28T-15493-39010
5 vaccinations
5 coded responses
46 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 115 / NY
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Pfizer-BioNTech
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: I had somewhat loose stools this morning but not quite diarrhea. Other than that I feel fine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Faeces soft, Fatigue, Limb discomfort, Nausea, Poor quality sleep — Feeling: Fair · Chills, NauseaFree text: I had mild chills then took a nap and they went completely away. I was a bit queasy after eating for a short time then it went away. During the night when I was sleeping it felt sensitive under my left arm pit . (The shot was in my left arm.) during the night I felt like I was going to have diarrhea but I never did. I did have softer than usual stools as soon as I woke up. I am tired today but did not have a good nights sleep. I did not have a fever. My heart rate was 78. My oxygen was 98/99.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-19
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Pain, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Fatigue and and aching went away with Advil and an hours rest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: I had a migraine but I get migraines so I dont know if it was related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-02
- 2021-04-09
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-06-24
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Last week I had 5 days of diarrhea. The first day I had a fever of 100. I went to the doctor. Blood tests and stool samples were normal. I am better now. We dont know if it was a toxin on food that would not be detected in the stool test or a viru · Healthcare visit (other): Family doctor office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-24
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-07-02
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-14
Dose 3 — Pfizer-BioNTech
- 2021-09-25
- 2021-10-03
- 2021-10-06
- 2021-10-12
- 2021-10-20
- 2021-10-26
- 2021-12-14
- 2022-03-16
-
2022-04-02
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-14
- 2022-07-02
-
2022-09-17
Dose 5 — Pfizer-BioNTech
- 2022-09-24
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-30
- 2022-12-17
- 2023-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-09-14 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-09-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I had somewhat loose stools this morning but not quite diarrhea. Other than that I feel fine!
Systemic reaction (other): I had mild chills then took a nap and they went completely away. I was a bit queasy after eating for a short time then it went away. During the night when I was sleeping it felt sensitive under my left arm pit . (The shot was in my left arm.) during the night I felt like I was going to have diarrhea but I never did. I did have softer than usual stools as soon as I woke up. I am tired today but did not have a good nights sleep. I did not have a fever. My heart rate was 78. My oxygen was 98/99.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Fatigue and and aching went away with Advil and an hours rest.
Systemic reaction (other): I had a migraine but I get migraines so I dont know if it was related to the vaccine
Release 9 — 3 months, dose 2
Symptoms: Last week I had 5 days of diarrhea. The first day I had a fever of 100. I went to the doctor. Blood tests and stool samples were normal. I am better now. We dont know if it was a toxin on food that would not be detected in the stool test or a viru
Healthcare visit (other): Family doctor office visit
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Faeces soft | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release