2FT-17800-44691
5 vaccinations
10 coded responses
41 check-ins
9 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 064 / CT
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
- 2021-01-22
- 2021-01-28
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2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Headache in back of head. Started Monday and still there today thursdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — day 35, dose 2MedDRA: Headache, Office visit, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Runny nose. Last weeks headache is gone-met with doctor last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-05-06
- 2021-08-05
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2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: PainFree text: Tinnitus started around bedtime yesterday and continues todayMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Good · Site: PainFree text: Tinnitus much better today. Much less noticeable.MedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Therapeutic response unexpected — Feeling: GoodFree text: Tinnitus much less noticeableMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-10
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: GoodFree text: Still am aware of tinnitus. I've had it before and was not aware of it before the vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-19
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2021-10-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-26
- 2021-11-02
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2021-11-09
Survey response — day 35, dose 3MedDRA: Headache, Vaccine positive rechallenge — Feeling: FairFree text: Headache approx a month after Pfizer booster. Also had a headache a month after second shot. Headaches are very unusual for me- I don't ever get them.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2022-01-04
- 2022-04-05
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2022-05-11
Dose 4 — Moderna
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
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2022-08-10
Survey response — 3 months, dose 4MedDRA: Gait disturbance, Pain in extremity — 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 visitFree text: Pain in back of thighs- both legs- making it very difficult to walk.MedDRA releases: 2024-11 · check-in free text available
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2022-08-10
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-11
- 2022-08-11
- 2022-08-11
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2022-08-11
Call successfulParticipant prefers to complete VAERS report online
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2022-08-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-11
Dose 5 — Pfizer-BioNTech
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2022-11-09
Survey response — 6 months, dose 4MedDRA: Back pain, Office visit, Pre-existing disease — 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 visitFree text: Symptoms: Back problems leading to pain from hip down leg to ankle. I did get a booster shot while I was in pain and seeing doctors. · Healthcare visit (other): Dr visits and a shot in the back for painMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-10
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2023-04-12
Survey response — 6 months, dose 5MedDRA: Physiotherapy, Spinal fusion surgery, Spinal laminectomy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
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2023-04-12
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2023-04-13
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-10-11 | Pfizer-BioNTech | No |
Call center
5 call center cases
3 successful · 2 unsuccessful
2 waits over 3 months for a first call
Free text
Release 5 — day 28, dose 2
Symptoms: Headache in back of head. Started Monday and still there today thursday
Release 5 — day 35, dose 2
Symptoms: Runny nose. Last weeks headache is gone-met with doctor last week.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tinnitus started around bedtime yesterday and continues today
Systemic reaction (other): Tinnitus much better today. Much less noticeable.
Systemic reaction (other): Tinnitus much less noticeable
Systemic reaction (other): Still am aware of tinnitus. I've had it before and was not aware of it before the vaccination.
Release 10 — day 35, dose 3
Symptoms: Headache approx a month after Pfizer booster. Also had a headache a month after second shot. Headaches are very unusual for me- I don't ever get them.
Release 12 — 3 months, dose 4
Symptoms: Pain in back of thighs- both legs- making it very difficult to walk.
Release 12 — 6 months, dose 4
Symptoms: Back problems leading to pain from hip down leg to ankle. I did get a booster shot while I was in pain and seeing doctors.
Healthcare visit (other): Dr visits and a shot in the back for pain
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 | Back pain | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Spinal fusion surgery | · | · | ✓ |
| SD | Spinal laminectomy | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Therapeutic response unexpected | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release