Z3A-29791-00903

4 vaccinations 11 coded responses 30 check-ins 10 free-text entries 2 call cases

Sex: Female
Age at first dose: 51-55
ZIP prefix: 986 / WA
Registered: 2021-03-15

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

2021-02-24
Dose 1 — Pfizer-BioNTech
2021-03-15
Registered in v-safe
2021-03-15
Survey response — day 14, dose 1
MedDRA: Fatigue, Headache, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities

Free text: Sore arm, Headache, Fatigue

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Dose 2 — Pfizer-BioNTech
2021-03-17
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-03-18
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain · 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
2021-03-19
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes in my armpit on the side where I got the injection. I had this yesterday also and forgot to report it.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-20
Survey response — days 1–6 daily, dose 2
MedDRA: Insomnia, Lymphadenopathy, Self-medication — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Swollen lymph nodes on side shot was given. I finally resorted to ibuprofen because I couldnt sleep overnight

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes on same side as shot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Lymph nodes are finally almost all returned to normal size and without pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-24
Health check-in — day 7, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-03-31
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-07
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-04-15
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-21
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-28
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-06-16
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-09-16
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-11-26
Dose 3 — Moderna
2022-03-17
Health check-in — 12 months, dose 2
Feeling: Good

Adult check-in
2022-06-02
Dose 4 — Moderna
2022-06-03
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen sore lymph nodes under my left armpit. Got the shot on the left arm.

MedDRA releases: 2024-11 · check-in free text available
2022-06-04
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Diarrhea

Free text: Swollen lymph nodes in left armpit are painful. Same side as shot administration.

MedDRA releases: 2024-11 · check-in free text available
2022-06-05
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling

Free text: Swollen lymph nodes in my armpit

MedDRA releases: 2024-11 · check-in free text available
2022-06-06
Survey response — days 1–6 daily, dose 4
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Diarrhea

Free text: Swelling of lymph nodes under my left arm

MedDRA releases: 2024-11 · check-in free text available
2022-06-07
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Diarrhea

Adult check-in
2022-06-09
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-16
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-06-23
Health check-in — day 21, dose 4
Feeling: Good

Adult check-in
2022-07-03
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-07
Survey response — day 35, dose 4
MedDRA: Ear pain, Fatigue, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · 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: Symptoms: Cold symptoms, incl sore throat, tiredness, ear ache, congestion · Healthcare visit (other): I did a BinaxNow Covid test at home and it was positive

MedDRA releases: 2024-11 · check-in free text available
2022-07-07
Report sent to call center — day 35, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-07-08
Call 1 — Left Voicemail
2022-07-08
Call successful
Participant prefers to complete VAERS report online
2022-07-14
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-09-01
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-12-02
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-06-02
Survey response — 12 months, dose 4
MedDRA: Oropharyngeal pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

MedDRA releases: 2024-11
2023-06-02
Call case (no matching report) — Unsuccessful
2023-06-05
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-24	Pfizer-BioNTech
2	2021-03-17	Pfizer-BioNTech
3	2021-11-26	Moderna	No
4	2022-06-02	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2022-07-07	Successful 2022-07-08	Participant prefers to complete VAERS report online
2023-06-02	Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-15

Symptoms: Sore arm, Headache, Fatigue

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): Swollen lymph nodes in my armpit on the side where I got the injection. I had this yesterday also and forgot to report it.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Swollen lymph nodes on side shot was given. I finally resorted to ibuprofen because I couldnt sleep overnight

2021-03-21

Systemic reaction (other): Swollen lymph nodes on same side as shot

2021-03-23

Systemic reaction (other): Lymph nodes are finally almost all returned to normal size and without pain

Release 11 — days 1–6 daily, dose 4

2022-06-03

Systemic reaction (other): Swollen sore lymph nodes under my left armpit. Got the shot on the left arm.

2022-06-04

Systemic reaction (other): Swollen lymph nodes in left armpit are painful. Same side as shot administration.

2022-06-05

Systemic reaction (other): Swollen lymph nodes in my armpit

2022-06-06

Systemic reaction (other): Swelling of lymph nodes under my left arm

Release 12 — day 35, dose 4

2022-07-07

Symptoms: Cold symptoms, incl sore throat, tiredness, ear ache, congestion

Healthcare visit (other): I did a BinaxNow Covid test at home and it was positive

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	SARS-CoV-2 test positive	·	·	✓
SD	Ear pain	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Nasopharyngitis	·	·	✓
SD	Oropharyngeal pain	·	·	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Respiratory tract congestion	·	·	✓
SRO	Insomnia	✓	✓	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Self-medication	✓	✓	✓

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