ZJA-10581-68446

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 1 call case

Sex: Female
Age at first dose: 61-65
ZIP prefix: 786 / TX
Registered: 2021-05-05

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

2021-05-05
Registered in v-safe
2021-05-05
Dose 1 — Pfizer-BioNTech
2021-05-05
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · None

Adult check-in
2021-05-06
Survey response — days 1–6 daily, dose 1
MedDRA: Nodule — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Knot behind my ear

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-07
Survey response — days 1–6 daily, dose 1
MedDRA: Nodule, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities

Free text: Knot behind my ear, leg hurts

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-08
Survey response — days 1–6 daily, dose 1
MedDRA: Parosmia, Skin mass — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Knot behind my ear and now i am smelling a burning smellg

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-09
Survey response — days 1–6 daily, dose 1
MedDRA: Nodule, Parosmia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness

Free text: Knot behind my ear, smelling burning smell.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-10
Survey response — days 1–6 daily, dose 1
MedDRA: Dizziness, Parosmia — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness

Free text: Smell the birning smell. Dizzy today.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-12
Health check-in — day 7, dose 1
Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities

Adult check-in
2021-05-19
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-05-26
Dose 2 — Pfizer-BioNTech
2021-05-26
Health check-in — day 0, dose 2
Feeling: Good · Fever · Fatigue or tiredness

Adult check-in
2021-05-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-30
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-05-31
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness

Adult check-in
2021-06-01
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Pain · Headache, Fatigue or tiredness

Adult check-in
2021-06-02
Survey response — day 7, dose 2
MedDRA: Brain fog — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work

Free text: Brain fog

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Survey response — day 14, dose 2
MedDRA: Fatigue, Headache, Impaired work ability, Malaise, Office visit, Oropharyngeal pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional

Free text: Symptoms: Got really sick last Friday with fever and sore throat. Had to go home from work. Went to the doctor and they just said wait it out. Today feeling better except for headaches and extreme fatigue. · Healthcare visit (other): Went to the doctor on Saturday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-09
Report sent to call center — day 14, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-06-16
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-06-25
Health check-in — day 28, dose 2
Feeling: Good

Adult check-in
2021-06-30
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-07-07
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-08-27
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-11-19
Call successful
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-05-05	Pfizer-BioNTech
2	2021-05-26	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-09	Successful 2021-11-19	Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-06

Systemic reaction (other): Knot behind my ear

2021-05-07

Systemic reaction (other): Knot behind my ear, leg hurts

2021-05-08

Systemic reaction (other): Knot behind my ear and now i am smelling a burning smellg

2021-05-09

Systemic reaction (other): Knot behind my ear, smelling burning smell.

2021-05-10

Systemic reaction (other): Smell the birning smell. Dizzy today.

Release 8 — day 7, dose 2

2021-06-02

Systemic reaction (other): Brain fog

Release 9 — day 14, dose 2

2021-06-09

Symptoms: Got really sick last Friday with fever and sore throat. Had to go home from work. Went to the doctor and they just said wait it out. Today feeling better except for headaches and extreme fatigue.

Healthcare visit (other): Went to the doctor on Saturday

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	Fatigue	✓	✓	✓
SD	Headache	✓	✓	✓
SD	Impaired work ability	✓	✓	✓
SD	Malaise	✓	✓	✓
SD	Office visit	✓	✓	✓
SD	Oropharyngeal pain	✓	✓	✓
SD	Pyrexia	✓	✓	✓
SRO	Brain fog	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Nodule	✓	✓	✓
SRO	Pain in extremity	✓	✓	✓
SRO	Parosmia	✓	✓	✓
SRO	Skin mass	✓	✓	✓

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