YJL-21698-55364

3 vaccinations 6 coded responses 34 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 967 / HI
Registered: 2021-01-15

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

2021-01-15
Registered in v-safe
2021-01-15
Dose 1 — Pfizer-BioNTech
2021-01-15
Health check-in — day 0, dose 1
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Diarrhea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-01-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-20
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-21
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-22
Health check-in — day 7, dose 1
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-01-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-04
Dose 2 — Pfizer-BioNTech
2021-02-05
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Lump under left arm - lymph node swelling?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-06
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Free text: Lump in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good · Fatigue or tiredness

Free text: Lump in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-08
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-02-09
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass — Feeling: Good · Headache, Fatigue or tiredness, Diarrhea

Free text: Lump in left armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-11
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-18
Health check-in — day 14, dose 2
Feeling: Fair

Adult check-in
2021-02-25
Survey response — day 21, dose 2
MedDRA: Axillary mass — Feeling: Good

Free text: The lump under left armpit is still there and possibly larger

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-04
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-05
Health check-in — 6 months, dose 2
Feeling: Fair

Adult check-in
2021-11-30
Dose 3 — Moderna
2021-12-01
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness

Adult check-in
2021-12-02
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-03
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-12-15
Health check-in — day 14, dose 3
Feeling: Fair

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

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

Adult check-in
2022-01-06
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2022-01-13
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-03-03
Survey response — 3 months, dose 3
MedDRA: Mechanical urticaria, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: It's not since last your last contact/check-in, I've just never thought to mention it before. I developed dermatographia beginning sometime around last July (2021) No obvious reason why. It was not right after my vaccines in Jan/Feb of 2021. · Healthcare visit (other): I just asked about it at normal annual primary care physical in November

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

1 call case(s)
2022-03-04
Call 1 — Left Voicemail
2022-06-02
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-15	Pfizer-BioNTech
2	2021-02-04	Pfizer-BioNTech
3	2021-11-30	Moderna	No

Call center

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

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-05

Systemic reaction (other): Lump under left arm - lymph node swelling?

2021-02-06

Systemic reaction (other): Lump in left armpit

2021-02-07

Systemic reaction (other): Lump in left armpit

2021-02-09

Systemic reaction (other): Lump in left armpit

Release 4 — day 21, dose 2

2021-02-25

Symptoms: The lump under left armpit is still there and possibly larger

Release 11 — 3 months, dose 3

2022-03-03

Symptoms: It's not since last your last contact/check-in, I've just never thought to mention it before. I developed dermatographia beginning sometime around last July (2021) No obvious reason why. It was not right after my vaccines in Jan/Feb of 2021.

Healthcare visit (other): I just asked about it at normal annual primary care physical in November

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	Axillary mass	✓	✓	✓
SD	Mechanical urticaria	·	·	✓
SRO	Axillary mass	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓

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