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2CY-12008-69935

2 vaccinations 7 coded responses 7 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
919 / CA
Registered
2021-04-21
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-27
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-17
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-21
    Registered in v-safe
  4. 2021-04-24
    Survey response — day 7, dose 2
    MedDRA: Injection site induration, Injection site pain, Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): When I received the first injection it was fine till the next day and my arm was sore and felt hard like a rock at the injection site but the second injection when the vaccine went in my arm it burnt to the point where it made me yell out what the he · Healthcare visit (other): None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-24
    Report sent to call center — day 7, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-01
    Survey response — day 14, dose 2
    MedDRA: Abdominal discomfort, Asthenia, Disturbance in attention, Faeces discoloured, Fatigue, Migraine — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tired, low energy, upset stomach, bowels darker than usual, migraine for 3 days, not able to concentrate and keep my thoughts in order ( scrambled) I am normally very organized
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-08
    Survey response — day 21, dose 2
    MedDRA: Immediate post-injection reaction, Injection site pain, Injection site swelling — Feeling: Poor · Be unable to do your normal daily activities
    Free text: My arm at the injection site started feeling sore again and I would like to mention that when I got the 2nd vaccine when the fluid went into my arm I yelled out, WHAT THE HELL WAS THAT IT BURNED' and immediately the area swelled up like a boulder( L
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-15
    Survey response — day 28, dose 2
    MedDRA: Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I've lost all of my lower milers due to the diabetes type 2 I still have these molers anyways the 6 teeth that I have left are so loose that I cannot bite down on any food. I have had to perform the hymlick on myself twice . I am tired more than usu
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-22
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain upper, Asthenia, Chest discomfort, Diarrhoea, Dry eye, Lacrimation increased, Migraine, Ocular hyperaemia, Pain, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Migraines, red& dry eyes, stomach aches, diarrhea, runny nose & eyes, all over body aches, slight tightness in chest,up feeling good enough, get ready to go accomplish some errands yet end up staying home , no energy,no more wanting to go anywhere · Healthcare visit (other): None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-22
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Compression garment application, Office visit, Poor peripheral circulation, Ultrasound scan abnormal — 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
    Free text: Symptoms: Circulation issues with both my legs and feet, prescribed Metformin hydrochloride 500mg. Tab., Insulin, Lisinopril, compression socks and diabetic shoes, sonogram on my legs confirmed my complaints about my feet and legs · Healthcare visit (other): In person doctors visit with foot& ankle specialists , vein specialist
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-19
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  13. 2021-10-26
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  14. 2021-10-29
  15. 2022-04-18
    Survey response — 12 months, dose 2
    MedDRA: Peripheral venous disease, Pre-existing disease — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with Venous Insufficiency in the veins of both my legs. A month ago the deseased vein in my left leg was lazered ( collapsed) yet there is a deseased artery in left foot. Soon 3 deseased veins in my right leg will undergo I believe this sam
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-18
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  17. 2022-04-21
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12021-03-27Pfizer-BioNTech
22021-04-17Pfizer-BioNTech

Call center

4 call center cases

4 successful

VAERS report filed, before or during a call: 4

See the call center timeline

Free text

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): When I received the first injection it was fine till the next day and my arm was sore and felt hard like a rock at the injection site but the second injection when the vaccine went in my arm it burnt to the point where it made me yell out what the he
Healthcare visit (other): None

Release 8 — day 14, dose 2

2021-05-01

Symptoms: Tired, low energy, upset stomach, bowels darker than usual, migraine for 3 days, not able to concentrate and keep my thoughts in order ( scrambled) I am normally very organized

Release 8 — day 21, dose 2

2021-05-08

Symptoms: My arm at the injection site started feeling sore again and I would like to mention that when I got the 2nd vaccine when the fluid went into my arm I yelled out, WHAT THE HELL WAS THAT IT BURNED' and immediately the area swelled up like a boulder( L cut off by CDC

Release 8 — day 28, dose 2

2021-05-15

Symptoms: I've lost all of my lower milers due to the diabetes type 2 I still have these molers anyways the 6 teeth that I have left are so loose that I cannot bite down on any food. I have had to perform the hymlick on myself twice . I am tired more than usu cut off by CDC

Release 8 — day 35, dose 2

2021-05-22

Symptoms: Migraines, red& dry eyes, stomach aches, diarrhea, runny nose & eyes, all over body aches, slight tightness in chest,up feeling good enough, get ready to go accomplish some errands yet end up staying home , no energy,no more wanting to go anywhere
Healthcare visit (other): None

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: Circulation issues with both my legs and feet, prescribed Metformin hydrochloride 500mg. Tab., Insulin, Lisinopril, compression socks and diabetic shoes, sonogram on my legs confirmed my complaints about my feet and legs
Healthcare visit (other): In person doctors visit with foot& ankle specialists , vein specialist

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: Diagnosed with Venous Insufficiency in the veins of both my legs. A month ago the deseased vein in my left leg was lazered ( collapsed) yet there is a deseased artery in left foot. Soon 3 deseased veins in my right leg will undergo I believe this sam cut off by CDC

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
HCVOOffice visit · · ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal discomfort ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDChest discomfort ✓ ✓ ✓
SDCompression garment application · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDisturbance in attention ✓ ✓ ✓
SDDry eye ✓ ✓ ✓
SDFaeces discoloured ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDLacrimation increased ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDOcular hyperaemia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPeripheral venous disease · · ✓
SDPoor peripheral circulation · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDUltrasound scan abnormal · · ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓

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