YR7-22629-69297

3 vaccinations 9 coded responses 34 check-ins 9 free-text entries 2 call cases

Sex: Female
Age at first dose: 61-65
ZIP prefix: 175 / PA
Registered: 2021-01-09

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

2021-01-09
Registered in v-safe
2021-01-09
Dose 1 — Pfizer-BioNTech
2021-01-09
Health check-in — day 0, dose 1
Feeling: Good · Chills

Adult check-in
2021-01-10
Survey response — days 1–6 daily, dose 1
MedDRA: Brain fog, Feeling abnormal, Inappropriate antidiuretic hormone secretion, Neuralgia, Pre-existing disease — Feeling: Fair · Site: Pain · Chills, Headache, Nausea

Free text: Intermittent Nerve type pain at random locations. I have SIADH and this feels like when my sodium drops. Some brain fog.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-16
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-23
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-30
Dose 2 — Pfizer-BioNTech
2021-01-30
Health check-in — day 0, dose 2
Feeling: Good · Chills, Headache

Adult check-in
2021-01-31
Survey response — days 1–6 daily, dose 2
MedDRA: Neuralgia, Pre-existing disease — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Nerve type sudden flashes of pain in random spots similar to what I get when my sodium drops

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-01
Survey response — days 1–6 daily, dose 2
MedDRA: Chest pain, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Moderate Swollen and painful lymph nodes under the injection arm and upper chest.

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

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Muscle or body aches

Adult check-in
2021-02-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-02-13
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-20
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-27
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-06
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-03-13
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-01
Survey response — 3 months, dose 2
MedDRA: Pain in jaw, Toothache — Feeling: Fair

Free text: Sharp pain in my left jaw and teeth that is intermittent and lasts up to several minutes. Started 3 days ago.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-31
Survey response — 6 months, dose 2
MedDRA: Dermatitis contact, Hordeolum, Office visit, Tooth abscess — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Symptoms: Style in eye. Abscessed tooth. Poison ivy. · Healthcare visit (other): Dentist

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-31
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-12
Call 1 — Left Voicemail
2021-08-16
Call successful
Participant prefers to complete VAERS report online
2021-10-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches

Free text: Swollen lymph glands under armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Swelling · None

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-26
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-02
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-09
Survey response — day 21, dose 3
MedDRA: Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities

Free text: Sore throat, congestion, fatigue

MedDRA releases: 2024-11 · check-in free text available
2021-11-16
Survey response — day 28, dose 3
MedDRA: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities

Free text: Had a sore throat, tired and headache. COVID test negative

MedDRA releases: 2024-11 · check-in free text available
2021-11-23
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-30
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-18
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-19
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-10-21
Survey response — 12 months, dose 3
MedDRA: Cough, Fatigue, Pneumonia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Harsh persistent cough, fatigue, Pneumonia.

MedDRA releases: 2024-11 · check-in free text available
2022-10-21
Report sent to call center — 12 months, dose 3
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-10-24
Call 1 — Left Voicemail
2022-10-24
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-09	Pfizer-BioNTech
2	2021-01-30	Pfizer-BioNTech
3	2021-10-19	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-07-31	Successful 2021-08-16	Participant prefers to complete VAERS report online
2022-10-21	Successful 2022-10-24	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Intermittent Nerve type pain at random locations. I have SIADH and this feels like when my sodium drops. Some brain fog.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Nerve type sudden flashes of pain in random spots similar to what I get when my sodium drops

2021-02-01

Systemic reaction (other): Moderate Swollen and painful lymph nodes under the injection arm and upper chest.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Sharp pain in my left jaw and teeth that is intermittent and lasts up to several minutes. Started 3 days ago.

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Style in eye. Abscessed tooth. Poison ivy.

Healthcare visit (other): Dentist

Release 10 — days 1–6 daily, dose 3

2021-10-21

Systemic reaction (other): Swollen lymph glands under armpit

Release 10 — day 21, dose 3

2021-11-09

Symptoms: Sore throat, congestion, fatigue

Release 10 — day 28, dose 3

2021-11-16

Symptoms: Had a sore throat, tired and headache. COVID test negative

Release 12 — 12 months, dose 3

2022-10-21

Symptoms: Harsh persistent cough, fatigue, Pneumonia.

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	Cough	·	·	✓
SD	Dermatitis contact	✓	·	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Hordeolum	✓	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in jaw	✓	✓	✓
SD	Pneumonia	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Tooth abscess	✓	·	✓
SD	Toothache	✓	✓	✓
SRO	Brain fog	✓	·	✓
SRO	Chest pain	✓	✓	✓
SRO	Feeling abnormal	○	✓	○
SRO	Inappropriate antidiuretic hormone secretion	○	✓	○
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Neuralgia	✓	✓	✓
SRO	Pre-existing disease	✓	✓	✓

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