YAM-28361-48770

2 vaccinations 9 coded responses 17 check-ins 9 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 554 / MN
Registered: 2021-03-08

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

2021-03-08
Registered in v-safe
2021-03-08
Dose 1 — Pfizer-BioNTech
2021-03-08
Health check-in — day 0, dose 1
Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-03-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-11
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

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

Adult check-in
2021-03-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-22
Survey response — day 14, dose 1
MedDRA: Abdominal distension, Feeling abnormal, Menstruation delayed, Muscle spasms, Swelling — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: My body is cramping like im going to have my period and Im swollen and bloated and no blood. It was supposed to start on Friday. Im regular and have never missed a period. I am not pregant. Just late and feel horrible.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Dose 2 — Pfizer-BioNTech
2021-03-29
Health check-in — day 0, dose 2
Feeling: Poor · Site: Pain, Redness, Itching · Fever · Rash, not including the immediate area around the injection site · Be unable to work

Adult check-in
2021-03-30
Survey response — days 1–6 daily, dose 2
MedDRA: Blister, Emergency care, Herpes zoster — Feeling: Poor · Site: Pain, Itching · Fever · Rash, not including the immediate area around the injection site · Be unable to work

Free text: I broke out in Shingles. Been in and out ER. Blisters and sores spreading rapidly over left breast and left side abdomem.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-01
Survey response — days 1–6 daily, dose 2
MedDRA: Herpes zoster — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work

Free text: I broke out in Shingles. Still being treated.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — day 7, dose 2
MedDRA: Erythema multiforme — Feeling: Poor · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to work

Free text: I was diagnosed with Erythema multiforme major with negative viral lab tests back and the source is isolated as auto immune reaction to pfizer biontech covid 19 vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Survey response — day 21, dose 2
MedDRA: Intermenstrual bleeding, Skin lesion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Im having to stay on medication to stop breakthrough bleeding and the skin sores still aren't healed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Report sent to call center — day 21, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-28
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-06
Survey response — day 35, dose 2
MedDRA: Breast pain, Lymph node pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities

Free text: My lymph nodes in my left axillary and breast are very sore and doctor ordered mammography and they think its from getting both injections in my left arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Survey response — day 42, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Be unable to do your normal daily activities

Free text: Horrible break through bleeding. Lymph nodes in left armpit very swollen. Had both injections left side.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Survey response — 3 months, dose 2
MedDRA: Fatigue, Headache, Menstruation irregular — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit

Free text: Irreugular periods, skin issues, headache. Fatigue.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-28
Report sent to call center — 3 months, dose 2
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-29
Call 1 — Left Voicemail
2021-09-27
Survey response — 6 months, dose 2
MedDRA: Herpes zoster, Menstruation irregular, Skin disorder, Uterine haemorrhage — Feeling: Poor · 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, Emergency room or emergency department visit

Free text: Shingles. Multiple episodes. Never had shingles prior to pfizer vaccine. Other skin issues. Uterine bleeding and iregular periods. No mentrual cycle issues prior to recieving pfizer biontech vaccine.

MedDRA releases: 2024-11 · check-in free text available
2021-09-27
Report sent to call center — 6 months, dose 2
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 · Emergency room or emergency department visit · 1 call case(s)
2021-10-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-08	Pfizer-BioNTech
2	2021-03-29	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-04-19	Unsuccessful
2021-06-28	Unsuccessful
2021-09-27	Unsuccessful

Free text

Release 6 — day 14, dose 1

2021-03-22

Symptoms: My body is cramping like im going to have my period and Im swollen and bloated and no blood. It was supposed to start on Friday. Im regular and have never missed a period. I am not pregant. Just late and feel horrible.

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): I broke out in Shingles. Been in and out ER. Blisters and sores spreading rapidly over left breast and left side abdomem.

2021-04-01

Systemic reaction (other): I broke out in Shingles. Still being treated.

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): I was diagnosed with Erythema multiforme major with negative viral lab tests back and the source is isolated as auto immune reaction to pfizer biontech covid 19 vaccine.

Release 7 — day 21, dose 2

2021-04-19

Symptoms: Im having to stay on medication to stop breakthrough bleeding and the skin sores still aren't healed.

Release 8 — day 35, dose 2

2021-05-06

Symptoms: My lymph nodes in my left axillary and breast are very sore and doctor ordered mammography and they think its from getting both injections in my left arm.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Horrible break through bleeding. Lymph nodes in left armpit very swollen. Had both injections left side.

Release 9 — 3 months, dose 2

2021-06-28

Symptoms: Irreugular periods, skin issues, headache. Fatigue.

Release 9 — 6 months, dose 2

2021-09-27

Symptoms: Shingles. Multiple episodes. Never had shingles prior to pfizer vaccine. Other skin issues. Uterine bleeding and iregular periods. No mentrual cycle issues prior to recieving pfizer biontech vaccine.

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	Abdominal distension	✓	✓	✓
SD	Breast pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Feeling abnormal	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Herpes zoster	·	·	✓
SD	Intermenstrual bleeding	✓	✓	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Menstruation delayed	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Muscle spasms	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Skin disorder	·	·	✓
SD	Skin lesion	✓	✓	✓
SD	Swelling	✓	✓	✓
SD	Uterine haemorrhage	·	·	✓
SRO	Blister	✓	✓	✓
SRO	Emergency care	✓	✓	✓
SRO	Erythema multiforme	✓	✓	✓
SRO	Herpes zoster	✓	✓	✓

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