ZL5-31360-19780

4 vaccinations 10 coded responses 45 check-ins 9 free-text entries 1 call case

Sex: Female
Age at first dose: 41-45
ZIP prefix: 923 / CA
Registered: 2021-02-01

Relationship: Self
Race: Asian
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-01-07
Dose 1 — Pfizer-BioNTech
2021-02-01
Registered in v-safe
2021-02-01
Dose 2 — Pfizer-BioNTech
2021-02-01
Health check-in — day 0, dose 2
Feeling: Fair · Site: Pain · None

Adult check-in
2021-02-02
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to work

Adult check-in
2021-02-03
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Diarrhea

Adult check-in
2021-02-04
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · None

Adult check-in
2021-02-05
Health check-in — days 1–6 daily, dose 2
Feeling: Good · None

Adult check-in
2021-02-06
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-02-07
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-08
Health check-in — day 7, dose 2
Feeling: Fair · Fatigue or tiredness

Adult check-in
2021-02-15
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-02-22
Health check-in — day 21, dose 2
Feeling: Fair

Adult check-in
2021-03-01
Health check-in — day 28, dose 2
Feeling: Fair

Adult check-in
2021-03-08
Health check-in — day 35, dose 2
Feeling: Fair

Adult check-in
2021-03-15
Health check-in — day 42, dose 2
Feeling: Fair

Adult check-in
2021-05-03
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-08-02
Health check-in — 6 months, dose 2
Feeling: Good

Adult check-in
2021-10-18
Dose 3 — Pfizer-BioNTech
2021-10-18
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · None

Adult check-in
2021-10-19
Health check-in — days 1–6 daily, dose 3
Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2021-10-20
Survey response — days 1–6 daily, dose 3
MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school

Free text: Possible swollen axillary lymph nodes on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-10-21
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness

Free text: Swelling of axillary lymph nodes on injection side

MedDRA releases: 2024-11 · check-in free text available
2021-10-22
Survey response — days 1–6 daily, dose 3
MedDRA: Dizziness postural, Erythema, Lymphadenopathy, Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: A little swelling in axillary lymph nodes, and mild dizziness when standing (from sitting while working). Redness/rashes on my cheeks but not itchy

MedDRA releases: 2024-11 · check-in free text available
2021-10-23
Survey response — days 1–6 daily, dose 3
MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site

Free text: Residual axillary lymph node swelling on injection side of body

MedDRA releases: 2024-11 · check-in free text available
2021-10-24
Health check-in — days 1–6 daily, dose 3
Feeling: Good · None

Adult check-in
2021-10-25
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-11-01
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-11-08
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-17
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-22
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-29
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-17
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-18
Survey response — 6 months, dose 3
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen axillary lymph nodes

MedDRA releases: 2024-11 · check-in free text available
2022-09-24
Dose 4 — Moderna
Co-administered: Flu
2022-09-24
Survey response — day 0, dose 4
MedDRA: Injection site pain — Feeling: Good · Site: Pain

Free text: Just mild muscle pain in injection site, but it's been just 4hrs after my booster vaccine

MedDRA releases: 2024-11 · check-in free text available
2022-09-25
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities

Adult check-in
2022-09-26
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea

Adult check-in
2022-09-27
Survey response — days 1–6 daily, dose 4
MedDRA: Chest pain — Feeling: Fair · Fatigue or tiredness, Diarrhea

Free text: A little chest pain, on left side. Not sure if though if it's imagined or not.

MedDRA releases: 2024-11 · check-in free text available
2022-09-28
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea

Adult check-in
2022-09-29
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-09-30
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-10-01
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-10-08
Health check-in — day 14, dose 4
Feeling: Good

Adult check-in
2022-10-17
Survey response — day 21, dose 4
MedDRA: Chest pain — Feeling: Good

Free text: I've been randomly experiencing sudden pinching in the left side of my chest. Just random, sudden, and then nothing. Not sure if it's due to Covid

MedDRA releases: 2024-11 · check-in free text available
2022-10-22
Survey response — day 28, dose 4
MedDRA: Chest pain, Pain, Sneezing — Feeling: Good

Free text: The sharp chest pain on left side above breast that just randomly, and just happen all of a sudden. It happened again yesterday, early evening after I sneezed. There are also times when I have a dull chest pain on same side, I tap on it to ease a bit

MedDRA releases: 2024-11 · check-in free text available
2022-10-29
Health check-in — day 35, dose 4
Feeling: Good

Adult check-in
2022-11-05
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-12-24
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2023-03-25
Survey response — 6 months, dose 4
MedDRA: Chest pain, Intermenstrual bleeding — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

MedDRA releases: 2024-11
2023-03-25
Report sent to call center — 6 months, dose 4
Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2023-03-27
Call 1 — Left Voicemail

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-07	Pfizer-BioNTech
2	2021-02-01	Pfizer-BioNTech
3	2021-10-18	Pfizer-BioNTech	No
4	2022-09-24	Moderna	Flu

Call center

Reported	Outcome	VAERS-related outcome
2023-03-25	Unsuccessful

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-20

Systemic reaction (other): Possible swollen axillary lymph nodes on injection side

2021-10-21

Systemic reaction (other): Swelling of axillary lymph nodes on injection side

2021-10-22

Systemic reaction (other): A little swelling in axillary lymph nodes, and mild dizziness when standing (from sitting while working). Redness/rashes on my cheeks but not itchy

2021-10-23

Systemic reaction (other): Residual axillary lymph node swelling on injection side of body

Release 11 — 6 months, dose 3

2022-04-18

Symptoms: Swollen axillary lymph nodes

Release 12 — day 0, dose 4

2022-09-24

Systemic reaction (other): Just mild muscle pain in injection site, but it's been just 4hrs after my booster vaccine

Release 12 — days 1–6 daily, dose 4

2022-09-27

Systemic reaction (other): A little chest pain, on left side. Not sure if though if it's imagined or not.

Release 12 — day 21, dose 4

2022-10-17

Symptoms: I've been randomly experiencing sudden pinching in the left side of my chest. Just random, sudden, and then nothing. Not sure if it's due to Covid

Release 12 — day 28, dose 4

2022-10-22

Symptoms: The sharp chest pain on left side above breast that just randomly, and just happen all of a sudden. It happened again yesterday, early evening after I sneezed. There are also times when I have a dull chest pain on same side, I tap on it to ease a bit cut off by CDC

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	Chest pain	·	·	✓
SD	Intermenstrual bleeding	·	·	✓
SD	Lymphadenopathy	·	·	✓
SD	Pain	·	·	✓
SD	Sneezing	·	·	✓
SRO	Chest pain	·	·	✓
SRO	Dizziness postural	·	·	✓
SRO	Erythema	·	·	✓
SRO	Injection site pain	·	·	✓
SRO	Lymphadenopathy	·	·	✓
SRO	Rash	·	·	✓
SRO	Unevaluable event	·	·	✓

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