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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

  1. 2021-03-26
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-28
    Registered in v-safe
  3. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  4. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  5. 2021-03-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  6. 2021-04-02
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-04-11
    Survey response — day 14, dose 1
    MedDRA: Back pain, Cough, Dyspnoea, Fatigue, Neck pain, Peripheral swelling, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  8. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-04-23
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-02
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-05-07
    Survey response — day 42, dose 1
    MedDRA: Abdominal pain upper, Cough, Polymenorrhoea, Unevaluable event, Wheezing — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free 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
  12. 2021-05-07
    Report sent to call center — day 42, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-09-25
    Survey response — 6 months, dose 1
    MedDRA: Condition aggravated, Oedema peripheral, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  14. 2022-04-18
  15. 2022-04-21
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Pfizer-BioNTech

Call center

1 call center case

1 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-31

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

2021-04-11

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

2021-05-07

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

2021-09-25

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDAbdominal pain upper ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDCondition aggravated · · ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDOedema peripheral · · ✓
SDPeripheral swelling ✓ ✓ ✓
SDPolymenorrhoea ✓ ✓ ✓
SDPre-existing disease · · ✓
SDSleep disorder ✓ ✓ ✓
SDWheezing ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓

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