ZKM-27991-00363

1 vaccination 8 coded responses 13 check-ins 8 free-text entries 5 call cases

Sex: Female
Age at first dose: 26-30
ZIP prefix: 852 / AZ
Registered: 2021-06-11

Relationship: Self
Race: American Indian or Alaska Native
Ethnicity: Hispanic or Latino

Timeline

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

2021-06-11
Registered in v-safe
2021-06-11
Dose 1 — Pfizer-BioNTech
2021-06-11
Survey response — day 0, dose 1
MedDRA: Chest pain, Lip swelling, Swollen tongue — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · 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: Swelling of lips/tongue & chest pains

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-11
Report sent to call center — day 0, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-12
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Fever · 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

Adult check-in
2021-06-13
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-06-14
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling of lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-15
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling — Feeling: Good · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swelling of lips

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-16
Survey response — days 1–6 daily, dose 1
MedDRA: Lip swelling, Paranasal sinus discomfort — Feeling: Good · Site: Pain · Fever · 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: Swelling in lips/sinus pressure

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Survey response — day 7, dose 1
MedDRA: Vasodilatation — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · 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, Emergency room or emergency department visit

Free text: Swollen veins in both arms chest and veins

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-18
Report sent to call center — day 7, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-06-22
Call 1 — Left Voicemail
2021-06-22
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-06-25
Health check-in — day 14, dose 1
Feeling: Fair

Adult check-in
2021-07-02
Survey response — day 21, dose 1
MedDRA: Pain, Skin tightness, Vein disorder — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Swollen vivid superficial veins in arms, hands, feet, and chest. Pain and tightness in affected areas.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-02
Report sent to call center — day 21, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-09
Survey response — day 28, dose 1
MedDRA: Hypersensitivity, Vascular pain, Vasodilatation — 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: Swollen veins are painful, superficial, and throughout my body.Unable to get 2nd vaccine due to allergic reaction to 1st vaccine.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-09
Report sent to call center — day 28, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-07-15
Call 1 — Left Voicemail
2021-07-15
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2021-07-16
Health check-in — day 35, dose 1
Feeling: Fair

Adult check-in
2021-07-23
Health check-in — day 42, dose 1
Feeling: Fair

Adult check-in
2021-09-10
Survey response — 3 months, dose 1
MedDRA: Pre-existing disease, Swelling, Thoracic outlet syndrome — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit

Free text: Thoracic outlet syndrome - possible MCAS due to random allergic swelling to environment & foods

MedDRA releases: 2024-11 · check-in free text available
2021-09-10
Report sent to call center — 3 months, dose 1
Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr

1 call case(s)
2021-09-13
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-06-11	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-06-11	Successful	Reported to VAERS voluntarily prior to GDIT contact
2021-06-18	Successful 2021-06-22	Reported to VAERS voluntarily prior to GDIT contact
2021-07-02	Successful
2021-07-09	Successful 2021-07-15	Reported to VAERS voluntarily prior to GDIT contact
2021-09-10	Unsuccessful	Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 9 — day 0, dose 1

2021-06-11

Systemic reaction (other): Swelling of lips/tongue & chest pains

Release 9 — days 1–6 daily, dose 1

2021-06-14

Systemic reaction (other): Swelling of lips

2021-06-15

Systemic reaction (other): Swelling of lips

2021-06-16

Systemic reaction (other): Swelling in lips/sinus pressure

Release 9 — day 7, dose 1

2021-06-18

Systemic reaction (other): Swollen veins in both arms chest and veins

Release 9 — day 21, dose 1

2021-07-02

Symptoms: Swollen vivid superficial veins in arms, hands, feet, and chest. Pain and tightness in affected areas.

Release 9 — day 28, dose 1

2021-07-09

Symptoms: Swollen veins are painful, superficial, and throughout my body.Unable to get 2nd vaccine due to allergic reaction to 1st vaccine.

Release 9 — 3 months, dose 1

2021-09-10

Symptoms: Thoracic outlet syndrome - possible MCAS due to random allergic swelling to environment & foods

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	Hypersensitivity	✓	✓	✓
SD	Pain	✓	✓	✓
SD	Pre-existing disease	·	·	✓
SD	Skin tightness	✓	✓	✓
SD	Swelling	·	·	✓
SD	Thoracic outlet syndrome	·	·	✓
SD	Vascular pain	✓	✓	✓
SD	Vasodilatation	✓	✓	✓
SD	Vein disorder	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Lip swelling	✓	✓	✓
SRO	Paranasal sinus discomfort	✓	✓	✓
SRO	Swollen tongue	✓	✓	✓
SRO	Vasodilatation	✓	✓	✓

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