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2DC-28505-31019

3 vaccinations 7 coded responses 11 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
954 / CA
Registered
2022-09-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  3. 2022-09-16
    Dose 3 — Pfizer-BioNTech
  4. 2022-09-18
    Registered in v-safe
  5. 2022-09-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  6. 2022-09-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Balance disorder — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Loss of balance
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-09-20
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gait disturbance — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: 5th day. I still can't walk straight.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-09-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Out of breath easily
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-09-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gait disturbance — Feeling: Poor · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Difficulty walking still, and pre booster I walked miles most days.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-09-23
    Survey response — day 7, dose 3
    MedDRA: Taste disorder — Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: My sense of taste changed with this shot.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-09-30
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  12. 2022-10-07
    Survey response — day 21, dose 3
    MedDRA: Abdominal pain upper, Nausea, Office visit — Feeling: Fair · 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: The nausea since the covid booster has turned into fierce off and on stomach aches. My doctor checked me, said to come back if it gets worse.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-10-07
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2022-10-10
  15. 2022-10-11
    Call successful
    Does not wish to fill out VAERS report
  16. 2022-10-14
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  17. 2022-10-22
    Survey response — day 35, dose 3
    MedDRA: Abdominal pain upper, Fatigue, Headache, Nausea, Taste disorder — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Disabling fatigue. Still stomach pain and nausea. Sense of taste still hasn't returned to normal. ongoing headache. It's been over a month since booster. Fatigue is the biggest problem now. It's worse than it was. I appreciate that you check on me.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-12-16
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Pfizer-BioNTech No
22021-03-24Pfizer-BioNTech No
32022-09-16Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 12 — days 1–6 daily, dose 3

2022-09-19

Systemic reaction (other): Loss of balance

2022-09-20

Systemic reaction (other): 5th day. I still can't walk straight.

2022-09-21

Systemic reaction (other): Out of breath easily

2022-09-22

Systemic reaction (other): Difficulty walking still, and pre booster I walked miles most days.

Release 12 — day 7, dose 3

2022-09-23

Systemic reaction (other): My sense of taste changed with this shot.

Release 12 — day 21, dose 3

2022-10-07

Symptoms: The nausea since the covid booster has turned into fierce off and on stomach aches. My doctor checked me, said to come back if it gets worse.

Release 12 — day 35, dose 3

2022-10-22

Symptoms: Disabling fatigue. Still stomach pain and nausea. Sense of taste still hasn't returned to normal. ongoing headache. It's been over a month since booster. Fatigue is the biggest problem now. It's worse than it was. I appreciate that you check on me. 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
SDAbdominal pain upper · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNausea · · ✓
SDOffice visit · · ✓
SDTaste disorder · · ✓
SROBalance disorder · · ✓
SRODyspnoea · · ✓
SROGait disturbance · · ✓
SROTaste disorder · · ✓

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