ZC5-27539-35655

5 vaccinations 12 coded responses 62 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 51-55
ZIP prefix: 957 / CA
Registered: 2020-12-21

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

2020-12-21
Registered in v-safe
2020-12-21
Dose 1 — Pfizer-BioNTech
2020-12-21
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2020-12-23
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · None

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

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 — day 7, dose 1
Feeling: Good · None

Adult check-in
2021-01-04
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-01-12
Dose 2 — Pfizer-BioNTech
2021-01-13
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Muscle or body aches

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

Adult check-in
2021-01-15
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-01-16
Survey response — days 1–6 daily, dose 2
MedDRA: Hot flush, Night sweats — Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness

Free text: Night sweats/night hot flashes without fever

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-01-17
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Headache

Adult check-in
2021-01-19
Health check-in — day 7, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-01-26
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-02
Survey response — day 21, dose 2
MedDRA: Headache — Feeling: Good

Free text: Headaches, likely unrelated to the vaccine

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-09
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-02-16
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-02-23
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-04-13
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-07-13
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-09-28
Dose 3 — Pfizer-BioNTech
2021-09-28
Health check-in — day 0, dose 3
Feeling: Good · None

Adult check-in
2021-09-29
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 · Be unable to do your normal daily activities

Adult check-in
2021-09-30
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Nasal congestion, Sinus congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Swollen/tender lymph nodes (left axillary, left supraclavicular, left neck; Nasal/sinus congestion.

MedDRA releases: 2024-11 · check-in free text available
2021-10-01
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities

Free text: Left axillary and supraclavicular lymph nodes remain swollen (walnut-sized) and tender. But less painful than yesterday.

MedDRA releases: 2024-11 · check-in free text available
2021-10-04
Survey response — days 1–6 daily, dose 3
MedDRA: Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Throat irritation — Feeling: Good · Muscle or body aches, Fatigue or tiredness

Free text: Sore throat/throat irritation, mild left axillary and supraclavicular lymph node swelling (now non-tender, less swelling)

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-12
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-19
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-10-26
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-02
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-09
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2021-12-28
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-03-29
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-06-08
Dose 4 — Pfizer-BioNTech
2022-06-09
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-06-10
Survey response — days 1–6 daily, dose 4
MedDRA: Dizziness, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Free text: Intermittent mild dizziness; Swollen, tender lymph nodes (left supraclavicular and left underarm)

MedDRA releases: 2024-11 · check-in free text available
2022-06-11
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain

Free text: Left supraclavicular and axillary lymph node tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-06-12
Survey response — days 1–6 daily, dose 4
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain

Free text: Lymph node mild swelling and tenderness

MedDRA releases: 2024-11 · check-in free text available
2022-06-13
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea

Adult check-in
2022-06-14
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Headache

Adult check-in
2022-06-15
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-06-22
Survey response — day 14, dose 4
MedDRA: Ear discomfort, Ear pain, Headache, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Sore throat, intermittent headaches, ear pain/pressure.

MedDRA releases: 2024-11 · check-in free text available
2022-06-22
Report sent to call center — day 14, dose 4
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-06-23
Call 1 — Left Voicemail
2022-06-23
Call successful
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-07-01
Health check-in — day 21, dose 4
Feeling: Fair

Adult check-in
2022-07-06
Health check-in — day 28, dose 4
Feeling: Good

Adult check-in
2022-07-15
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-07-20
Health check-in — day 42, dose 4
Feeling: Good

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

Adult check-in
2022-12-07
Health check-in — 6 months, dose 4
Feeling: Good

Adult check-in
2023-01-12
Dose 5 — Pfizer-BioNTech
2023-01-12
Health check-in — day 0, dose 5
Feeling: Good · None

Adult check-in
2023-01-13
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2023-01-14
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-15
Health check-in — days 1–6 daily, dose 5
Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-16
Survey response — days 1–6 daily, dose 5
MedDRA: Discomfort, Dizziness, Dyspepsia, Nasal congestion, Paranasal sinus discomfort, Sinus congestion — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-17
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-18
Survey response — days 1–6 daily, dose 5
MedDRA: Nasal congestion, Sinus congestion — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness

MedDRA releases: 2024-11
2023-01-19
Health check-in — day 7, dose 5
Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2023-01-26
Health check-in — day 14, dose 5
Feeling: Fair

Adult check-in
2023-02-02
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2023-02-09
Health check-in — day 28, dose 5
Feeling: Fair

Adult check-in
2023-02-16
Survey response — day 35, dose 5
MedDRA: Dizziness, Headache — Feeling: Fair

MedDRA releases: 2024-11
2023-02-23
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2023-04-13
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2020-12-21	Pfizer-BioNTech
2	2021-01-12	Pfizer-BioNTech
3	2021-09-28	Pfizer-BioNTech	No
4	2022-06-08	Pfizer-BioNTech	No
5	2023-01-12	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2022-06-22	Successful 2022-06-23	Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 2 — days 1–6 daily, dose 2

2021-01-16

Systemic reaction (other): Night sweats/night hot flashes without fever

Release 3 — day 21, dose 2

2021-02-02

Symptoms: Headaches, likely unrelated to the vaccine

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Swollen/tender lymph nodes (left axillary, left supraclavicular, left neck; Nasal/sinus congestion.

2021-10-01

Systemic reaction (other): Left axillary and supraclavicular lymph nodes remain swollen (walnut-sized) and tender. But less painful than yesterday.

Release 10 — days 1–6 daily, dose 3

2021-10-04

Systemic reaction (other): Sore throat/throat irritation, mild left axillary and supraclavicular lymph node swelling (now non-tender, less swelling)

Release 12 — days 1–6 daily, dose 4

2022-06-10

Systemic reaction (other): Intermittent mild dizziness; Swollen, tender lymph nodes (left supraclavicular and left underarm)

2022-06-11

Systemic reaction (other): Left supraclavicular and axillary lymph node tenderness

2022-06-12

Systemic reaction (other): Lymph node mild swelling and tenderness

Release 12 — day 14, dose 4

2022-06-22

Symptoms: Sore throat, intermittent headaches, ear pain/pressure.

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	Dizziness	·	·	✓
SD	Ear discomfort	·	·	✓
SD	Ear pain	·	·	✓
SD	Headache	✓	✓	✓
SD	Oropharyngeal pain	·	·	✓
SRO	Discomfort	·	·	✓
SRO	Dizziness	·	·	✓
SRO	Dyspepsia	·	·	✓
SRO	Hot flush	✓	✓	✓
SRO	Lymph node pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Nasal congestion	·	·	✓
SRO	Night sweats	✓	✓	✓
SRO	Oropharyngeal pain	·	·	✓
SRO	Paranasal sinus discomfort	·	·	✓
SRO	Sinus congestion	·	·	✓
SRO	Throat irritation	·	·	✓

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