YZV-33613-39912

5 vaccinations 6 coded responses 33 check-ins 6 free-text entries 2 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 161 / PA
Registered: 2021-02-27

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

2021-02-27
Registered in v-safe
2021-03-02
Dose 1 — Pfizer-BioNTech
2021-03-02
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2021-03-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache

Adult check-in
2021-03-04
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-03-05
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness

Adult check-in
2021-03-06
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-03-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Headache

Adult check-in
2021-03-08
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2021-03-09
Health check-in — day 7, dose 1
Feeling: Good · Headache

Adult check-in
2021-03-16
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-03-23
Dose 2 — Pfizer-BioNTech
2021-03-23
Survey response — day 0, dose 2
MedDRA: Heart rate increased — Feeling: Fair

Free text: A short period of rapid heartbeat about 20 minutes after injection while walking to car.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities

Adult check-in
2021-03-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-03-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-03-28
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-30
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-04-06
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-04-20
Survey response — day 28, dose 2
MedDRA: Headache, Hypertension, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: High Blood Pressure and headache · Healthcare visit (other): Doctor will discuss tomorrow morning

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Report sent to call center — day 28, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-27
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-06
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-06-22
Health check-in — 3 months, dose 2
Feeling: Fair

Adult check-in
2021-09-21
Survey response — 6 months, dose 2
MedDRA: Lymphoedema, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Lymphedema both bilaterally. · Healthcare visit (other): Scheduled in person pcp visit. She scheduled exam at Lymphedema clinic.

MedDRA releases: 2024-11 · check-in free text available
2021-09-21
Report sent to call center — 6 months, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-09-22
Call successful
Participant prefers to complete VAERS report online
2021-11-15
Dose 3 — Pfizer-BioNTech
2022-03-29
Health check-in — 12 months, dose 2
Feeling: Fair

Adult check-in
2022-04-14
Dose 4 — Pfizer-BioNTech
2022-04-24
Survey response — day 7, dose 4
MedDRA: Fatigue, Lymphoedema, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities

Free text: April 15th day after vaccine, experinced fever, tirednee an aches and pains. The next day I was extremely tired, and lymphedema in legs became quite pronounced.

MedDRA releases: 2024-11 · check-in free text available
2022-04-29
Health check-in — day 14, dose 4
Feeling: Fair

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

Adult check-in
2022-05-15
Survey response — day 28, dose 4
MedDRA: Lymphoedema, Swelling — Feeling: Fair

Free text: My lymphedema is really acting up. Having a hard time with the swelling.

MedDRA releases: 2024-11 · check-in free text available
2022-05-22
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-10-03
Dose 5 — Pfizer-BioNTech
Co-administered: Flu
2022-10-21
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2022-10-31
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2022-11-14
Survey response — day 42, dose 5
MedDRA: Lymphoedema — Feeling: Fair · Be unable to do your normal daily activities

Free text: lymphedema is worse.

MedDRA releases: 2024-11 · check-in free text available
2023-01-05
Health check-in — 3 months, dose 5
Feeling: Fair

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-02	Pfizer-BioNTech
2	2021-03-23	Pfizer-BioNTech
3	2021-11-15	Pfizer-BioNTech	No
4	2022-04-14	Pfizer-BioNTech	No
5	2022-10-03	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-04-20	Successful	Participant prefers to complete VAERS report online
2021-09-21	Successful 2021-09-22	Participant prefers to complete VAERS report online

Free text

Release 6 — day 0, dose 2

2021-03-23

Systemic reaction (other): A short period of rapid heartbeat about 20 minutes after injection while walking to car.

Release 7 — day 28, dose 2

2021-04-20

Symptoms: High Blood Pressure and headache

Healthcare visit (other): Doctor will discuss tomorrow morning

Release 9 — 6 months, dose 2

2021-09-21

Symptoms: Lymphedema both bilaterally.

Healthcare visit (other): Scheduled in person pcp visit. She scheduled exam at Lymphedema clinic.

Release 11 — day 7, dose 4

2022-04-24

Systemic reaction (other): April 15th day after vaccine, experinced fever, tirednee an aches and pains. The next day I was extremely tired, and lymphedema in legs became quite pronounced.

Release 11 — day 28, dose 4

2022-05-15

Symptoms: My lymphedema is really acting up. Having a hard time with the swelling.

Release 12 — day 42, dose 5

2022-11-14

Symptoms: lymphedema is worse.

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	·	·	✓
HCVO	Unevaluable event	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Hypertension	✓	✓	✓
SD	Lymphoedema	·	·	✓
SD	Swelling	·	·	✓
SRO	Fatigue	·	·	✓
SRO	Heart rate increased	✓	✓	✓
SRO	Lymphoedema	·	·	✓
SRO	Pain	·	·	✓
SRO	Pyrexia	·	·	✓

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