Z8X-30955-58822

3 vaccinations 6 coded responses 32 check-ins 6 free-text entries 1 call case

Sex: Female
Age at first dose: 26-30
ZIP prefix: 462 / IN
Registered: 2020-12-17

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

2020-12-17
Registered in v-safe
2020-12-23
Dose 1 — Pfizer-BioNTech
2020-12-23
Health check-in — day 0, dose 1
Feeling: Good · None

Adult check-in
2020-12-24
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-25
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Muscle or body aches

Adult check-in
2020-12-26
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-27
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-28
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-29
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2020-12-30
Health check-in — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-06
Survey response — day 14, dose 1
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Left supraclavicular lymph node swelling - about the size of a marble that started day 6-7. Still present but a little smaller. Non tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-11
Dose 2 — Pfizer-BioNTech
2021-01-11
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-01-12
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · None

Adult check-in
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness

Adult check-in
2021-01-14
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-16
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness, Nausea, Diarrhea

Adult check-in
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Diarrhea

Adult check-in
2021-01-18
Health check-in — day 7, dose 2
Feeling: Good · None

Adult check-in
2021-01-25
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-01
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-02-08
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-15
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-22
Survey response — day 42, dose 2
MedDRA: Hypersensitivity, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Delayed allergic reaction to bandage (?). Not sure. Big rash covering most of left thigh and knee around new tattoo, 9 days after tattoo. Started 2/20/21. Not sure if it is an response due to COVID vaccine (since people with fillers had reactions)?

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Report sent to call center — day 42, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-04-12
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-12
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-08-16
Call 1 — Left Voicemail
2021-09-19
Dose 3 — Pfizer-BioNTech
Co-administered: Flu
2021-09-29
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-03
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-10
Survey response — day 21, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair

Free text: Right armpit lymph node tenderness/swelling (vaccine was on Left)

MedDRA releases: 2024-11 · check-in free text available
2021-10-17
Survey response — day 28, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Right axillary lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-02
Survey response — day 42, dose 3
MedDRA: Fall, Haematoma, Pain — Feeling: Good

Free text: Right leg hematoma that was from a fall is getting bigger and more painful

MedDRA releases: 2024-11 · check-in free text available
2021-12-21
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-22
Survey response — 6 months, dose 3
MedDRA: Cardiac aneurysm — Feeling: Good

Free text: Apical aneurysm of the heart

MedDRA releases: 2024-11 · check-in free text available
2022-09-19
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-23	Pfizer-BioNTech
2	2021-01-11	Pfizer-BioNTech
3	2021-09-19	Pfizer-BioNTech	Flu

Call center

Reported	Outcome	VAERS-related outcome
2021-02-22	Unsuccessful

Free text

Release 1 — day 14, dose 1

2021-01-06

Symptoms: Left supraclavicular lymph node swelling - about the size of a marble that started day 6-7. Still present but a little smaller. Non tender

Release 4 — day 42, dose 2

2021-02-22

Symptoms: Delayed allergic reaction to bandage (?). Not sure. Big rash covering most of left thigh and knee around new tattoo, 9 days after tattoo. Started 2/20/21. Not sure if it is an response due to COVID vaccine (since people with fillers had reactions)? cut off by CDC

Release 10 — day 21, dose 3

2021-10-10

Symptoms: Right armpit lymph node tenderness/swelling (vaccine was on Left)

Release 10 — day 28, dose 3

2021-10-17

Symptoms: Right axillary lymph node swelling

Release 10 — day 42, dose 3

2021-11-02

Symptoms: Right leg hematoma that was from a fall is getting bigger and more painful

Release 11 — 6 months, dose 3

2022-03-22

Symptoms: Apical aneurysm of the heart

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
SD	Cardiac aneurysm	·	·	✓
SD	Fall	·	·	✓
SD	Haematoma	·	·	✓
SD	Hypersensitivity	✓	✓	✓
SD	Lymph node pain	·	·	✓
SD	Lymphadenopathy	✓	✓	✓
SD	Pain	·	·	✓
SD	Rash	✓	✓	✓

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