ZTM-26919-34596

5 vaccinations 19 coded responses 68 check-ins 19 free-text entries 6 call cases

Sex: Female
Age at first dose: 56-60
ZIP prefix: 454 / OH
Registered: 2021-03-16

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

2021-03-16
Registered in v-safe
2021-03-16
Dose 1 — Pfizer-BioNTech
2021-03-16
Health check-in — day 0, dose 1
Feeling: Good · Site: Pain · Chills

Adult check-in
2021-03-17
Survey response — days 1–6 daily, dose 1
MedDRA: Cold sweat, Dizziness, Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Last night, dizzy, clammy, just off, but all gone this morning.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-18
Health check-in — days 1–6 daily, dose 1
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-03-19
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-20
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: One slightly, sore swollen lymph node in armpit area

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-21
Survey response — days 1–6 daily, dose 1
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: The lymph node swelling/pain reported yesterday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Health check-in — days 1–6 daily, dose 1
Feeling: Good · None

Adult check-in
2021-03-23
Survey response — day 7, dose 1
MedDRA: Lymph node pain — Feeling: Good

Free text: Lymph node under arm still a bit tender

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-30
Health check-in — day 14, dose 1
Feeling: Good

Adult check-in
2021-04-06
Dose 2 — Pfizer-BioNTech
2021-04-06
Health check-in — day 0, dose 2
Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness

Adult check-in
2021-04-07
Survey response — days 1–6 daily, dose 2
MedDRA: Muscle spasms, Muscle twitching — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Twitching muscle spasms in right leg and foot

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-08
Survey response — days 1–6 daily, dose 2
MedDRA: Blood pressure increased, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea

Free text: Resting heart rate elevated to about 110 bpm

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-09
Survey response — days 1–6 daily, dose 2
MedDRA: Oedema peripheral, Tenderness — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness

Free text: Swollen tender right armpit

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-10
Survey response — days 1–6 daily, dose 2
MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tiredness

Free text: Lymph node swelling and pain

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-11
Survey response — days 1–6 daily, dose 2
MedDRA: Breast swelling, Lymphadenopathy — Feeling: Good · Fatigue or tiredness

Free text: Lymph node and breast swelling

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-12
Survey response — days 1–6 daily, dose 2
MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain

Free text: Swollen lymph nodes and breast

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-13
Survey response — day 7, dose 2
MedDRA: Breast pain, Breast swelling, Lymph node pain, Lymphadenopathy — Feeling: Good

Free text: Lymph node and breast swelling and pain.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-04-20
Health check-in — day 14, dose 2
Feeling: Good

Adult check-in
2021-04-27
Health check-in — day 21, dose 2
Feeling: Good

Adult check-in
2021-05-04
Survey response — day 28, dose 2
MedDRA: Bladder operation, Fatigue, Urinary tract infection — Feeling: Good · 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: Nothing Covid related. But had a procedure/surgery on bladder and obtained a STUBBORN UTI, having a hard time getting rid of it. So tired. Sure it is post op related.

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-05-04
Report sent to call center — day 28, dose 2
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2021-05-11
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-05-18
Health check-in — day 42, dose 2
Feeling: Good

Adult check-in
2021-07-06
Health check-in — 3 months, dose 2
Feeling: Good

Adult check-in
2021-10-05
Survey response — 6 months, dose 2
MedDRA: Blood sodium decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Low sodium blood levels.

MedDRA releases: 2024-11 · check-in free text available
2021-10-05
Report sent to call center — 6 months, dose 2
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2021-10-06
Call successful
Participant prefers to complete VAERS report online
2021-10-10
Dose 3 — Pfizer-BioNTech
2021-10-10
Health check-in — day 0, dose 3
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2021-10-11
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness

Adult check-in
2021-10-12
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-10-13
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Pain · Joint pains

Adult check-in
2021-10-14
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains, Fatigue or tiredness

Adult check-in
2021-10-15
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-10-16
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Joint pains

Adult check-in
2021-10-17
Health check-in — day 7, dose 3
Feeling: Good · None

Adult check-in
2021-10-24
Health check-in — day 14, dose 3
Feeling: Good

Adult check-in
2021-10-31
Health check-in — day 21, dose 3
Feeling: Good

Adult check-in
2021-11-07
Health check-in — day 28, dose 3
Feeling: Good

Adult check-in
2021-11-14
Health check-in — day 35, dose 3
Feeling: Good

Adult check-in
2021-11-21
Health check-in — day 42, dose 3
Feeling: Good

Adult check-in
2022-01-09
Health check-in — 3 months, dose 3
Feeling: Good

Adult check-in
2022-04-10
Health check-in — 6 months, dose 3
Feeling: Good

Adult check-in
2022-04-30
Dose 4 — Pfizer-BioNTech
2022-04-30
Health check-in — day 0, dose 4
Feeling: Good · Site: Redness, Itching · Fatigue or tiredness

Adult check-in
2022-05-01
Health check-in — days 1–6 daily, dose 4
Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness

Adult check-in
2022-05-02
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness

Adult check-in
2022-05-03
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · None

Adult check-in
2022-05-04
Health check-in — days 1–6 daily, dose 4
Feeling: Good · Site: Pain · Fatigue or tiredness

Adult check-in
2022-05-05
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-06
Health check-in — days 1–6 daily, dose 4
Feeling: Good · None

Adult check-in
2022-05-07
Health check-in — day 7, dose 4
Feeling: Good · None

Adult check-in
2022-05-14
Survey response — day 14, dose 4
MedDRA: Dysphagia, Exposure to SARS-CoV-2, Muscle spasms, Neuralgia, Pharyngeal swelling, SARS-CoV-2 test negative, Swelling, Trismus, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation

Free text: Symptoms: The sciatic I had about 4 days after the vaccine has spread to nerve pain in the arms, legs and very bad in the neck/shoulder area. Muscle spasms and severe nerve pain as well as swelling in the neck and throat area. Difficult to swallow, open mouth · Healthcare visit (other): 2 negative home Covid tests. Waiting on PCR. Doc prescribed Prednisone, ibuprofen and a muscle relaxer. I did have a positive Covid contact May 6-8 unknowingly. PCR.

MedDRA releases: 2024-11 · check-in free text available
2022-05-14
Report sent to call center — day 14, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

Telehealth, virtual health, or email health consultation · 1 call case(s)
2022-05-16
Call 1 — Left Voicemail
2022-05-21
Survey response — day 21, dose 4
MedDRA: Fatigue, Lymphadenopathy, Neuralgia, Office visit, SARS-CoV-2 test negative, Swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional

Free text: Symptoms: Continued lymph node swelling and neck swelling. More fatigue and nerve pain. 3 negative Covid tests. · Healthcare visit (other): Office visit with my family doctor

MedDRA releases: 2024-11 · check-in free text available
2022-05-21
Report sent to call center — day 21, dose 4
Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional

1 call case(s)
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call 2 — Left Voicemail
2022-05-23
Call 1 — Left Voicemail
2022-05-23
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-05-23
Call successful
Reported to VAERS voluntarily prior to GDIT contact
2022-05-28
Health check-in — day 28, dose 4
Feeling: Fair

Adult check-in
2022-06-05
Health check-in — day 35, dose 4
Feeling: Fair

Adult check-in
2022-06-11
Health check-in — day 42, dose 4
Feeling: Good

Adult check-in
2022-07-30
Health check-in — 3 months, dose 4
Feeling: Good

Adult check-in
2022-09-28
Dose 5 — Pfizer-BioNTech
2022-09-28
Health check-in — day 0, dose 5
Feeling: Good · Site: Pain · None

Adult check-in
2022-09-29
Survey response — days 1–6 daily, dose 5
MedDRA: Medical counselling — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Email

MedDRA releases: 2024-11 · check-in free text available
2022-09-29
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

1 call case(s)
2022-09-30
Survey response — days 1–6 daily, dose 5
MedDRA: Mouth swelling, Swelling — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Swelling in mouth and neck but decreasing on prednisone

MedDRA releases: 2024-11 · check-in free text available
2022-09-30
Report sent to call center — days 1–6 daily, dose 5
Get care from a doctor or other healthcare professional

Outpatient clinic or urgent care clinic visit · 1 call case(s)
2022-09-30
Call successful
Participant prefers to complete VAERS report online
2022-10-01
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities

Free text: Swollen lymph nodes ? actually doctor identified Friday

MedDRA releases: 2024-11 · check-in free text available
2022-10-02
Survey response — days 1–6 daily, dose 5
MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Muscle or body aches

Free text: Lymph node swelling

MedDRA releases: 2024-11 · check-in free text available
2022-10-03
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Muscle or body aches, Fatigue or tiredness

Adult check-in
2022-10-04
Health check-in — days 1–6 daily, dose 5
Feeling: Fair · Headache, Fatigue or tiredness

Adult check-in
2022-10-05
Health check-in — day 7, dose 5
Feeling: Good · Fatigue or tiredness

Adult check-in
2022-10-07
Call successful
Participant prefers to complete VAERS report online
2022-10-12
Health check-in — day 14, dose 5
Feeling: Good

Adult check-in
2022-10-19
Health check-in — day 21, dose 5
Feeling: Good

Adult check-in
2022-10-28
Health check-in — day 28, dose 5
Feeling: Good

Adult check-in
2022-11-04
Health check-in — day 35, dose 5
Feeling: Good

Adult check-in
2022-11-09
Health check-in — day 42, dose 5
Feeling: Good

Adult check-in
2022-12-28
Health check-in — 3 months, dose 5
Feeling: Good

Adult check-in
2023-03-29
Health check-in — 6 months, dose 5
Feeling: Good

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-03-16	Pfizer-BioNTech
2	2021-04-06	Pfizer-BioNTech
3	2021-10-10	Pfizer-BioNTech	No
4	2022-04-30	Pfizer-BioNTech	No
5	2022-09-28	Pfizer-BioNTech	No

Call center

Reported	Outcome	VAERS-related outcome
2021-05-04	Successful	Participant prefers to complete VAERS report online
2021-10-05	Successful 2021-10-06	Participant prefers to complete VAERS report online
2022-05-14	Successful 2022-05-23	Reported to VAERS voluntarily prior to GDIT contact
2022-05-21	Successful 2022-05-23	Reported to VAERS voluntarily prior to GDIT contact
2022-09-29	Successful 2022-09-30	Participant prefers to complete VAERS report online
2022-09-30	Successful 2022-10-07	Participant prefers to complete VAERS report online

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Last night, dizzy, clammy, just off, but all gone this morning.

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): One slightly, sore swollen lymph node in armpit area

2021-03-21

Systemic reaction (other): The lymph node swelling/pain reported yesterday

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): Lymph node under arm still a bit tender

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Twitching muscle spasms in right leg and foot

2021-04-08

Systemic reaction (other): Resting heart rate elevated to about 110 bpm

2021-04-09

Systemic reaction (other): Swollen tender right armpit

2021-04-10

Systemic reaction (other): Lymph node swelling and pain

2021-04-11

Systemic reaction (other): Lymph node and breast swelling

2021-04-12

Systemic reaction (other): Swollen lymph nodes and breast

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): Lymph node and breast swelling and pain.

Release 8 — day 28, dose 2

2021-05-04

Symptoms: Nothing Covid related. But had a procedure/surgery on bladder and obtained a STUBBORN UTI, having a hard time getting rid of it. So tired. Sure it is post op related.

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: Low sodium blood levels.

Release 11 — day 14, dose 4

2022-05-14

Symptoms: The sciatic I had about 4 days after the vaccine has spread to nerve pain in the arms, legs and very bad in the neck/shoulder area. Muscle spasms and severe nerve pain as well as swelling in the neck and throat area. Difficult to swallow, open mouth cut off by CDC

Healthcare visit (other): 2 negative home Covid tests. Waiting on PCR. Doc prescribed Prednisone, ibuprofen and a muscle relaxer. I did have a positive Covid contact May 6-8 unknowingly. PCR.

Release 11 — day 21, dose 4

2022-05-21

Symptoms: Continued lymph node swelling and neck swelling. More fatigue and nerve pain. 3 negative Covid tests.

Healthcare visit (other): Office visit with my family doctor

Release 12 — days 1–6 daily, dose 5

2022-09-29

Healthcare visit (other): Email

2022-09-30

Systemic reaction (other): Swelling in mouth and neck but decreasing on prednisone

2022-10-01

Systemic reaction (other): Swollen lymph nodes ? actually doctor identified Friday

2022-10-02

Systemic reaction (other): Lymph node swelling

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	Exposure to SARS-CoV-2	·	·	✓
HCVO	Medical counselling	·	·	✓
HCVO	Office visit	·	·	✓
HCVO	SARS-CoV-2 test negative	·	·	✓
SD	Bladder operation	✓	✓	✓
SD	Blood sodium decreased	·	·	✓
SD	Dysphagia	·	·	✓
SD	Fatigue	✓	✓	✓
SD	Lymphadenopathy	·	·	✓
SD	Muscle spasms	·	·	✓
SD	Neuralgia	·	·	✓
SD	Pharyngeal swelling	·	·	✓
SD	SARS-CoV-2 test negative	·	·	✓
SD	Swelling	·	·	✓
SD	Trismus	·	·	✓
SD	Unevaluable event	·	·	✓
SD	Urinary tract infection	✓	✓	✓
SRO	Blood pressure increased	○	✓	○
SRO	Breast pain	✓	✓	✓
SRO	Breast swelling	✓	✓	✓
SRO	Cold sweat	✓	✓	✓
SRO	Dizziness	✓	✓	✓
SRO	Feeling abnormal	✓	✓	✓
SRO	Heart rate increased	✓	·	✓
SRO	Lymph node pain	✓	✓	✓
SRO	Lymphadenopathy	✓	✓	✓
SRO	Mouth swelling	·	·	✓
SRO	Muscle spasms	✓	✓	✓
SRO	Muscle twitching	✓	✓	✓
SRO	Oedema peripheral	✓	✓	✓
SRO	Office visit	·	·	✓
SRO	Swelling	·	·	✓
SRO	Tenderness	✓	✓	✓

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