YF6-16059-08198

3 vaccinations 22 coded responses 37 check-ins 22 free-text entries 3 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 119 / NY
Registered: 2021-03-02

Relationship: Self
Race: Multiracial
Ethnicity: Not Hispanic or Latino

Registered dependents

U54-18121-97636 Child or adolescent in my care · Male · 2021-11-21

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-03-02
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Survey response — day 0, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Metallic taste in mouth.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-03
Survey response — days 1–6 daily, dose 1
MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Free text: Metallic taste in mouth

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work

Adult check-in
2021-03-16
Survey response — day 14, dose 1
MedDRA: Arthralgia, Back pain, Fatigue, Lymphadenopathy, Pain, Sensitive skin — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities

Free text: Swollen glands under arms, breasts, groin, neck and jaw on side of injection. Skin sensitivity in those areas and arthritic type low back pain. Started 3/10 and progressed to different areas of body. Experiencing opposite side and fatigue now.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · Headache

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Free text: Lymph adenopathy on same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Tenderness — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph glands. Armpit is very tender.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-26
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work

Free text: Swollen armpit and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-27
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities

Free text: Painful Armpit swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-28
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work

Free text: Armpit swelling. Painful.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Survey response — days 1–6 daily, dose 2
MedDRA: Limb operation, Lymphadenopathy, Procedural pain — Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches · Be unable to work

Free text: Armpit and lymph gland swelling. Painful operation of arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Survey response — day 7, dose 2
MedDRA: Oedema peripheral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen armpit painful

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — day 14, dose 2
MedDRA: Back pain, Chest pain, Lymphadenopathy, Musculoskeletal chest pain, Myalgia, Pain — Feeling: Fair · Be unable to work

Free text: Back and muscle pain that radiates into chest and ribs. Swelling of lymph glands under arm.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 21, dose 2
MedDRA: Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Lymph node swelling in armpit. Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-27
Survey response — day 35, dose 2
MedDRA: Lymphadenopathy, Sensitive skin — Feeling: Fair

Free text: Skin sensitivity at injection site, lymphadenopathy.

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

Free text: Sore ribs and lymph nodes same side as injection.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Survey response — 3 months, dose 2
MedDRA: Back pain, Musculoskeletal chest pain, Oedema peripheral, Palpitations — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Swollen armpits, back and rib pain, heart palpitations.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-22
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-28
Call 1 — Left Voicemail
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Breast pain, Joint range of motion decreased, Lymph node pain, Muscle swelling, Musculoskeletal chest pain, Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit

Free text: Muscle swelling and pain in left shoulder, in addition to lymph and breast/rib pain that have been checked by cardiologist and lung xrays. Muscle tenderness worsens with use and limits the range of motion in my arm, neck.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
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

1 call case(s)
2021-09-29
Call 1 — Left Voicemail
2021-12-12
Dose 3 — Moderna
2021-12-12
Health check-in — day 0, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-13
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-14
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-12-15
Survey response — days 1–6 daily, dose 3
MedDRA: Menstruation irregular — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Started menstruation again after I started my last period 14 days ago.

MedDRA releases: 2024-11 · check-in free text available
2021-12-16
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities

Adult check-in
2021-12-17
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-12-18
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-21
Health check-in — day 7, dose 3
Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-12-26
Survey response — day 14, dose 3
MedDRA: Axillary pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore armpits.

MedDRA releases: 2024-11 · check-in free text available
2022-01-02
Survey response — day 21, dose 3
MedDRA: Lymphadenopathy — Feeling: Poor · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-09
Survey response — day 28, dose 3
MedDRA: Arthralgia, Bronchitis, Nasopharyngitis, Oedema peripheral, Oral herpes — Feeling: Fair · Be unable to do your normal daily activities

Free text: Got a cold, bronchitis, cold sore outbreak and swollen armpit and joint pain.

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Survey response — day 35, dose 3
MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Swollen glands and aches

MedDRA releases: 2024-11 · check-in free text available
2022-01-18
Report sent to call center — day 35, dose 3
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-01-19
Call 1 — Left Voicemail
2022-03-13
Survey response — 3 months, dose 3
MedDRA: Injection site pain, Lymphadenopathy — Feeling: Fair

Free text: Random swelling of lymph nodes, and muscle pain around injection site.

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-12-12	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-22	Unsuccessful
2021-09-21	Unsuccessful
2022-01-18	Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-03-02

Systemic reaction (other): Metallic taste in mouth.

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Metallic taste in mouth

Release 5 — day 14, dose 1

2021-03-16

Symptoms: Swollen glands under arms, breasts, groin, neck and jaw on side of injection. Skin sensitivity in those areas and arthritic type low back pain. Started 3/10 and progressed to different areas of body. Experiencing opposite side and fatigue now.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Lymph adenopathy on same side as injection

2021-03-25

Systemic reaction (other): Swollen lymph glands. Armpit is very tender.

2021-03-26

Systemic reaction (other): Swollen armpit and pain.

2021-03-27

Systemic reaction (other): Painful Armpit swelling

2021-03-28

Systemic reaction (other): Armpit swelling. Painful.

2021-03-29

Systemic reaction (other): Armpit and lymph gland swelling. Painful operation of arm.

Release 6 — day 7, dose 2

2021-03-30

Systemic reaction (other): Swollen armpit painful

Release 7 — day 14, dose 2

2021-04-06

Symptoms: Back and muscle pain that radiates into chest and ribs. Swelling of lymph glands under arm.

Release 7 — day 21, dose 2

2021-04-13

Symptoms: Lymph node swelling in armpit. Fatigue

Release 8 — day 35, dose 2

2021-04-27

Symptoms: Skin sensitivity at injection site, lymphadenopathy.

Release 8 — day 42, dose 2

2021-05-05

Symptoms: Sore ribs and lymph nodes same side as injection.

Release 9 — 3 months, dose 2

2021-06-22

Symptoms: Swollen armpits, back and rib pain, heart palpitations.

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Muscle swelling and pain in left shoulder, in addition to lymph and breast/rib pain that have been checked by cardiologist and lung xrays. Muscle tenderness worsens with use and limits the range of motion in my arm, neck.

Release 10 — days 1–6 daily, dose 3

2021-12-15

Systemic reaction (other): Started menstruation again after I started my last period 14 days ago.

Release 10 — day 14, dose 3

2021-12-26

Symptoms: Sore armpits.

Release 10 — day 21, dose 3

2022-01-02

Symptoms: Swollen lymph nodes

Release 10 — day 28, dose 3

2022-01-09

Symptoms: Got a cold, bronchitis, cold sore outbreak and swollen armpit and joint pain.

Release 10 — day 35, dose 3

2022-01-18

Symptoms: Swollen glands and aches

Release 11 — 3 months, dose 3

2022-03-13

Symptoms: Random swelling of lymph nodes, and muscle pain around injection site.

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	Arthralgia	✓	✓	✓
SD	Axillary pain	·	·	✓
SD	Back pain	✓	✓	✓
SD	Breast pain	·	·	✓
SD	Bronchitis	·	·	✓
SD	Chest pain	✓	✓	✓
SD	Fatigue	✓	✓	✓
SD	Injection site pain	·	·	✓
SD	Joint range of motion decreased	·	·	✓
SD	Lymph node pain	✓	✓	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Muscle swelling	·	·	✓
SD	Musculoskeletal chest pain	✓	✓	✓
SD	Myalgia	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oedema peripheral	✓	✓	✓
SD	Office visit	·	·	✓
SD	Oral herpes	·	·	✓
SD	Pain	✓	✓	✓
SD	Palpitations	✓	✓	✓
SD	Sensitive skin	✓	✓	✓
SRO	Axillary pain	✓	✓	✓
SRO	Dysgeusia	✓	✓	✓
SRO	Limb operation	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Menstruation irregular	·	·	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Procedural pain	✓	✓	✓
SRO	Tenderness	✓	✓	✓

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