YCA-16310-78583

3 vaccinations 12 coded responses 36 check-ins 12 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 980 / WA
Registered: 2020-12-27

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

2020-12-27
Registered in v-safe
2020-12-27
Dose 1 — Pfizer-BioNTech
2020-12-27
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Headache

Adult check-in
2020-12-30
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-31
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-03
Health check-in — day 7, dose 1
Feeling: Fair · Headache

Adult check-in
2021-01-11
Survey response — day 14, dose 1
MedDRA: Pain in extremity — Feeling: Good

Free text: Left arm is mildly sore again.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-16
Dose 2 — Pfizer-BioNTech
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-20
Survey response — days 1–6 daily, dose 2
MedDRA: No adverse event — Feeling: Good

Free text: Nothing but absolute elation over getting a new president today! I feel like a million bucks!

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-01-23
Survey response — day 7, dose 2
MedDRA: Unevaluable event — Feeling: Good

Free text: Overwhelming glee since Biden sworn in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-30
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-08
Survey response — day 21, dose 2
MedDRA: Dyspnoea, Nasal congestion, Oropharyngeal pain — Feeling: Good

Free text: Mild nasal congestion, sore throat, mild SOB

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-13
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-17
Survey response — 6 months, dose 2
MedDRA: Nasal congestion — Feeling: Good

Free text: Have had constant nasal congestion since getting vaccinated. Its daily and has never gone away.

MedDRA releases: 2024-11 · check-in free text available
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-09-30
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain — Feeling: Good · Site: Pain

Free text: Chest pain this morning.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Chest pain, Limb discomfort, Peripheral venous disease, Tenderness — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities

Free text: Very tender in axillary area, intermittent chest pain, heaviness in left arm, with vein on the inside of my left arm feeling like something is pulling it. All symptoms on side of vaccination site.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Brachiocephalic vein occlusion, Chest pain, Peripheral swelling — Feeling: Fair · Site: Pain, Swelling

Free text: Swelling in LUE, indentation along AC vein for approx 6, intermittent chest pain.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school

Adult check-in
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Headache, Fatigue or tiredness

Adult check-in
2021-10-06
Survey response — days 1–6 daily, dose 3
MedDRA: Abdominal pain upper — Feeling: Good · Abdominal pain

Free text: Left upper quadrant pain, left breast pain

MedDRA releases: 2024-11 · check-in free text available
2021-10-07
Survey response — day 7, dose 3
MedDRA: Breast pain, Chest pain — Feeling: Good

Free text: Slight pain remaining in left chest and breast.

MedDRA releases: 2024-11 · check-in free text available
2021-10-14
Health check-in — day 14, dose 3
Feeling: Good

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

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

Adult check-in
2021-11-04
Survey response — day 35, dose 3
MedDRA: Chest pain — Feeling: Good

Free text: Chest pain came back.

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-31
Survey response — 6 months, dose 3
MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Tested positive for COVID in February

MedDRA releases: 2024-11 · check-in free text available
2022-03-31
Report sent to call center — 6 months, dose 3
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-04-04
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-27	Pfizer-BioNTech
2	2021-01-16	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-31	Unsuccessful

Free text

Release 1 — day 14, dose 1

2021-01-11

Symptoms: Left arm is mildly sore again.

Release 2 — days 1–6 daily, dose 2

2021-01-20

Systemic reaction (other): Nothing but absolute elation over getting a new president today! I feel like a million bucks!

Release 2 — day 7, dose 2

2021-01-23

Systemic reaction (other): Overwhelming glee since Biden sworn in.

Release 3 — day 21, dose 2

2021-02-08

Symptoms: Mild nasal congestion, sore throat, mild SOB

Release 9 — 6 months, dose 2

2021-07-17

Symptoms: Have had constant nasal congestion since getting vaccinated. Its daily and has never gone away.

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Chest pain this morning.

2021-10-02

Systemic reaction (other): Very tender in axillary area, intermittent chest pain, heaviness in left arm, with vein on the inside of my left arm feeling like something is pulling it. All symptoms on side of vaccination site.

2021-10-03

Systemic reaction (other): Swelling in LUE, indentation along AC vein for approx 6, intermittent chest pain.

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Left upper quadrant pain, left breast pain

Release 10 — day 7, dose 3

2021-10-07

Systemic reaction (other): Slight pain remaining in left chest and breast.

Release 10 — day 35, dose 3

2021-11-04

Symptoms: Chest pain came back.

Release 11 — 6 months, dose 3

2022-03-31

Symptoms: Tested positive for COVID in February

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	Chest pain	·	·	✓
SD	Dyspnoea	✓	✓	✓
SD	Nasal congestion	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SRO	Abdominal pain upper	·	·	✓
SRO	Brachiocephalic vein occlusion	·	·	✓
SRO	Breast pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Limb discomfort	·	·	✓
SRO	No adverse event	✓	✓	✓
SRO	Peripheral swelling	·	·	✓
SRO	Peripheral venous disease	·	·	✓
SRO	Tenderness	·	·	✓
SRO	Unevaluable event	✓	✓	✓

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