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26S-16657-05864

3 vaccinations 23 coded responses 33 check-ins 23 free-text entries 3 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
727 / AR
Registered
2020-12-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-27
    Dose 1 — Pfizer-BioNTech
  2. 2020-12-28
    Registered in v-safe
  3. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Eye swelling, Glassy eyes, Rhinorrhoea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work
    Free text: My eyes are swollen, eyes glassy, a slight cough and mild runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-28
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Dysphonia, Eye swelling, Influenza like illness — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: My eyes are swollen, I have a small cough, my voice sounds raspy andI feel like I am catching a cold or the flu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Influenza, Nasopharyngitis — Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Free text: I feel like I have a cold, maybe the flu.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysphonia, Lacrimation increased — Feeling: Good · Fatigue or tiredness
    Free text: My voice is raspy and my eyes are watery.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Good · Fatigue or tiredness
    Free text: An occasional cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-17
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Limb discomfort, Peripheral swelling — Feeling: Good · Chills, Headache
    Free text: Under my left arm it felt swollen and tender to the touch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Lymphadenopathy — Feeling: Fair · Fever · Headache
    Free text: My left underarm same one from yesterday still feels swollen and my fingertips were numb today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Good · Headache
    Free text: Under arm still swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenitis, Oedema peripheral — Feeling: Good
    Free text: Same pain in the underarm. - doesnt feel as swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-24
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Chills, Headache
    Adult check-in
  18. 2021-01-31
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-23
    Survey response — day 35, dose 2
    MedDRA: Ear discomfort, Fatigue, Hunger — Feeling: Good
    Free text: My ears feel clogged, tired again, feel more hungry than usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-28
    Survey response — day 42, dose 2
    MedDRA: Eye pain, Headache — Feeling: Fair
    Free text: The last 3 or 4 days weird headaches. Like it makes my eyes hurt. I dont know if the vaccine is causing the headaches this late in the game.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-20
    Survey response — 3 months, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Consistent every few days pain above right temple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-20
    Survey response — 6 months, dose 2
    MedDRA: Angina pectoris, Chest pain — Feeling: Good
    Free text: Every so often my chest/heart hurts.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  26. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  27. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Erythema, Oedema peripheral — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains
    Free text: My underarm that I got my shot in is swollen and the redness goes all the way down my arm.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Underarm not as swollen as it has been.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  30. 2021-10-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  31. 2021-10-04
    Health check-in — day 7, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  32. 2021-10-11
    Survey response — day 14, dose 3
    MedDRA: Arthralgia, Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Leg pains, they ache really bad and my knees hurt. I have to take something for it and it doesn't help that much. I wake up in the middle of the night with them hurting.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-18
    Survey response — day 21, dose 3
    MedDRA: Cardiac discomfort, Chest pain, Fatigue, Pain in extremity — Feeling: Fair
    Free text: Legs hurt, tired and now my chest hurts. Like I feel my heart. Weird. I have an appointment this week.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-10-25
    Survey response — day 28, dose 3
    MedDRA: Joint noise, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I don't remember if I mentioned this or not but my legs are killing me. Now my hip is popping. Not like a knee pops when you get up like bones are rubbing against bones.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-01
    Survey response — day 35, dose 3
    MedDRA: Gait disturbance, Pain in extremity, Unevaluable event, Weight increased — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: My left leg hurts off and on to where it will cause a limp. It just keeps getting worse. I have gained 20lbs since my vaccination and my habits have not changed. · Healthcare visit (other): I have made an appointment for Thursday
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-01
    Report sent to call center — day 35, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  37. 2021-11-02
  38. 2021-11-08
    Survey response — day 42, dose 3
    MedDRA: Headache, Office visit, Pain in extremity, Peripheral swelling — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: My legs are very swollen, my left leg behind the knee hurts really bad, my legs ache and I have a huge headache. I am sitting at the Drs office now.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-11-08
    Report sent to call center — day 42, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2021-11-09
    Call successful
    Participant prefers to complete VAERS report online
  41. 2022-03-30
    Survey response — 6 months, dose 3
    MedDRA: Chest pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I am having chest pain.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-09-29
    Survey response — 12 months, dose 3
    MedDRA: Chest pain, Pain in extremity, Peripheral swelling, Swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My chest hurts. Like t times it feels like my heart is swollen. The lower part of my legs and feet swell up really bad. They hurt. Oh
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-27Pfizer-BioNTech
22021-01-17Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No

Call center

3 call center cases

2 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): My eyes are swollen, eyes glassy, a slight cough and mild runny nose

2020-12-29

Systemic reaction (other): My eyes are swollen, I have a small cough, my voice sounds raspy andI feel like I am catching a cold or the flu

2020-12-30

Systemic reaction (other): I feel like I have a cold, maybe the flu.

2020-12-31

Systemic reaction (other): My voice is raspy and my eyes are watery.

2021-01-01

Systemic reaction (other): An occasional cough

Release 2 — days 1–6 daily, dose 2

2021-01-20

Systemic reaction (other): Under my left arm it felt swollen and tender to the touch

2021-01-21

Systemic reaction (other): My left underarm same one from yesterday still feels swollen and my fingertips were numb today

2021-01-22

Systemic reaction (other): Under arm still swollen

2021-01-23

Systemic reaction (other): Same pain in the underarm. - doesnt feel as swollen

Release 3 — day 14, dose 2

2021-01-31

Symptoms: Headache

Release 4 — day 35, dose 2

2021-02-23

Symptoms: My ears feel clogged, tired again, feel more hungry than usual

Release 4 — day 42, dose 2

2021-02-28

Symptoms: The last 3 or 4 days weird headaches. Like it makes my eyes hurt. I dont know if the vaccine is causing the headaches this late in the game.

Release 7 — 3 months, dose 2

2021-04-20

Symptoms: Consistent every few days pain above right temple.

Release 9 — 6 months, dose 2

2021-07-20

Symptoms: Every so often my chest/heart hurts.

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): My underarm that I got my shot in is swollen and the redness goes all the way down my arm.

2021-10-01

Systemic reaction (other): Underarm not as swollen as it has been.

Release 10 — day 14, dose 3

2021-10-11

Symptoms: Leg pains, they ache really bad and my knees hurt. I have to take something for it and it doesn't help that much. I wake up in the middle of the night with them hurting.

Release 10 — day 21, dose 3

2021-10-18

Symptoms: Legs hurt, tired and now my chest hurts. Like I feel my heart. Weird. I have an appointment this week.

Release 10 — day 28, dose 3

2021-10-25

Symptoms: I don't remember if I mentioned this or not but my legs are killing me. Now my hip is popping. Not like a knee pops when you get up like bones are rubbing against bones.

Release 10 — day 35, dose 3

2021-11-01

Symptoms: My left leg hurts off and on to where it will cause a limp. It just keeps getting worse. I have gained 20lbs since my vaccination and my habits have not changed.
Healthcare visit (other): I have made an appointment for Thursday

Release 10 — day 42, dose 3

2021-11-08

Symptoms: My legs are very swollen, my left leg behind the knee hurts really bad, my legs ache and I have a huge headache. I am sitting at the Drs office now.

Release 11 — 6 months, dose 3

2022-03-30

Symptoms: I am having chest pain.

Release 12 — 12 months, dose 3

2022-09-29

Symptoms: My chest hurts. Like t times it feels like my heart is swollen. The lower part of my legs and feet swell up really bad. They hurt. Oh

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDAngina pectoris · · ✓
SDArthralgia · · ✓
SDCardiac discomfort · · ✓
SDChest pain · · ✓
SDEar discomfort ✓ ✓ ✓
SDEye pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGait disturbance · · ✓
SDHeadache ✓ ✓ ✓
SDHunger ✓ ✓ ✓
SDJoint noise · · ✓
SDOffice visit · · ✓
SDPain in extremity · · ✓
SDPeripheral swelling · · ✓
SDSleep disorder · · ✓
SDSwelling · · ✓
SDWeight increased · · ✓
SROAxillary pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODysphonia ✓ ✓ ✓
SROErythema · · ✓
SROEye swelling ✓ ✓ ✓
SROGlassy eyes ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInfluenza ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROLacrimation increased ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROLymphadenitis ✓ ✓ ○
SROLymphadenopathy ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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

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