YXR-23765-12583

3 vaccinations 22 coded responses 37 check-ins 22 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 301 / GA
Registered: 2021-02-23

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

2021-02-23
Registered in v-safe
2021-02-23
Dose 1 — Pfizer-BioNTech
2021-02-23
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Lymphadenopathy — Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness

Free text: Swollen glands. Ears feel slightly plugged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Fair · Fever · Chills, Fatigue or tiredness

Free text: Ears plugged.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Lymphadenopathy — Feeling: Good · Fever

Free text: Ears stuffy. Neck glands swollen.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort, Tinnitus — Feeling: Fair

Free text: Ears plugged. Some tinitis.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-28
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Good

Free text: Ears still plugged since 30 minutes after vaccine injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Survey response — days 1–6 daily, dose 1
MedDRA: Ear discomfort — Feeling: Fair

Free text: Ears still plugged. May see Doctor.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-02
Survey response — day 7, dose 1
MedDRA: Ear discomfort, Lymph node pain, Tinnitus — Feeling: Fair

Free text: Ears still plugged. Some ringing. Glands below ears are sore.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Survey response — day 14, dose 1
MedDRA: Ear discomfort, Ear pain, Inner ear inflammation, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Ear blocked 8 days. Some pain in ear.Saw ENT Doctor. · Healthcare visit (other): Office appointment to check ears. Membrane inflamed.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-09
Report sent to call center — day 14, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-16
Health check-in — day 21, dose 1
Feeling: Good

Adult check-in
2021-03-23
Health check-in — day 28, dose 1
Feeling: Good

Adult check-in
2021-03-30
Survey response — day 35, dose 1
MedDRA: Ear discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Intermittent ear pain continues.Ear Pressure is ongoing.This reaction began 20 minutes after first injection and has not resolved. · Healthcare visit (other): ENT office visit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Report sent to call center — day 35, dose 1
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-06
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-04-13
Dose 2 — Pfizer-BioNTech
2021-04-14
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Headache, Abdominal pain

Free text: Sore neck glands

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-15
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Muscle or body aches

Adult check-in
2021-04-16
Survey response — days 1–6 daily, dose 2
MedDRA: Ear pain — Feeling: Fair

Free text: Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-18
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-04-19
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Muscle or body aches

Adult check-in
2021-04-20
Health check-in — day 7, dose 2
Feeling: Fair · Site: Pain · Headache, Muscle or body aches

Adult check-in
2021-04-27
Survey response — day 14, dose 2
MedDRA: Headache, Rash — Feeling: Good

Free text: Rash on fingers.Headaches.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Survey response — day 21, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Intermittent Ear pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-27
Survey response — day 42, dose 2
MedDRA: Ear pain, Vertigo — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ear pain and vertigo.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-12
Survey response — 6 months, dose 2
MedDRA: Ear pain — Feeling: Good

Free text: Ear pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-28
Call 1 — Left Voicemail
2022-06-14
Dose 3 — Moderna
2022-06-17
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation, Glossodynia — Feeling: Fair · Site: Redness, Swelling · Fever

Free text: Skin has burning sensation on both arms. Tongue hurts.

MedDRA releases: 2024-11 · check-in free text available
2022-06-18
Survey response — days 1–6 daily, dose 3
MedDRA: Burning sensation, Erythema, Glossodynia, Oral pain — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Tongue and mouth are still hurting. Hands are burning in red.

MedDRA releases: 2024-11 · check-in free text available
2022-06-19
Survey response — days 1–6 daily, dose 3
MedDRA: Oral pain — Feeling: Fair

Free text: Mouth pain persists.

MedDRA releases: 2024-11 · check-in free text available
2022-06-20
Survey response — days 1–6 daily, dose 3
MedDRA: Glossodynia, Oral pain — Feeling: Fair

Free text: Mouth still sore, especially tongue.

MedDRA releases: 2024-11 · check-in free text available
2022-06-21
Survey response — day 7, dose 3
MedDRA: Glossodynia — Feeling: Fair

Free text: Tongue still sore

MedDRA releases: 2024-11 · check-in free text available
2022-06-28
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2022-07-05
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-07-12
Survey response — day 28, dose 3
MedDRA: Skin burning sensation — Feeling: Fair

Free text: A return of the burning sensation of skin on hands and arms and face. I had that reaction shortly after my booster shot.

MedDRA releases: 2024-11 · check-in free text available
2022-07-19
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-07-26
Survey response — day 42, dose 3
MedDRA: Ear pain — Feeling: Fair

Free text: Ear pain

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-23	Pfizer-BioNTech
2	2021-04-13	Pfizer-BioNTech
3	2022-06-14	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-09	Unsuccessful
2021-03-30	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-24

Systemic reaction (other): Swollen glands. Ears feel slightly plugged.

2021-02-25

Systemic reaction (other): Ears plugged.

2021-02-26

Systemic reaction (other): Ears stuffy. Neck glands swollen.

2021-02-27

Systemic reaction (other): Ears plugged. Some tinitis.

2021-02-28

Systemic reaction (other): Ears still plugged since 30 minutes after vaccine injection

2021-03-01

Systemic reaction (other): Ears still plugged. May see Doctor.

Release 4 — day 7, dose 1

2021-03-02

Systemic reaction (other): Ears still plugged. Some ringing. Glands below ears are sore.

Release 5 — day 14, dose 1

2021-03-09

Symptoms: Ear blocked 8 days. Some pain in ear.Saw ENT Doctor.

Healthcare visit (other): Office appointment to check ears. Membrane inflamed.

Release 6 — day 35, dose 1

2021-03-30

Symptoms: Intermittent ear pain continues.Ear Pressure is ongoing.This reaction began 20 minutes after first injection and has not resolved.

Healthcare visit (other): ENT office visit

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): Sore neck glands

2021-04-16

Systemic reaction (other): Ear pain

Release 8 — day 14, dose 2

2021-04-27

Symptoms: Rash on fingers.Headaches.

Release 8 — day 21, dose 2

2021-05-04

Symptoms: Intermittent Ear pain

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Ear pain and vertigo.

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Ear pain

Release 12 — days 1–6 daily, dose 3

2022-06-17

Systemic reaction (other): Skin has burning sensation on both arms. Tongue hurts.

2022-06-18

Systemic reaction (other): Tongue and mouth are still hurting. Hands are burning in red.

2022-06-19

Systemic reaction (other): Mouth pain persists.

2022-06-20

Systemic reaction (other): Mouth still sore, especially tongue.

Release 12 — day 7, dose 3

2022-06-21

Systemic reaction (other): Tongue still sore

Release 12 — day 28, dose 3

2022-07-12

Symptoms: A return of the burning sensation of skin on hands and arms and face. I had that reaction shortly after my booster shot.

Release 12 — day 42, dose 3

2022-07-26

Symptoms: Ear pain

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	Inner ear inflammation	✓	✓	✓
HCVO	Office visit	✓	✓	✓
SD	Ear discomfort	✓	✓	✓
SD	Ear pain	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Rash	✓	✓	✓
SD	Skin burning sensation	·	·	✓
SD	Vertigo	✓	✓	✓
SRO	Burning sensation	·	·	✓
SRO	Ear discomfort	✓	✓	✓
SRO	Ear pain	✓	✓	✓
SRO	Erythema	·	·	✓
SRO	Glossodynia	·	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Oral pain	·	·	✓
SRO	Tinnitus	✓	✓	✓

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