YVG-10016-74351

3 vaccinations 8 coded responses 38 check-ins 8 free-text entries 0 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 980 / WA
Registered: 2021-04-11

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

Timeline Vaccinations Free text MedDRA terms

Timeline

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

2021-04-11
Registered in v-safe
2021-04-11
Dose 1 — Pfizer-BioNTech
2021-04-11
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-04-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-14
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-16
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-17
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-04-25
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-05-01
Dose 2 — Pfizer-BioNTech
2021-05-01
Health check-in — day 0, dose 2
Feeling: Good · None

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

Adult check-in
2021-05-03
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-04
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-07
Survey response — days 1–6 daily, dose 2
MedDRA: Headache — Feeling: Fair · Headache · Be unable to do your normal daily activities

Free text: believe headache is migraine, unrelated to vaccination

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-05-22
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-29
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-05
Survey response — day 35, dose 2
MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities

Free text: migraine headache

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-12
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-31
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-30
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-01
Dose 3 — Moderna
2021-12-02
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Pain — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: lymph node in armpit on same arm as received injection was a bit swollen and painful, throbbing, this morning

MedDRA releases: 2024-11 · check-in free text available
2021-12-03
Survey response — days 1–6 daily, dose 3
MedDRA: Chills, Lymph node pain, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness

Free text: tender lymph node in armpit of injection arm; brief fever & chills peaked about 30 hr post injection

MedDRA releases: 2024-11 · check-in free text available
2021-12-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Redness

Free text: armpit lymph node may be very slightly tender still

MedDRA releases: 2024-11 · check-in free text available
2021-12-05
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-06
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-12-07
Survey response — days 1–6 daily, dose 3
MedDRA: Injection site bruising — Feeling: Good

Free text: small bruise coming to skin surface at injection site

MedDRA releases: 2024-11 · check-in free text available
2021-12-08
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-15
Survey response — day 14, dose 3
MedDRA: Headache, Migraine — Feeling: Good

Free text: headache, probable migraine.

MedDRA releases: 2024-11 · check-in free text available
2021-12-23
Survey response — day 21, dose 3
MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activities

Free text: migraine one day this week; sumatriptan cleared it up

MedDRA releases: 2024-11 · check-in free text available
2021-12-29
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-05
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-12
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-02
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-06-01
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-12-02
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-11	Pfizer-BioNTech
2	2021-05-01	Pfizer-BioNTech
3	2021-12-01	Moderna	No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-07

Systemic reaction (other): believe headache is migraine, unrelated to vaccination

Release 8 — day 35, dose 2

2021-06-05

Symptoms: migraine headache

Release 10 — days 1–6 daily, dose 3

2021-12-02

Systemic reaction (other): lymph node in armpit on same arm as received injection was a bit swollen and painful, throbbing, this morning

2021-12-03

Systemic reaction (other): tender lymph node in armpit of injection arm; brief fever & chills peaked about 30 hr post injection

2021-12-04

Systemic reaction (other): armpit lymph node may be very slightly tender still

2021-12-07

Systemic reaction (other): small bruise coming to skin surface at injection site

Release 10 — day 14, dose 3

2021-12-15

Symptoms: headache, probable migraine.

Release 10 — day 21, dose 3

2021-12-23

Symptoms: migraine one day this week; sumatriptan cleared it up

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	Headache	·	·	✓
SD	Migraine	✓	✓	✓
SRO	Chills	·	·	✓
SRO	Headache	✓	✓	✓
SRO	Injection site bruising	·	·	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓

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