2EK-21957-39161
3 vaccinations
6 coded responses
33 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 301 / GA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Pfizer-BioNTech
-
2021-01-20
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Good · Site: Pain · NauseaFree text: Sore lymph nodes left side of neck and sore on left side of throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Pfizer-BioNTech
- 2021-02-08
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Insomnia — Feeling: GoodFree text: Vivid strange dreams and difficulty staying asleep first night and second nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
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2021-03-15
Survey response — day 35, dose 2MedDRA: Syncope — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Near syncope.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-22
Survey response — day 42, dose 2MedDRA: Dyspnoea, Fatigue, Presyncope — 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, Emergency room or emergency department visitFree text: Near syncope Shortness of breathFatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
- 2021-08-09
-
2021-12-09
Dose 3 — Moderna
- 2021-12-10
-
2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-13
-
2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-12-15
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-12-16
Health check-in — day 7, dose 3Feeling: Fair · Fever · Chills, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-16
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2021-12-17
Call successfulParticipant prefers to complete VAERS report online
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2021-12-23
Survey response — day 14, dose 3MedDRA: Sinusitis — 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 visit, HospitalizationFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Report sent to call center — day 14, 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 · Hospitalization · 1 call case(s)
- 2021-12-27
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
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2022-03-10
Survey response — 3 months, dose 3MedDRA: Arthralgia, Chills, Fatigue, Headache, Nausea, Pyrexia, Unevaluable event — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: In 13 weeks since booster shot, I have had Fevers up to 104 degrees, nausea, headache, chills, fatigue, and joint pain 8 times. Every 7-14 days i have a fever episode. It is dibilitating. · Healthcare visit (other): All of the above in the last 13 weeks since boosterMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-11
-
2022-03-22
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-08 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 2
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore lymph nodes left side of neck and sore on left side of throat
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Vivid strange dreams and difficulty staying asleep first night and second night
Release 5 — day 35, dose 2
Symptoms: Near syncope.
Release 6 — day 42, dose 2
Symptoms: Near syncope Shortness of breathFatigue
Release 10 — day 14, dose 3
Symptoms: Sinus infection
Release 11 — 3 months, dose 3
Symptoms: In 13 weeks since booster shot, I have had Fevers up to 104 degrees, nausea, headache, chills, fatigue, and joint pain 8 times. Every 7-14 days i have a fever episode. It is dibilitating.
Healthcare visit (other): All of the above in the last 13 weeks since booster
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Presyncope | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release