24N-71392-19914
3 vaccinations
16 coded responses
31 check-ins
16 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Registered in v-safe
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2021-03-23
Dose 1 — Pfizer-BioNTech
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2021-03-23
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: GoodFree text: Face flushing across both cheeks and nose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Depressed mood, Feeling abnormal — Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Earlier: Depressed mood. Fuzzy thinking. Resolved by tonight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Joint pains, Muscle or body achesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Itching · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Dizziness, Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweat about a quart around 2.30am. Today very weak, dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Headache, Fatigue or tirednessFree text: SpaceyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 7, dose 1MedDRA: Hyperhidrosis — Feeling: Good · Fever · Fatigue or tirednessFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-13
Dose 2 — Pfizer-BioNTech
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2021-04-13
Survey response — day 0, dose 2MedDRA: Hypotension — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lower than usual blood pressure 88/58MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood, Depression — Feeling: Good · HeadacheFree text: 4/17 & 4/16 feelings of depression, just a little blue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Hypotension, Lung disorder, Oxygen consumption decreased, Oxygen saturation decreased, Pre-existing disease — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Low blood pressure with Low O2SAT. Atypical for me. I dont have cardio or pulmonary issues. Fatigue, low blood pressure, low O2SAT could be anemia another issue I DONT normally have.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — day 7, dose 2Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-04-28
Survey response — day 14, dose 2MedDRA: Chills, Headache, Pain, SARS-CoV-2 test — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Extreme headache, body aches, sweating and chills, confusion. · Healthcare visit (other): COVID-19 testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-04
- 2021-05-13
- 2021-05-18
- 2021-05-25
- 2021-07-13
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2021-10-13
Survey response — 6 months, dose 2MedDRA: Arthralgia, Dry eye, Dry mouth, Eye pain, Fatigue, Neuralgia, Neuropathy peripheral, Paraesthesia, Purpura, Tongue discomfort, Unevaluable event, Vision blurred — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Arthralgia, neuralgia, neuropathy, one-sided squeezing pain around eye, purpura above eye (6 hours after flu vaccine), blurry vision, burning tongue, altered skin sensation, especially face, dry eyes, dry mouth, patches of nerve pain on skin, fatigue · Healthcare visit (other): appointment w Dr tomorrow.MedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-14
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2021-10-19
Call successfulCompleted over the phone
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2022-04-07
Dose 3 — Pfizer-BioNTech
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2022-04-14
Survey response — 12 months, dose 2MedDRA: Malaise — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Repeating episodes of feeling sick. Sometime 2-3 days, sometimes less than 24 hours. As of yesterday another bout today I am feeling some better.MedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — day 7, dose 3MedDRA: Injection site bruising — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Bruises around injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
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2022-04-28
Survey response — day 21, dose 3MedDRA: Asthenia, Dizziness, Emergency care, Fatigue, Somnolence — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Extreme fatigue, weakness, light headed. I am at the ER currently being checked out. Could not stay awake.MedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2022-04-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-05
- 2022-05-12
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2022-05-19
Survey response — day 42, dose 3MedDRA: Dermatitis, Gingival bleeding, Gingival pain, Haemorrhage, Physiotherapy, Pruritus, Scab, Sensory disturbance, Skin lesion, Stomatitis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Inflammation: skin, peroneal nerve crossing tibia area outer side of L knee. feels like skin is peeled off. No visible lesion. Mouth sores: multiple, bleeding, PAIN, gums on upper right above teeth. 2"x1" lesion on back, crusty, itches, bleeds. · Healthcare visit (other): Physical TherapyMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-20
- 2022-05-20
- 2022-05-20
- 2022-05-20
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2022-07-08
Survey response — 3 months, dose 3MedDRA: COVID-19 — 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 · Emergency room or emergency department visitFree text: New COVID-19 infection.MedDRA releases: 2024-11 · check-in free text available
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2022-07-08
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-07-11
- 2022-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2022-04-07 | Pfizer-BioNTech | No |
Call center
5 call center cases
3 successful · 2 unsuccessful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Face flushing across both cheeks and nose.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Earlier: Depressed mood. Fuzzy thinking. Resolved by tonight.
Systemic reaction (other): Sore throat
Systemic reaction (other): Sweat about a quart around 2.30am. Today very weak, dizzy.
Systemic reaction (other): Spacey
Release 6 — day 7, dose 1
Systemic reaction (other): Sweating
Release 7 — day 0, dose 2
Systemic reaction (other): Lower than usual blood pressure 88/58
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): 4/17 & 4/16 feelings of depression, just a little blue.
Systemic reaction (other): Low blood pressure with Low O2SAT. Atypical for me. I dont have cardio or pulmonary issues. Fatigue, low blood pressure, low O2SAT could be anemia another issue I DONT normally have.
Release 8 — day 14, dose 2
Symptoms: Extreme headache, body aches, sweating and chills, confusion.
Healthcare visit (other): COVID-19 test
Release 10 — 6 months, dose 2
Symptoms: Arthralgia, neuralgia, neuropathy, one-sided squeezing pain around eye, purpura above eye (6 hours after flu vaccine), blurry vision, burning tongue, altered skin sensation, especially face, dry eyes, dry mouth, patches of nerve pain on skin, fatigue cut off by CDC
Healthcare visit (other): appointment w Dr tomorrow.
Release 11 — day 7, dose 3
Systemic reaction (other): Bruises around injection site
Release 11 — 12 months, dose 2
Symptoms: Repeating episodes of feeling sick. Sometime 2-3 days, sometimes less than 24 hours. As of yesterday another bout today I am feeling some better.
Release 11 — day 21, dose 3
Symptoms: Extreme fatigue, weakness, light headed. I am at the ER currently being checked out. Could not stay awake.
Release 11 — day 42, dose 3
Symptoms: Inflammation: skin, peroneal nerve crossing tibia area outer side of L knee. feels like skin is peeled off. No visible lesion. Mouth sores: multiple, bleeding, PAIN, gums on upper right above teeth. 2"x1" lesion on back, crusty, itches, bleeds.
Healthcare visit (other): Physical Therapy
Release 12 — 3 months, dose 3
Symptoms: New COVID-19 infection.
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 | Physiotherapy | · | · | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dermatitis | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gingival bleeding | · | · | ✓ |
| SD | Gingival pain | · | · | ✓ |
| SD | Haemorrhage | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Purpura | · | · | ✓ |
| SD | Scab | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Skin lesion | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SD | Tongue discomfort | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Lung disorder | ✓ | ✓ | ○ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Oxygen consumption decreased | ✓ | ✓ | ○ |
| SRO | Oxygen saturation decreased | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release