2FQ-28969-33260
3 vaccinations
11 coded responses
23 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 043 / ME
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Pfizer-BioNTech
-
2021-02-21
Registered in v-safe
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: On 2/20- facial flushing for beginning within first 30 min and continued for 2 hours +/-MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-03-06
-
2021-03-13
Dose 2 — Pfizer-BioNTech
- 2021-03-13
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-29
- 2021-06-13
- 2021-09-11
-
2021-09-29
Dose 3 — Pfizer-BioNTech
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Headache, Injection site pain — Feeling: Good · Site: Pain, SwellingFree text: Day of the vaccination- headaches and tiredness; now just injection site pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Hives- ? Fluad vaccination yesterday 10/4MedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — day 7, dose 3MedDRA: Adverse reaction — Feeling: Fair · HeadacheFree text: ? Possible Shingles outbreak -3 years post ShingrixMedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-21
-
2021-10-28
Survey response — day 28, dose 3MedDRA: Herpes zoster, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Probable recurrent ( 3rd time in 2 months) outbreak of Shingles ( fully vaccinated with Shingrix) · Healthcare visit (other): Nurse triage w/ Dr. ConsultMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-01
-
2021-11-02
Call successfulCompleted over the phone
- 2021-11-03
-
2021-11-11
Survey response — day 42, dose 3MedDRA: Herpes zoster, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 3rd outbreak of Shingles rash. Vaccinated with Shingrix -2doses 3 years ago. Recently reported via VAERS CDC. · Healthcare visit (other): PCPMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-12
-
2021-12-29
Survey response — 3 months, dose 3MedDRA: Pain — Feeling: FairFree text: New arthritis? Aches and painsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): On 2/20- facial flushing for beginning within first 30 min and continued for 2 hours +/-
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Day of the vaccination- headaches and tiredness; now just injection site pain.
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Hives- ? Fluad vaccination yesterday 10/4
Release 10 — day 7, dose 3
Systemic reaction (other): ? Possible Shingles outbreak -3 years post Shingrix
Release 10 — day 28, dose 3
Symptoms: Probable recurrent ( 3rd time in 2 months) outbreak of Shingles ( fully vaccinated with Shingrix)
Healthcare visit (other): Nurse triage w/ Dr. Consult
Release 10 — day 42, dose 3
Symptoms: 3rd outbreak of Shingles rash. Vaccinated with Shingrix -2doses 3 years ago. Recently reported via VAERS CDC.
Healthcare visit (other): PCP
Release 10 — 3 months, dose 3
Symptoms: New arthritis? Aches and pains
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release