YK9-64796-40557

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 36-40
ZIP prefix: 840 / UT
Registered: 2021-02-26

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

Registered dependents

9DV-68076-66787 Child or adolescent in my care · Female · 2021-10-17

Y3P-29627-60153 Child or adolescent in my care · Female · 2021-11-05

Timeline

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

2021-02-26
Registered in v-safe
2021-02-26
Dose 1 — Pfizer-BioNTech
2021-02-26
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-02-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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

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

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-05
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-19
Dose 2 — Pfizer-BioNTech
2021-03-19
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Joint pains, Fatigue or tiredness

Adult check-in
2021-03-24
Survey response — days 1–6 daily, dose 2
MedDRA: Arthralgia — Feeling: Fair · Site: Pain · Joint pains

Free text: I have a sharp, almost tendinitis pain in my shoulder/elbow of the arm I received my injection in.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-04-04
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-09
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-16
Survey response — day 28, dose 2
MedDRA: Nausea, Telemedicine, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Woke up with extreme vertigo April 15th. Severe nausea with it. After a telehealth appt, they prescribed some meclizine and its helping a little bit. Still unable to do some normal functions.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-16
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-23
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-30
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-18
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-17
Survey response — 6 months, dose 2
MedDRA: Dizziness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Vertigo and dizziness

MedDRA releases: 2024-11 · check-in free text available
2021-11-03
Dose 3 — Pfizer-BioNTech
2021-11-03
Survey response — day 0, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2021-11-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in arm/armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-11-07
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Swollen/tender right armpit

MedDRA releases: 2024-11 · check-in free text available
2021-11-11
Survey response — day 7, dose 3
MedDRA: Vertigo — Feeling: Fair · Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Severe vertigo

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Survey response — day 14, dose 3
MedDRA: Office visit, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Severe vertigo. Urgent care visit for meds and assistance.

MedDRA releases: 2024-11 · check-in free text available
2021-11-17
Report sent to call center — day 14, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-11-19
Call 1 — Requested Callback
2021-11-25
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-26
Health check-in — day 0, dose 2, dependent
Feeling: Good · Site: Pain · None

Adult check-in
2021-11-30
Call 2 — Left Voicemail
2021-12-01
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-12-09
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-12-15
Health check-in — day 42, dose 3
Feeling: Good

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

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-26	Pfizer-BioNTech
2	2021-03-19	Pfizer-BioNTech
3	2021-11-03	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-16	Unsuccessful
2021-11-17	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): I have a sharp, almost tendinitis pain in my shoulder/elbow of the arm I received my injection in.

Release 7 — day 28, dose 2

2021-04-16

Symptoms: Woke up with extreme vertigo April 15th. Severe nausea with it. After a telehealth appt, they prescribed some meclizine and its helping a little bit. Still unable to do some normal functions.

Release 9 — 6 months, dose 2

2021-09-17

Symptoms: Vertigo and dizziness

Release 10 — day 0, dose 3

2021-11-03

Systemic reaction (other): Swollen lymph nodes

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): Swollen lymph nodes in arm/armpit

2021-11-05

Systemic reaction (other): Swollen lymph nodes in armpit

2021-11-07

Systemic reaction (other): Swollen/tender right armpit

Release 10 — day 7, dose 3

2021-11-11

Systemic reaction (other): Severe vertigo

Release 10 — day 14, dose 3

2021-11-17

Symptoms: Severe vertigo. Urgent care visit for meds and assistance.

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	Dizziness	·	·	✓
SD	Nausea	✓	✓	✓
SD	Office visit	·	·	✓
SD	Telemedicine	✓	·	✓
SD	Vertigo	✓	✓	✓
SRO	Arthralgia	✓	✓	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Oedema peripheral	·	·	✓
SRO	Tenderness	·	·	✓
SRO	Vertigo	·	·	✓

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