YQ4-28878-61811

4 vaccinations 11 coded responses 41 check-ins 11 free-text entries 2 call cases

Sex: Female
Age at first dose: 41-45
ZIP prefix: 300 / GA
Registered: 2021-03-01

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

Timeline

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

2021-02-25
Dose 1 — Pfizer-BioNTech
2021-03-01
Registered in v-safe
2021-03-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

Adult check-in
2021-03-04
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-18
Dose 2 — Pfizer-BioNTech
2021-03-18
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Chills · Be unable to work

Adult check-in
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Computerised tomogram abnormal, Computerised tomogram thorax abnormal, Inflammation, Lung opacity, Lymphadenopathy, Positron emission tomogram abnormal, Ultrasound scan abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: I have Ground-glass opacification/opacity on my lungs and swollen axillary lymph nodes that showed up on CT and PET and inflammation that mimiced a blood clot in my injection arm found from Ultrasound.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-21
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-22
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-03-23
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-03-26
Health check-in — day 7, dose 2
Feeling: Good · Muscle or body aches

Adult check-in
2021-04-01
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-08
Survey response — day 21, dose 2
MedDRA: Axillary pain, Diarrhoea, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Pain under arms, down both arms into hands, diarrhea

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-23
Survey response — day 35, dose 2
MedDRA: Axillary pain, Diarrhoea, Vomiting — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities

Free text: Soreness under arms, diarrhea, vomiting

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — day 42, dose 2
MedDRA: Oropharyngeal pain, Pain in extremity — Feeling: Fair · 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: Sore Throat, Pain under arms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Report sent to call center — day 42, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-17
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-23
Dose 3 — Pfizer-BioNTech
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Survey response — day 21, dose 3
MedDRA: Fatigue, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activities

Free text: Swollen Lymph Nodes and Fatigue after 3rd vaccine

MedDRA releases: 2024-11 · check-in free text available
2021-09-22
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-09-27
Health check-in — day 35, dose 3
Feeling: Fair

Adult check-in
2021-10-04
Survey response — day 42, dose 3
MedDRA: Wheezing — Feeling: Fair

Free text: Wheezing during exhale

MedDRA releases: 2024-11 · check-in free text available
2021-11-22
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-01-19
Dose 4 — Pfizer-BioNTech
2022-01-19
Health check-in — day 0, dose 4
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2022-01-20
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-01-21
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea, Vomiting · Be unable to do your normal daily activities

Free text: Swollen Auxiliary Lymph Nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-22
Survey response — days 1–6 daily, dose 4
MedDRA: Ear discomfort, Lymphadenopathy, Tinnitus — Feeling: Fair · Site: Pain · Headache

Free text: Pressure and ringing in ears , Swollen auxiliary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-23
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen axillary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-24
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen axillary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-01-25
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-01-28
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-02-03
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-02-09
Survey response — day 21, dose 4
MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, 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: Covid-19

MedDRA releases: 2024-11 · check-in free text available
2022-02-09
Report sent to call center — day 21, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-02-11
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-02-25
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-03-02
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-04-22
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-19
Health check-in — 12 months, dose 4
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-25	Pfizer-BioNTech
2	2021-03-18	Pfizer-BioNTech
3	2021-08-23	Pfizer-BioNTech	No
4	2022-01-19	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-04-29	Successful	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-02-09	Successful 2022-02-11	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): I have Ground-glass opacification/opacity on my lungs and swollen axillary lymph nodes that showed up on CT and PET and inflammation that mimiced a blood clot in my injection arm found from Ultrasound.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Pain under arms, down both arms into hands, diarrhea

Release 7 — day 35, dose 2

2021-04-23

Symptoms: Soreness under arms, diarrhea, vomiting

Release 8 — day 42, dose 2

2021-04-29

Symptoms: Sore Throat, Pain under arms

Release 9 — day 21, dose 3

2021-09-16

Symptoms: Swollen Lymph Nodes and Fatigue after 3rd vaccine

Release 10 — day 42, dose 3

2021-10-04

Symptoms: Wheezing during exhale

Release 11 — days 1–6 daily, dose 4

2022-01-21

Systemic reaction (other): Swollen Auxiliary Lymph Nodes

2022-01-22

Systemic reaction (other): Pressure and ringing in ears , Swollen auxiliary lymph nodes

2022-01-23

Systemic reaction (other): Swollen axillary lymph nodes

2022-01-24

Systemic reaction (other): Swollen axillary lymph nodes

Release 11 — day 21, dose 4

2022-02-09

Symptoms: Covid-19

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	Axillary pain	✓	✓	✓
SD	COVID-19	·	·	✓
SD	Diarrhoea	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Vomiting	✓	✓	✓
SD	Wheezing	·	·	✓
SRO	Computerised tomogram abnormal	✓	✓	✓
SRO	Computerised tomogram thorax abnormal	✓	✓	✓
SRO	Ear discomfort	·	·	✓
SRO	Inflammation	✓	✓	✓
SRO	Lung opacity	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Positron emission tomogram abnormal	✓	✓	✓
SRO	Tinnitus	·	·	✓
SRO	Ultrasound scan abnormal	✓	✓	✓

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