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2ES-73622-45370

3 vaccinations 5 coded responses 11 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
927 / CA
Registered
2022-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-06
    Dose 2 — Pfizer-BioNTech
  3. 2022-04-22
    Registered in v-safe
  4. 2022-04-22
    Dose 3 — Moderna
  5. 2022-04-22
    Survey response — day 0, dose 3
    MedDRA: Dry mouth, Paraesthesia oral — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Tongling of my entire tongue, and dry mouth
    MedDRA releases: 2024-11 · check-in free text available
  6. 2022-04-22
    Report sent to call center — day 0, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  7. 2022-04-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain
    Free text: Sore arm
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-04-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Very mild muscle soreness in the arm
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-04-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2022-04-26
  11. 2022-04-27
    Call successful
    Participant prefers to complete VAERS report online
  12. 2022-05-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2022-05-22
    Survey response — day 28, dose 3
    MedDRA: Medical counselling, Rash, Rash pruritic, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Broke out in hives and small itchy bumpa all over my hands, wrists, fingers and arms. One or two in other places. Going on my 7th day with these. Super, super itchy! · Healthcare visit (other): Called pharmacist and started taking Prednisone (which I had from a year ago). It helped some
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-22
    Report sent to call center — day 28, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2022-05-23
    Call successful
    Does not wish to fill out VAERS report
  16. 2022-05-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-06-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  18. 2022-07-24
    Survey response — 3 months, dose 3
    MedDRA: Asthenia, Fatigue, Headache, Lethargy, Nasal congestion — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, severe lethargy, stuffed up nose, no energy, very tired.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2022-10-23
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2023-04-24
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-14Pfizer-BioNTech No
22021-05-06Pfizer-BioNTech No
32022-04-22Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 11 — day 0, dose 3

2022-04-22

Systemic reaction (other): Tongling of my entire tongue, and dry mouth

Release 11 — days 1–6 daily, dose 3

2022-04-23

Systemic reaction (other): Sore arm

2022-04-24

Systemic reaction (other): Very mild muscle soreness in the arm

Release 11 — day 28, dose 3

2022-05-22

Symptoms: Broke out in hives and small itchy bumpa all over my hands, wrists, fingers and arms. One or two in other places. Going on my 7th day with these. Super, super itchy!
Healthcare visit (other): Called pharmacist and started taking Prednisone (which I had from a year ago). It helped some

Release 12 — 3 months, dose 3

2022-07-24

Symptoms: Headache, severe lethargy, stuffed up nose, no energy, very tired.

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
HCVOMedical counselling · · ✓
SDAsthenia · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDLethargy · · ✓
SDNasal congestion · · ✓
SDRash · · ✓
SDRash pruritic · · ✓
SDUrticaria · · ✓
SRODry mouth · · ✓
SROMyalgia · · ✓
SROPain in extremity · · ✓
SROParaesthesia oral · · ✓

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