ZQS-17839-09210

2 vaccinations 17 coded responses 20 check-ins 17 free-text entries 1 call case

Sex: Female
Age at first dose: 36-40
ZIP prefix: 112 / NY
Registered: 2021-04-05

Relationship: Self
Race: Black or African American
Ethnicity: Not Hispanic or Latino

Timeline

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

2021-04-03
Dose 1 — Pfizer-BioNTech
2021-04-05
Registered in v-safe
2021-04-05
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Neck mass — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work

Free text: Swollen lymph nodes and a lump on my collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-06
Survey response — days 1–6 daily, dose 1
MedDRA: Neck mass — Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Free text: Lump near collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-07
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Neck mass — Feeling: Fair · Headache, Fatigue or tiredness

Free text: Lump near collarbone and swollen lymph nodes

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 1
MedDRA: Lymphadenopathy, Mass — Feeling: Fair · Headache

Free text: Lump near collarbone and slightly swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 1
MedDRA: Mass — Feeling: Good · Headache

Free text: Lump near collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — day 7, dose 1
MedDRA: Mass — Feeling: Good · Headache

Free text: Lump above collarbone

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-18
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-24
Dose 2 — Pfizer-BioNTech
2021-04-25
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities

Adult check-in
2021-04-26
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work

Adult check-in
2021-04-27
Survey response — days 1–6 daily, dose 2
MedDRA: Back pain, Chest pain, Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work

Free text: Sweating profusely, Chest (right side) pain, and back pain (upper right)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-29
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Nausea, Diarrhea · Be unable to do your normal daily activities

Free text: Swollen left lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-30
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Fair · Headache, Nausea

Free text: Swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-03
Survey response — day 7, dose 2
MedDRA: Lymphadenopathy — Feeling: Good

Free text: Swollen lymph node

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-11
Survey response — day 14, dose 2
MedDRA: Alopecia — Feeling: Good

Free text: Hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-15
Survey response — day 21, dose 2
MedDRA: Alopecia, Oligomenorrhoea — Feeling: Good

Free text: Late menstrual cycle and hair loss

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-22
Survey response — day 28, dose 2
MedDRA: Menstruation irregular — Feeling: Good

Free text: Late menstrual cycle (20 days late)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-31
Survey response — day 35, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Delayed menstrual cycle (29 days late)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-06-08
Survey response — day 42, dose 2
MedDRA: Menstruation delayed — Feeling: Good

Free text: Delayed menstrual cycle (36 days late)

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-07-27
Survey response — 3 months, dose 2
MedDRA: Lymphadenopathy, Menstruation delayed, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional

Free text: Symptoms: Missing period and slightly enlarged lymph nodes · Healthcare visit (other): Office visit

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-07-27
Report sent to call center — 3 months, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-05
Call 1 — Left Voicemail
2022-04-24
Survey response — 12 months, dose 2
MedDRA: Dyspnoea, Fatigue — Feeling: Fair

Free text: Fatigue and shortness of breath.

MedDRA releases: 2024-11 · check-in free text available

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-04-03	Pfizer-BioNTech
2	2021-04-24	Pfizer-BioNTech

Call center

Reported	Outcome	VAERS-related outcome
2021-07-27	Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-05

Systemic reaction (other): Swollen lymph nodes and a lump on my collarbone

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): Lump near collarbone

2021-04-07

Systemic reaction (other): Lump near collarbone and swollen lymph nodes

2021-04-08

Systemic reaction (other): Lump near collarbone and slightly swollen lymph node

2021-04-09

Systemic reaction (other): Lump near collarbone

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Lump above collarbone

Release 8 — days 1–6 daily, dose 2

2021-04-27

Systemic reaction (other): Sweating profusely, Chest (right side) pain, and back pain (upper right)

2021-04-29

Systemic reaction (other): Swollen left lymph node

2021-04-30

Systemic reaction (other): Swollen lymph node

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Swollen lymph node

Release 8 — day 14, dose 2

2021-05-11

Symptoms: Hair loss

Release 8 — day 21, dose 2

2021-05-15

Symptoms: Late menstrual cycle and hair loss

Release 8 — day 28, dose 2

2021-05-22

Symptoms: Late menstrual cycle (20 days late)

Release 8 — day 35, dose 2

2021-05-31

Symptoms: Delayed menstrual cycle (29 days late)

Release 8 — day 42, dose 2

2021-06-08

Symptoms: Delayed menstrual cycle (36 days late)

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: Missing period and slightly enlarged lymph nodes

Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-04-24

Symptoms: Fatigue and shortness of breath.

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	Alopecia	✓	✓	✓
SD	Dyspnoea	·	·	✓
SD	Fatigue	·	·	✓
SD	Lymphadenopathy	✓	·	✓
SD	Menstruation delayed	✓	✓	✓
SD	Menstruation irregular	✓	✓	✓
SD	Oligomenorrhoea	✓	✓	✓
SRO	Back pain	✓	✓	✓
SRO	Chest pain	✓	✓	✓
SRO	Hyperhidrosis	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mass	✓	✓	✓
SRO	Neck mass	✓	✓	✓

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