YD5-28565-61664

5 vaccinations 18 coded responses 47 check-ins 18 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 787 / TX
Registered: 2021-01-08

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

2021-01-08
Registered in v-safe
2021-01-08
Dose 1 — Pfizer-BioNTech
2021-01-08
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-09
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-10
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-11
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-01-15
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-22
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-29
Dose 2 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-01-30
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Armpit pain on the injected arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Axillary pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness

Free text: Very painful lump in armpit of the arm of the injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness

Free text: Lump in armpit, pain radiating to upper chest, probably lymph node involvement

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-02
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Lymph node pain, Lymphadenopathy, Oedema peripheral — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Swollen, painful armpit and lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-04
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches

Free text: Minor swelling in lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Health check-in — day 7, dose 2
Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-12
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-19
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-26
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-05
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Be unable to work

Free text: Swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-30
Survey response — 6 months, dose 2
MedDRA: Haematocrit decreased, Haemoglobin decreased, Tinnitus — Feeling: Fair · 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: Tinnitus, low hematocrit/hemoglobin levels

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-30
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-13
Call 2 — Left Voicemail
2021-09-03
Dose 3 — Pfizer-BioNTech
2021-09-29
Survey response — day 21, dose 3
MedDRA: Depression — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Depression

MedDRA releases: 2024-11 · check-in free text available
2021-09-29
Report sent to call center — day 21, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-01
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-10-01
Call 2 — Left Voicemail
2021-10-08
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-15
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-03
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-03-06
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-05-20
Dose 4 — Pfizer-BioNTech
2022-05-22
Survey response — days 1–6 daily, dose 4
MedDRA: Visual impairment — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Vision difficulty

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Survey response — days 1–6 daily, dose 4
MedDRA: Office visit, Visual impairment — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Vision distortion · Healthcare visit (other): In person office visit

MedDRA releases: 2024-11 · check-in free text available
2022-05-24
Report sent to call center — days 1–6 daily, dose 4
Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-25
Call 1 — Left Voicemail
2022-05-26
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches

Adult check-in
2022-05-27
Health check-in — day 7, dose 4
Feeling: Good · Joint pains, Muscle or body aches

Adult check-in
2022-06-03
Survey response — day 14, dose 4
MedDRA: Arthralgia, Back pain — Feeling: Fair

Free text: Increased back and joint pain

MedDRA releases: 2024-11 · check-in free text available
2022-06-10
Survey response — day 21, dose 4
MedDRA: Palpitations — Feeling: Fair

Free text: Heart palpitations

MedDRA releases: 2024-11 · check-in free text available
2022-06-17
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-06-24
Survey response — day 35, dose 4
MedDRA: Tinnitus, Visual impairment — Feeling: Fair

Free text: Increase in tinnitus. Increased vision difficulties.

MedDRA releases: 2024-11 · check-in free text available
2022-07-01
Health check-in — day 42, dose 4
Feeling: Fair

Adult check-in
2022-08-19
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-17
Dose 5 — Moderna
2022-10-09
Survey response — day 21, dose 5
MedDRA: Arthralgia, Dizziness, Eczema, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headaches, dizziness, joint pain, eczema, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-15
Survey response — day 28, dose 5
MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — day 35, dose 5
MedDRA: Hypertension — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit

Free text: Hypertension

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Report sent to call center — day 35, dose 5
Be unable to work or attend school · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
2022-10-25
Call 3 — Left Voicemail
2022-10-25
Call 3 — Left Voicemail
2022-10-25
Call 2 — Left Voicemail
2022-10-25
Call 1 — Left Voicemail
2022-10-29
Survey response — day 42, dose 5
MedDRA: Dizziness, Insomnia — Feeling: Poor · Be unable to do your normal daily activities

Free text: Dizziness, insomnia

MedDRA releases: 2024-11 · check-in free text available
2022-12-17
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in
2023-03-18
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-08	Pfizer-BioNTech
2	2021-01-29	Pfizer-BioNTech
3	2021-09-03	Pfizer-BioNTech	No
4	2022-05-20	Pfizer-BioNTech	No
5	2022-09-17	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-07-30	Unsuccessful
2021-09-29	Unsuccessful
2022-05-24	Unsuccessful
2022-10-22	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Armpit pain on the injected arm

2021-01-31

Systemic reaction (other): Very painful lump in armpit of the arm of the injection.

2021-02-01

Systemic reaction (other): Lump in armpit, pain radiating to upper chest, probably lymph node involvement

2021-02-02

Systemic reaction (other): Swollen, painful armpit and lymph nodes

2021-02-03

Systemic reaction (other): Swollen lymph nodes

2021-02-04

Systemic reaction (other): Minor swelling in lymph nodes

Release 5 — day 35, dose 2

2021-03-05

Symptoms: Swollen lymph nodes

Release 9 — 6 months, dose 2

2021-07-30

Symptoms: Tinnitus, low hematocrit/hemoglobin levels

Release 9 — day 21, dose 3

2021-09-29

Symptoms: Depression

Release 11 — days 1–6 daily, dose 4

2022-05-22

Systemic reaction (other): Vision difficulty

2022-05-24

Systemic reaction (other): Vision distortion

Healthcare visit (other): In person office visit

Release 11 — day 14, dose 4

2022-06-03

Symptoms: Increased back and joint pain

Release 12 — day 21, dose 4

2022-06-10

Symptoms: Heart palpitations

Release 12 — day 35, dose 4

2022-06-24

Symptoms: Increase in tinnitus. Increased vision difficulties.

Release 12 — day 21, dose 5

2022-10-09

Symptoms: Headaches, dizziness, joint pain, eczema, fatigue

Release 12 — day 28, dose 5

2022-10-15

Symptoms: Fatigue

Release 12 — day 35, dose 5

2022-10-22

Symptoms: Hypertension

Release 12 — day 42, dose 5

2022-10-29

Symptoms: Dizziness, insomnia

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
HCVO	Office visit	·	·	✓
SD	Arthralgia	·	·	✓
SD	Back pain	·	·	✓
SD	Depression	·	·	✓
SD	Dizziness	·	·	✓
SD	Eczema	·	·	✓
SD	Fatigue	·	·	✓
SD	Haematocrit decreased	✓	·	✓
SD	Haemoglobin decreased	✓	·	✓
SD	Headache	·	·	✓
SD	Hypertension	·	·	✓
SD	Insomnia	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Palpitations	·	·	✓
SD	Tinnitus	✓	·	✓
SD	Visual impairment	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Visual impairment	·	·	✓

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