA releases: 2024-11 · check-in free text available
2021-10-28
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-29
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy, Lymphadenopathy mediastinal — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swollen lymph nodes in armpit chest and neck.

MedDRA releases: 2024-11 · check-in free text available
2021-10-29
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-29
Call 1 — Left Voicemail
2021-10-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-01
Call 1 — Could Not Reach Participant
2021-11-04
Call 2 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-11	Pfizer-BioNTech
2	2021-04-01	Pfizer-BioNTech
3	2021-10-25	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-10-28	Unsuccessful
2021-10-29	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): Pain in upper back behind shoulder blade near left lung when I breathe its worse

2021-04-04

Systemic reaction (other): The pain in arm is spreading and my lymph node in my arm pit is swollen on one side, painful to lie on that side. Still pain in my upper back under my shoulder blade near lung.

Release 7 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Pain at injection site spreading across arm and into underarm in Lymph node which is swollen and painful continue to have left side back/lung pain worse when I lie on that side at night, pain when breathing

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): My lymph node under my arm is swollen to size of golf ball, there is a lump at the base of my neck left side and a lump the size of my palm on my chest right below collarbone can feel pulse in my neck

2021-10-29

Systemic reaction (other): Swollen lymph nodes in armpit chest and neck.

2021-10-30

Systemic reaction (other): Swollen lymph nodes

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
SRO	Back pain	✓	✓	✓
SRO	Injection site pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Lymphadenopathy mediastinal	·	·	✓
SRO	Mass	·	·	✓
SRO	Neck mass	·	·	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Painful respiration	✓	✓	✓
SRO	Pulmonary pain	✓	✓	✓
SRO	Pulse abnormal	·	·	✓

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