Y9R-16711-51666

2 vaccinations 7 coded responses 22 check-ins 7 free-text entries 3 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 441 / OH
Registered: 2021-05-22

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

2021-05-22
Registered in v-safe
2021-05-22
Dose 1 — Pfizer-BioNTech
2021-05-22
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-05-23
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia, Axillary pain, Decreased appetite — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Pain in shoulder and under arm on the arm of the injection. Decreased appetite.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-24
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Breast pain — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Pain in underarm and into breast area on side of injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-25
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: Still have pain underarm in armpit area.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain, Breast pain — Feeling: Fair · Fatigue or tiredness, Nausea

Free text: Still have bad underarm and breast pain. I am told probably from swollen lymph nodes?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-05-29
Health check-in — day 7, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-06-07
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-06-12
Dose 2 — Pfizer-BioNTech
2021-06-12
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea

Adult check-in
2021-06-14
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea

Adult check-in
2021-06-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-06-16
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-17
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-06-18
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-06-21
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness, Nausea

Adult check-in
2021-06-28
Survey response — day 14, dose 2
MedDRA: Bacterial infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Bacterial infection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-07-02
Call 1 — Left Voicemail
2021-07-03
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-07-19
Survey response — day 35, dose 2
MedDRA: Fall — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: I jave had 5 total falls since my vaccine. I never connected the dots until someone told me about a neurological condition causing falls post vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-07-19
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)
2021-07-26
Call 1 — Left Voicemail
2021-12-11
Survey response — 6 months, dose 2
MedDRA: Fall, Neuropathy peripheral — 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: Neuropathy and several falls.

MedDRA releases: 2024-11 · check-in free text available
2021-12-11
Report sent to call center — 6 months, dose 2
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)
2021-12-13
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-12
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-22	Pfizer-BioNTech
2	2021-06-12	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-28	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-07-19	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-11	Successful 2021-12-13	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-23

Systemic reaction (other): Pain in shoulder and under arm on the arm of the injection. Decreased appetite.

2021-05-24

Systemic reaction (other): Pain in underarm and into breast area on side of injection

2021-05-25

Systemic reaction (other): Still have pain underarm in armpit area.

2021-05-26

Systemic reaction (other): Still have bad underarm and breast pain. I am told probably from swollen lymph nodes?

Release 9 — day 14, dose 2

2021-06-28

Symptoms: Bacterial infection

Release 9 — day 35, dose 2

2021-07-19

Symptoms: I jave had 5 total falls since my vaccine. I never connected the dots until someone told me about a neurological condition causing falls post vaccine.

Release 10 — 6 months, dose 2

2021-12-11

Symptoms: Neuropathy and several falls.

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	Bacterial infection	✓	✓	✓
SD	Fall	·	·	✓
SD	Neuropathy peripheral	·	·	✓
SRO	Arthralgia	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Breast pain	✓	✓	✓
SRO	Decreased appetite	✓	✓	✓

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