YXD-20083-80324

3 vaccinations 14 coded responses 30 check-ins 14 free-text entries 3 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 951 / CA
Registered: 2021-04-14

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

2021-04-14
Registered in v-safe
2021-04-14
Dose 1 — Pfizer-BioNTech
2021-04-14
Survey response — day 0, dose 1
MedDRA: Dizziness, Vertigo — Feeling: Good · Site: Pain

Free text: Dizziness/vertigo

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 1
MedDRA: Tenderness — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Tenderness in armpit of arm that received shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Survey response — days 1–6 daily, dose 1
MedDRA: Axillary pain — Feeling: Good · Joint pains · Be unable to do your normal daily activities

Free text: Pain in armpit on side of injection site

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-04-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Swollen tender lymph nodes in armpit and adenoid on injection side

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-23
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good

Free text: Lymph node pain in adenoid of injection side, much milder than past few days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-28
Health check-in — day 14, dose 1
Feeling: Good

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

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Headache · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-05-08
Survey response — days 1–6 daily, dose 2
MedDRA: Dizziness — Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Dizziness

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-05-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Diarrhea

Adult check-in
2021-05-11
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Joint pains

Adult check-in
2021-05-12
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-05-19
Survey response — day 14, dose 2
MedDRA: Arthralgia, Headache, Myalgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Headache, muscle and joint pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-26
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-06-02
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-11
Survey response — day 35, dose 2
MedDRA: Arthralgia, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Joint pain, on and off tingling in hands, arms, and legs

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 35, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-18
Survey response — day 42, dose 2
MedDRA: Arthralgia, Fatigue — 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: Joint pain and fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-22
Call 2 — Left Voicemail
2021-08-06
Survey response — 3 months, dose 2
MedDRA: Chills, Headache, Hyperhidrosis, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Week and a half of body and head aches, shivers and sweating but no fever, congestion. Tested negative antigen

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-11-03
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-05
Dose 3 — Pfizer-BioNTech
2021-11-05
Health check-in — day 0, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-06
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Tender lymph node under armpit on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-11-07
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-09
Survey response — days 1–6 daily, dose 3
MedDRA: Brain fog — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Brain fog

MedDRA releases: 2024-11 · check-in free text available
2021-11-10
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-11-12
Health check-in — day 7, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2022-05-08
Survey response — 6 months, dose 3
MedDRA: COVID-19 — Feeling: Fair · 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: Had a nine day symptomatic bout of COVID-19

MedDRA releases: 2024-11 · check-in free text available
2022-05-08
Report sent to call center — 6 months, dose 3
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)
2022-05-10
Call 1 — Left Voicemail
2022-05-10
Call 1 — Left Voicemail
2022-05-10
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-14	Pfizer-BioNTech
2	2021-05-05	Pfizer-BioNTech
3	2021-11-05	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-06-11	Unsuccessful
2021-06-18	Unsuccessful
2022-05-08	Unsuccessful

Free text

Release 7 — day 0, dose 1

2021-04-14

Systemic reaction (other): Dizziness/vertigo

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): Tenderness in armpit of arm that received shot

2021-04-17

Systemic reaction (other): Pain in armpit on side of injection site

2021-04-20

Systemic reaction (other): Swollen tender lymph nodes in armpit and adenoid on injection side

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): Lymph node pain in adenoid of injection side, much milder than past few days

Release 8 — days 1–6 daily, dose 2

2021-05-06

Systemic reaction (other): Brain fog

2021-05-08

Systemic reaction (other): Dizziness

Release 8 — day 14, dose 2

2021-05-19

Symptoms: Headache, muscle and joint pain

Release 9 — day 35, dose 2

2021-06-11

Symptoms: Joint pain, on and off tingling in hands, arms, and legs

Release 9 — day 42, dose 2

2021-06-18

Symptoms: Joint pain and fatigue

Release 9 — 3 months, dose 2

2021-08-06

Symptoms: Week and a half of body and head aches, shivers and sweating but no fever, congestion. Tested negative antigen

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Tender lymph node under armpit on injection side

2021-11-09

Systemic reaction (other): Brain fog

Release 11 — 6 months, dose 3

2022-05-08

Symptoms: Had a nine day symptomatic bout of 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	Arthralgia	✓	✓	✓
SD	Chills	✓	·	✓
SD	COVID-19	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hyperhidrosis	✓	·	✓
SD	Myalgia	✓	✓	✓
SD	Pain	✓	·	✓
SD	Paraesthesia	✓	✓	✓
SD	Respiratory tract congestion	✓	·	✓
SD	SARS-CoV-2 test negative	○	·	○
SRO	Axillary pain	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Tenderness	✓	✓	✓
SRO	Vertigo	✓	✓	✓

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