Y9B-87223-25743

3 vaccinations 8 coded responses 31 check-ins 8 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 852 / AZ
Registered: 2021-01-14

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

2021-01-14
Registered in v-safe
2021-01-22
Dose 1 — Pfizer-BioNTech
2021-01-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-29
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-05
Survey response — day 14, dose 1
MedDRA: Arthralgia, Headache — Feeling: Good

Free text: Pain in all joints and headache after 2 weeks of feeling great. Symptoms lasted one day.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-12
Dose 2 — Pfizer-BioNTech
2021-02-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-14
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Muscle or body aches

Free text: Lymph node under arm swollen size of a tennis ball seems to be getting smaller

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-15
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Muscle or body aches

Free text: Still swollen under arm softer and a lot less swelling than yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-16
Survey response — days 1–6 daily, dose 2
MedDRA: Discomfort, Oedema peripheral — Feeling: Good

Free text: Swelling and discomfort under arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-19
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-05
Survey response — day 21, dose 2
MedDRA: Breast tenderness, Medical counselling, Pain in extremity — Feeling: Fair

Free text: My breast have been tender and under my arm sore. Dr said nodes found in breast will have a mammogram in 2 mts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-14
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-13
Survey response — 6 months, dose 2
MedDRA: Angina pectoris, Dyspnoea — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Shortness of breath, heart pain

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-09-24
Dose 3 — Pfizer-BioNTech
2021-09-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-09-30
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-08
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-15
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-05
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-26
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-25
Survey response — 6 months, dose 3
MedDRA: Alopecia, Diarrhoea, Dizziness, Gastrointestinal bacterial overgrowth, Nausea — Feeling: Good · 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: Diagnosed as SIBO. Diarrhea for 5 weeks, hair thinning, dizzy and nauseous. I am much better after taking flagyl.

MedDRA releases: 2024-11 · check-in free text available
2022-03-25
Report sent to call center — 6 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-28
Call 1 — Could Not Reach Participant
2022-03-31
Call 2 — Left Voicemail
2022-04-01
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-24
Survey response — 12 months, dose 3
MedDRA: Dyspnoea, Hypoaesthesia, Neck pain, Pulmonary mass — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization

Free text: Nodules in lungs ,SOB, neck pain, arm numbness

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Report sent to call center — 12 months, dose 3
Get care from a doctor or other healthcare professional

Emergency room or emergency department visit · Hospitalization · 1 call case(s)
2022-09-26
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-22	Pfizer-BioNTech
2	2021-02-12	Pfizer-BioNTech
3	2021-09-24	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-25	Successful 2022-04-01	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-09-24	Unsuccessful

Free text

Release 3 — day 14, dose 1

2021-02-05

Symptoms: Pain in all joints and headache after 2 weeks of feeling great. Symptoms lasted one day.

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Lymph node under arm swollen size of a tennis ball seems to be getting smaller

2021-02-15

Systemic reaction (other): Still swollen under arm softer and a lot less swelling than yesterday

2021-02-16

Systemic reaction (other): Swelling and discomfort under arm

Release 5 — day 21, dose 2

2021-03-05

Symptoms: My breast have been tender and under my arm sore. Dr said nodes found in breast will have a mammogram in 2 mts

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Shortness of breath, heart pain

Release 11 — 6 months, dose 3

2022-03-25

Symptoms: Diagnosed as SIBO. Diarrhea for 5 weeks, hair thinning, dizzy and nauseous. I am much better after taking flagyl.

Release 12 — 12 months, dose 3

2022-09-24

Symptoms: Nodules in lungs ,SOB, neck pain, arm numbness

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	Alopecia	·	·	✓
SD	Angina pectoris	✓	·	✓
SD	Arthralgia	✓	✓	✓
SD	Breast tenderness	✓	✓	✓
SD	Diarrhoea	·	·	✓
SD	Dizziness	·	·	✓
SD	Dyspnoea	✓	·	✓
SD	Gastrointestinal bacterial overgrowth	·	·	✓
SD	Headache	✓	✓	✓
SD	Hypoaesthesia	·	·	✓
SD	Medical counselling	✓	✓	✓
SD	Nausea	·	·	✓
SD	Neck pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pulmonary mass	·	·	✓
SRO	Discomfort	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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