YJC-25972-11700

3 vaccinations 11 coded responses 26 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 537 / WI
Registered: 2021-04-28

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

2021-04-06
Dose 1 — Pfizer-BioNTech
2021-04-26
Dose 2 — Pfizer-BioNTech
2021-04-28
Registered in v-safe
2021-04-28
Survey response — days 1–6 daily, dose 2
MedDRA: Abdominal pain upper — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Stomach ache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Dyspnoea, Hypoaesthesia, Oedema peripheral, Sinus congestion — Feeling: Fair

Free text: Yesterday I forgot to mention that I started experincing my left arm and hand going numb repeatedly that is not the arm I got my injection in. I had them both in my right arm because I have had breast cancer surgery and treatment on my left side. But today my right underarm is swollen I would venture to guess the same thing was happening to my left side I just was not paying attention to it. Also the overnight of my 2nd vasccine shot my sinuses swelled up I could not breath, not congestion swelling.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site swelling, Oedema peripheral — Feeling: Good · Site: Pain

Free text: Swelling of my underarm, of injection site was not able to put in allthe information for day of next day and day after second shot I was timed out on my cell phone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-01
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral — Feeling: Good · Site: Pain

Free text: Underarm swelling of my shot arm mild

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-03
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-10
Survey response — day 14, dose 2
MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activities

Free text: I started getting a stomachache after my fist vaccine shot which lasted a couple days (I haven't had one for 10 years when my gall bladder was removed) and it just came back again in the last 24 hours. I've had more symptoms that I couldn't report.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-17
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-05-25
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-05-31
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-06-11
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-07-26
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-10-25
Survey response — 6 months, dose 2
MedDRA: Glycosylated haemoglobin increased, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: High blood pressure, higher A1C.

MedDRA releases: 2024-11 · check-in free text available
2021-10-25
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-27
Call 1 — Left Voicemail
2021-11-19
Dose 3 — Pfizer-BioNTech
2021-11-21
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Checking in on a cellphone is stupid

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-11-23
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: It is way too difficult to type this in with a cell phone!

MedDRA releases: 2024-11 · check-in free text available
2021-11-24
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Dizziness and I can't type in what I want on my cellphone!

MedDRA releases: 2024-11 · check-in free text available
2021-11-25
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: It's to difficult to type this into a cellphone!

MedDRA releases: 2024-11 · check-in free text available
2021-11-26
Survey response — day 7, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: I can't type this into my cellphone, it's much to difficult.

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-12-10
Health check-in — day 21, dose 3
Feeling: Fair

Adult check-in
2021-12-17
Health check-in — day 28, dose 3
Feeling: Fair

Adult check-in
2021-12-24
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-12-31
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-02-18
Health check-in — 3 months, dose 3
Feeling: Fair

Adult check-in
2022-11-19
Health check-in — 12 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-06	Pfizer-BioNTech
2	2021-04-26	Pfizer-BioNTech
3	2021-11-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-25	Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-04-28

Systemic reaction (other): Stomach ache

2021-04-29

Systemic reaction (other): Yesterday I forgot to mention that I started experincing my left arm and hand going numb repeatedly that is not the arm I got my injection in. I had them both in my right arm because I have had breast cancer surgery and treatment on my left side. But today my right underarm is swollen I would venture to guess the same thing was happening to my left side I just was not paying attention to it. Also the overnight of my 2nd vasccine shot my sinuses swelled up I could not breath, not congestion swelling.

2021-04-30

Systemic reaction (other): Swelling of my underarm, of injection site was not able to put in allthe information for day of next day and day after second shot I was timed out on my cell phone

2021-05-01

Systemic reaction (other): Underarm swelling of my shot arm mild

Release 8 — day 14, dose 2

2021-05-10

Symptoms: I started getting a stomachache after my fist vaccine shot which lasted a couple days (I haven't had one for 10 years when my gall bladder was removed) and it just came back again in the last 24 hours. I've had more symptoms that I couldn't report. cut off by CDC

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: High blood pressure, higher A1C.

Release 10 — days 1–6 daily, dose 3

2021-11-21

Systemic reaction (other): Checking in on a cellphone is stupid

2021-11-23

Systemic reaction (other): It is way too difficult to type this in with a cell phone!

2021-11-24

Systemic reaction (other): Dizziness and I can't type in what I want on my cellphone!

2021-11-25

Systemic reaction (other): It's to difficult to type this into a cellphone!

Release 10 — day 7, dose 3

2021-11-26

Systemic reaction (other): I can't type this into my cellphone, it's much to difficult.

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 pain upper	✓	✓	✓
SD	Glycosylated haemoglobin increased	·	·	✓
SD	Hypertension	·	·	✓
SRO	Abdominal pain upper	✓	✓	✓
SRO	Dizziness	·	·	✓
SRO	Dyspnoea	✓	✓	✓
SRO	Hypoaesthesia	✓	✓	✓
SRO	Injection site swelling	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Sinus congestion	✓	✓	✓
SRO	Unevaluable event	·	·	✓

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