Z9E-19321-68652

3 vaccinations 11 coded responses 36 check-ins 11 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 606 / IL
Registered: 2021-01-29

Relationship: Self
Race: White
Ethnicity: Hispanic or Latino

Timeline

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

2021-01-29
Registered in v-safe
2021-01-29
Dose 1 — Pfizer-BioNTech
2021-01-29
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain, Swelling · Headache

Adult check-in
2021-01-30
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain, Swelling · Headache, Diarrhea

Adult check-in
2021-01-31
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2021-02-01
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2021-02-02
Survey response — days 1–6 daily, dose 1
MedDRA: Ear pain — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Free text: Ear pain- I had this since the first dose.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-03
Health check-in — days 1–6 daily, dose 1
Feeling: Fair · Headache

Adult check-in
2021-02-05
Health check-in — day 7, dose 1
Feeling: Good · Joint pains

Adult check-in
2021-02-12
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-02-19
Dose 2 — Pfizer-BioNTech
2021-02-20
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

Adult check-in
2021-02-21
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph note on arm where I got the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-22
Health check-in — days 1–6 daily, dose 2
Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-23
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenitis — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Lymp node still inflamed on left arm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-02-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-02-26
Health check-in — day 7, dose 2
Feeling: Good · Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-03-05
Survey response — day 14, dose 2
MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities

Free text: Joint paint in able and wrist

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-12
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-03-19
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-03-26
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-02
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-05-21
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-20
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-30
Dose 3 — Pfizer-BioNTech
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Mobility decreased, Pain, Pain of skin — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school

Free text: Feel like a truck hit me. Every inch of my skin hurts. Unable to lyft arm.

MedDRA releases: 2024-11 · check-in free text available
2021-10-02
Survey response — days 1–6 daily, dose 3
MedDRA: Adnexa uteri pain, Chest pain, Lymphadenopathy, Pain, Restlessness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, 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

Free text: Ovary pain- swollen right and left lump node under arm. Sever pain. Unable to rest. CHEST pain in middle of chest.

MedDRA releases: 2024-11 · check-in free text available
2021-10-03
Survey response — days 1–6 daily, dose 3
MedDRA: Adnexa uteri pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: OVARY PAIN.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Adnexa uteri pain — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Ovary pain!

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Report sent to call center — days 1–6 daily, dose 3
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-05
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-06
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain

Adult check-in
2021-10-08
Health check-in — day 7, dose 3
Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Adult check-in
2021-10-11
Call 1 — Could Not Reach Participant
2021-10-14
Health check-in — day 14, dose 3
Feeling: Fair

Adult check-in
2021-10-22
Survey response — day 21, dose 3
MedDRA: Dysmenorrhoea, Lymphadenitis — Feeling: Fair · Be unable to work or attend school

Free text: My be period was way more painful and long than other periods. My lymph node is still inflamed.

MedDRA releases: 2024-11 · check-in free text available
2021-10-30
Survey response — day 28, dose 3
MedDRA: Adnexa uteri pain — Feeling: Fair · Be unable to do your normal daily activities

Free text: Ovary pain

MedDRA releases: 2024-11 · check-in free text available
2021-11-05
Survey response — day 35, dose 3
MedDRA: Adnexa uteri pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Ovary pain. Not related to period.

MedDRA releases: 2024-11 · check-in free text available
2021-11-12
Health check-in — day 42, dose 3
Feeling: Fair

Adult check-in
2022-04-02
Health check-in — 6 months, dose 3
Feeling: Fair

Adult check-in
2022-09-30
Health check-in — 12 months, dose 3
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-29	Pfizer-BioNTech
2	2021-02-19	Pfizer-BioNTech
3	2021-09-30	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-10-04	Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-02

Systemic reaction (other): Ear pain- I had this since the first dose.

Release 4 — days 1–6 daily, dose 2

2021-02-21

Systemic reaction (other): Swollen lymph note on arm where I got the vaccine

2021-02-23

Systemic reaction (other): Lymp node still inflamed on left arm

Release 5 — day 14, dose 2

2021-03-05

Symptoms: Joint paint in able and wrist

Release 9 — days 1–6 daily, dose 3

2021-10-01

Systemic reaction (other): Feel like a truck hit me. Every inch of my skin hurts. Unable to lyft arm.

2021-10-02

Systemic reaction (other): Ovary pain- swollen right and left lump node under arm. Sever pain. Unable to rest. CHEST pain in middle of chest.

2021-10-03

Systemic reaction (other): OVARY PAIN.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Ovary pain!

Release 10 — day 21, dose 3

2021-10-22

Symptoms: My be period was way more painful and long than other periods. My lymph node is still inflamed.

Release 10 — day 28, dose 3

2021-10-30

Symptoms: Ovary pain

Release 10 — day 35, dose 3

2021-11-05

Symptoms: Ovary pain. Not related to period.

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	Adnexa uteri pain	·	·	✓
SD	Arthralgia	✓	✓	✓
SD	Dysmenorrhoea	·	·	✓
SD	Lymphadenitis	·	·	✓
SRO	Adnexa uteri pain	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Ear pain	✓	✓	✓
SRO	Lymphadenitis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mobility decreased	·	·	✓
SRO	Pain	·	·	✓
SRO	Pain of skin	·	·	✓
SRO	Restlessness	·	·	✓

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