YE5-66137-22345

2 vaccinations 9 coded responses 25 check-ins 9 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 452 / OH
Registered: 2021-02-04

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

2021-02-04
Registered in v-safe
2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-04
Survey response — day 0, dose 1
MedDRA: Rhinorrhoea — Feeling: Good

Free text: Runny nose for 3 hours

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-05
Survey response — days 1–6 daily, dose 1
MedDRA: Arthralgia — Feeling: Good · Headache

Free text: Left wrist hurts. Put ice in it. Received shot on left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-08
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-09
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Survey response — day 0, dose 2
MedDRA: Eye pruritus, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities

Free text: Runny nose and my left eye itches

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus, Rhinorrhoea — Feeling: Good · Fatigue or tiredness

Free text: Eye itch and runny nose gone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Eye pruritus — Feeling: Fair · Be unable to do your normal daily activities

Free text: Left eye itches again

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-04
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-25
Survey response — day 28, dose 2
MedDRA: Biopsy, Breast mass, Office visit, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Breast lump and biopsy · Healthcare visit (other): Biopsy and surgeon appt

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-01
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — 3 months, dose 2
MedDRA: Dyspepsia, Nodule — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Lump in my breast, had a radical scar procedure bc it was at 4 oclock near the wall of my chest. Was dysplasia and happily non malignant. NO history of this in my family.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-26
Survey response — 6 months, dose 2
MedDRA: Breast cyst, Cyst removal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Unusual for me with no previous bad mammograms. Breast cyst near wall of the chest and radical scar procedure to remove it.

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-26
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2022-02-25
Survey response — 12 months, dose 2
MedDRA: Blood cholesterol increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: High cholesterol

MedDRA releases: 2024-11 · check-in free text available
2022-02-25
Report sent to call center — 12 months, dose 2
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-03-01
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-03-25	Unsuccessful
2021-05-27	Unsuccessful
2021-08-26	Unsuccessful
2022-02-25	Unsuccessful

Free text

Release 3 — day 0, dose 1

2021-02-04

Systemic reaction (other): Runny nose for 3 hours

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Left wrist hurts. Put ice in it. Received shot on left arm

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Runny nose and my left eye itches

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Eye itch and runny nose gone

2021-02-27

Systemic reaction (other): Left eye itches again

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Breast lump and biopsy

Healthcare visit (other): Biopsy and surgeon appt

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Lump in my breast, had a radical scar procedure bc it was at 4 oclock near the wall of my chest. Was dysplasia and happily non malignant. NO history of this in my family.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: Unusual for me with no previous bad mammograms. Breast cyst near wall of the chest and radical scar procedure to remove it.

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: High cholesterol

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	✓	·	✓
HCVO	Unevaluable event	○	✓	○
SD	Biopsy	○	✓	○
SD	Blood cholesterol increased	·	·	✓
SD	Breast cyst	✓	·	✓
SD	Breast mass	✓	✓	✓
SD	Cyst removal	✓	·	✓
SD	Dyspepsia	✓	✓	✓
SD	Nodule	✓	✓	✓
SD	Pre-existing disease	○	✓	○
SRO	Arthralgia	✓	✓	✓
SRO	Eye pruritus	✓	✓	✓
SRO	Rhinorrhoea	✓	✓	✓

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