YZE-98066-96496

5 vaccinations 14 coded responses 59 check-ins 14 free-text entries 4 call cases

Sex: Female
Age at first dose: 46-50
ZIP prefix: 967 / HI
Registered: 2021-03-15

Relationship: Self
Race: Native Hawaiian or other Pacific Islander
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-03-15
Registered in v-safe
2021-03-15
Dose 1 — Pfizer-BioNTech
2021-03-16
Health check-in — days 1–6 daily, dose 1
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Adult check-in
2021-03-16
Report sent to call center — days 1–6 daily, dose 1
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Pain, Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Histamine reaction that started at 7:30 am yesterday. Yesterday it was severe, necessitating Benadryl

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-03-20
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Urticaria — Feeling: Fair · Rash, not including the immediate area around the injection site

Free text: Mild histamine reaction with the rash

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — day 7, dose 1
Feeling: Fair · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Adult check-in
2021-03-29
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-05
Dose 2 — Pfizer-BioNTech
2021-04-05
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness

Adult check-in
2021-04-06
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Lymphadenitis — Feeling: Poor · Site: Pain, Itching · Fever · Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, 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: Inflamed lymph node with lump in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Report sent to call center — days 1–6 daily, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Axillary mass, Lymphadenopathy — Feeling: Poor · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities

Free text: Swollen lymph node and lump in armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Free text: Swollen lymph node. No pain today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-11
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-12
Health check-in — day 7, dose 2
Feeling: Fair · Site: Itching · Fatigue or tiredness, Diarrhea

Adult check-in
2021-04-19
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-26
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-03
Survey response — day 28, dose 2
MedDRA: Bladder disorder, Office visit, Pyrexia, Renal disorder — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Bladder or kidney infection symptoms. Fever. · Healthcare visit (other): Visit with primary care physician. Urine test.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Report sent to call center — day 28, dose 2
Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-10
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-17
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-05
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-04
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Pfizer-BioNTech
2021-10-18
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-10-19
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Poor · Site: Itching · Fever · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Pain in left armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Pain in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Axillary pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Free text: Pain in armpit

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-23
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-25
Health check-in — day 7, dose 3
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-15
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-15
Call 1 — Left Voicemail
2022-03-18
Call successful
Participant prefers to complete VAERS report online
2022-04-18
Dose 4 — Pfizer-BioNTech
2022-04-18
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Health check-in — day 0, dose 4
Feeling: Good · None

Adult check-in
2022-04-19
Health check-in — days 1–6 daily, dose 4
Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-04-20
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site

Free text: Lymph node swelling in armpit in injection arm

MedDRA releases: 2024-11 · check-in free text available
2022-04-21
Survey response — days 1–6 daily, dose 4
MedDRA: Immune system disorder, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Lymph node swelling, histamine reaction

MedDRA releases: 2024-11 · check-in free text available
2022-04-22
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction, Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Histamine reaction, swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-04-23
Survey response — days 1–6 daily, dose 4
MedDRA: Adverse reaction, Lymphadenopathy — Feeling: Poor · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Histamine reaction, swollen lymph node

MedDRA releases: 2024-11 · check-in free text available
2022-04-25
Health check-in — day 7, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site

Adult check-in
2022-05-02
Health check-in — day 14, dose 4
Feeling: Fair

Adult check-in
2022-05-09
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-05-16
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-05-23
Survey response — day 35, dose 4
MedDRA: Fatigue, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — 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, Outpatient clinic or urgent care clinic visit

Free text: Sore throat, fever, congestion, headache, fatigue

MedDRA releases: 2024-11 · check-in free text available
2022-05-23
Report sent to call center — day 35, 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-05-24
Call 1 — Left Voicemail
2022-05-25
Callback requested for
11:00AM ET
2022-05-30
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-18
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-10-02
Dose 5 — Moderna
2022-10-17
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-17
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2022-10-23
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-30
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-08
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-13
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-01-01
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-04-02
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-15	Pfizer-BioNTech
2	2021-04-05	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	No
4	2022-04-18	Pfizer-BioNTech	No
5	2022-10-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-03-16	Successful	Participant prefers to complete VAERS report online
2021-04-07	Successful	Participant prefers to complete VAERS report online
2021-05-03	Successful 2022-03-18	Participant prefers to complete VAERS report online
2022-05-23	Unsuccessful

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Histamine reaction that started at 7:30 am yesterday. Yesterday it was severe, necessitating Benadryl

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): Mild histamine reaction with the rash

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Inflamed lymph node with lump in armpit

2021-04-08

Systemic reaction (other): Swollen lymph node and lump in armpit

2021-04-09

Systemic reaction (other): Swollen lymph node. No pain today.

Release 8 — day 28, dose 2

2021-05-03

Symptoms: Bladder or kidney infection symptoms. Fever.

Healthcare visit (other): Visit with primary care physician. Urine test.

Release 10 — days 1–6 daily, dose 3

2021-10-19

Systemic reaction (other): Pain in left armpit

2021-10-20

Systemic reaction (other): Pain in armpit

2021-10-21

Systemic reaction (other): Pain in armpit

Release 11 — days 1–6 daily, dose 4

2022-04-20

Systemic reaction (other): Lymph node swelling in armpit in injection arm

2022-04-21

Systemic reaction (other): Lymph node swelling, histamine reaction

2022-04-22

Systemic reaction (other): Histamine reaction, swollen lymph node

2022-04-23

Systemic reaction (other): Histamine reaction, swollen lymph node

Release 11 — day 35, dose 4

2022-05-23

Symptoms: Sore throat, fever, congestion, headache, fatigue

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	Bladder disorder	✓	✓	✓
SD	Fatigue	·	·	✓
SD	Headache	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pyrexia	✓	✓	✓
SD	Renal disorder	✓	✓	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Adverse reaction	✓	✓	✓
SRO	Axillary mass	✓	✓	✓
SRO	Axillary pain	·	·	✓
SRO	Immune system disorder	·	·	✓
SRO	Lymphadenitis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Self-medication	✓	✓	✓
SRO	Urticaria	✓	✓	✓

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