Z48-13177-73820

3 vaccinations 9 coded responses 31 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 851 / AZ
Registered: 2021-02-06

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Registered dependents

4SP-25959-03335 Child or adolescent in my care · Male · 2021-11-16

HTM-29122-61473 Child or adolescent in my care · Male · 2022-09-01

Timeline

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

2021-02-04
Dose 1 — Pfizer-BioNTech
2021-02-06
Registered in v-safe
2021-02-06
Survey response — days 1–6 daily, dose 1
MedDRA: Menstrual disorder — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness

Free text: Menstruation started 3 days early. Uncommon for me.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-07
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Joint pains

Adult check-in
2021-02-08
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness — Feeling: Good

Free text: Mild dizziness, over after a couple seconds, sporadically throughout the day

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-10
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-02-11
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-02-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-25
Dose 2 — Pfizer-BioNTech
2021-02-25
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Itching · Fatigue or tiredness

Adult check-in
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Slight swelling in armpit glands area, same side as injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-27
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Joint pains

Free text: Swelling in armpit gland, injection-side. MILD

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-03-02
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

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

Adult check-in
2021-03-06
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-03-11
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-03-18
Survey response — day 21, dose 2
MedDRA: Sinus headache — Feeling: Fair · Be unable to do your normal daily activities

Free text: Headache in sinuses

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-04-03
Survey response — day 35, dose 2
MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activities

Free text: Very runny nose, sneezing, lasted 2 days

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-26
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-12-09
Dose 3 — Pfizer-BioNTech
2021-12-14
Survey response — days 1–6 daily, dose 3
MedDRA: Oedema peripheral — Feeling: Good · Site: Redness

Free text: Swelling in armpit of shot-side for 3 days

MedDRA releases: 2024-11 · check-in free text available
2021-12-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-12-16
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-12-25
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-12-30
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2022-01-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2022-01-13
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2022-01-20
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-03-10
Survey response — 3 months, dose 3
MedDRA: Gingival bleeding, Gingival pain, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Gums are prone to soreness and bleeding but no change in oral hygiene. · Healthcare visit (other): More frequent Dentist visits

MedDRA releases: 2024-11 · check-in free text available
2022-03-10
Report sent to call center — 3 months, dose 3
Get care from a doctor or other healthcare professional

1 call case(s)
2022-03-15
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-06-11
Survey response — 6 months, dose 3
MedDRA: COVID-19, Patient isolation, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Caught Covid. Tested positive 6/10/22. I have very light symptoms and could fully function outside of needing to isolate.

MedDRA releases: 2024-11 · check-in free text available
2022-12-09
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-02-04	Pfizer-BioNTech
2	2021-02-25	Pfizer-BioNTech
3	2021-12-09	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-03-10	Successful 2022-03-15	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-06

Systemic reaction (other): Menstruation started 3 days early. Uncommon for me.

2021-02-08

Systemic reaction (other): Mild dizziness, over after a couple seconds, sporadically throughout the day

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Slight swelling in armpit glands area, same side as injection

2021-02-27

Systemic reaction (other): Swelling in armpit gland, injection-side. MILD

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Headache in sinuses

Release 6 — day 35, dose 2

2021-04-03

Symptoms: Very runny nose, sneezing, lasted 2 days

Release 10 — days 1–6 daily, dose 3

2021-12-14

Systemic reaction (other): Swelling in armpit of shot-side for 3 days

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Gums are prone to soreness and bleeding but no change in oral hygiene.

Healthcare visit (other): More frequent Dentist visits

Release 12 — 6 months, dose 3

2022-06-11

Symptoms: Caught Covid. Tested positive 6/10/22. I have very light symptoms and could fully function outside of needing to isolate.

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	COVID-19	·	·	✓
SD	Gingival bleeding	·	·	✓
SD	Gingival pain	·	·	✓
SD	Patient isolation	·	·	✓
SD	Rhinorrhoea	✓	✓	✓
SD	SARS-CoV-2 test positive	·	·	✓
SD	Sinus headache	✓	✓	✓
SD	Sneezing	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Menstrual disorder	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓

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