23J-17848-13163
3 vaccinations
6 coded responses
40 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 532 / WI
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Pfizer-BioNTech
- 2021-03-12
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Injection site pain, Medical counselling, Paraesthesia, Peripheral coldness — Feeling: GoodFree text: 8 hours after receiving the vaccine, I felt a numbness and tingling in my left foot. It slowly creeped up my left leg and started in my lower right leg too. Then my legs began to feel cold and were trembling. I called my doctor's after hours line, the nurse recommended going by ambulance to the ED, but we couldn't afford that. So we were on our way to urgent care when the symptoms started to subside. We got to UC and it had just closed, but the symptoms had almost completely subsided, so we monitored it at home and 4 hours later I was fine with no symptoms other than a very mildly sore injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Pfizer-BioNTech
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Breast tenderness, Epistaxis, Tenderness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: First bloody nose in at least a decade, unusual extremely tender undersides of both breasts and armpit areas (breastfeeding)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-12-20
Dose 3 — Moderna
- 2021-12-20
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Tachycardia — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tachycardia late yesterday to today (100-150bpm)MedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Tachycardia — Feeling: Fair · Site: Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TachycardiaMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-27
-
2022-01-03
Survey response — day 14, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Cold symptoms x3 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-21
- 2022-06-22
-
2022-12-21
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: GoodFree text: Had COVID-19MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): 8 hours after receiving the vaccine, I felt a numbness and tingling in my left foot. It slowly creeped up my left leg and started in my lower right leg too. Then my legs began to feel cold and were trembling. I called my doctor's after hours line, the nurse recommended going by ambulance to the ED, but we couldn't afford that. So we were on our way to urgent care when the symptoms started to subside. We got to UC and it had just closed, but the symptoms had almost completely subsided, so we monitored it at home and 4 hours later I was fine with no symptoms other than a very mildly sore injection site.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): First bloody nose in at least a decade, unusual extremely tender undersides of both breasts and armpit areas (breastfeeding)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tachycardia late yesterday to today (100-150bpm)
Systemic reaction (other): Tachycardia
Release 10 — day 14, dose 3
Symptoms: Cold symptoms x3 days
Release 12 — 12 months, dose 3
Symptoms: Had COVID-19
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 | COVID-19 | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Breast tenderness | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Tachycardia | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release