2FW-11701-43503
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 236 / VA
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Pfizer-BioNTech
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2021-03-28
Registered in v-safe
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The abdominal pain was yesterday and I missed my check in. Today my teeth on left side only hurt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — day 7, dose 1Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-11
Survey response — day 14, dose 1MedDRA: Back pain, Cough, Dyspnoea, Fatigue, Neck pain, Peripheral swelling, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Labored breathing, right arm swelled and went down, pain in top middle of my back, neck pain, uncontrolled coughing, fatigued, unable to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-05-02
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2021-05-07
Survey response — day 42, dose 1MedDRA: Abdominal pain upper, Cough, Polymenorrhoea, Unevaluable event, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My breathing is shorter and faster than it was before the shot. I hear crackling all the time and wheezing sometimes. I still have a bad cough that is always productive. Sometimes my stomach hurts. · Healthcare visit (other): Waiting on appointment with new pulmonary.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — day 42, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-25
Survey response — 6 months, dose 1MedDRA: Condition aggravated, Oedema peripheral, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Edema first in left foot then in both feet. Now in feet and legs. Dr. Says my sarcoidosis is worsening.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-18
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2022-04-21
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): The abdominal pain was yesterday and I missed my check in. Today my teeth on left side only hurt.
Release 7 — day 14, dose 1
Symptoms: Labored breathing, right arm swelled and went down, pain in top middle of my back, neck pain, uncontrolled coughing, fatigued, unable to sleep.
Release 8 — day 42, dose 1
Symptoms: My breathing is shorter and faster than it was before the shot. I hear crackling all the time and wheezing sometimes. I still have a bad cough that is always productive. Sometimes my stomach hurts.
Healthcare visit (other): Waiting on appointment with new pulmonary.
Release 9 — 6 months, dose 1
Symptoms: Edema first in left foot then in both feet. Now in feet and legs. Dr. Says my sarcoidosis is worsening.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Polymenorrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release