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2HF-26045-55353

5 vaccinations 9 coded responses 42 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
773 / TX
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-03
    Dose 2 — Pfizer-BioNTech
  14. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  17. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-17
    Survey response — day 14, dose 2
    MedDRA: Oropharyngeal pain, Pulmonary congestion — Feeling: Poor
    Free text: Sore throat and lung congestion. It is also pollen season in Texas.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-01
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-11
    Dose 3 — Pfizer-BioNTech
  27. 2022-03-05
    Survey response — 12 months, dose 2
    MedDRA: Dry age-related macular degeneration, Neovascular age-related macular degeneration, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Dry macular degeneration in the left eye turned wet. I have to have shots in the left eye for the next three months. · Healthcare visit (other): Retina specialist office
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-03-05
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2022-03-08
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-04-08
    Dose 4 — Pfizer-BioNTech
  31. 2022-04-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-05-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-13
    Survey response — day 35, dose 4
    MedDRA: Asthenia, Fatigue, Headache, Nausea — Feeling: Good
    Free text: Yesterday I felt nauseated and exhausted and a slight headache. No energy. I think it may have been dehydration. I drank Liquid IV and woke up this morning feeling much better.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-07-10
    Survey response — 3 months, dose 4
    MedDRA: Endometrial thickening, Non-alcoholic fatty liver — Feeling: Good
    Free text: Diagnosed with nonalcoholic fatty liver disease. Have thickened endometrium and am having a D&C this week.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-09-21
    Dose 5 — Moderna
  38. 2022-09-21
    Health check-in — day 0, dose 5
    Feeling: Good · None
    Adult check-in
  39. 2022-09-22
    Survey response — days 1–6 daily, dose 5
    MedDRA: Arthralgia, Fatigue — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Sore knees, very tired
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-09-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  41. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  42. 2022-09-25
    Survey response — days 1–6 daily, dose 5
    MedDRA: Arthralgia — Feeling: Good · Site: Pain, Swelling · Joint pains
    Free text: Sore knees
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-09-28
    Health check-in — day 7, dose 5
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  44. 2022-10-05
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-10-13
    Survey response — day 21, dose 5
    MedDRA: Brain fog, Peripheral swelling — Feeling: Fair
    Free text: Foggy brain, swelling in legs and feet and hands
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-20
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-10-26
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-11-02
    Survey response — day 42, dose 5
    MedDRA: Fatigue, Headache, Myalgia, Pyrexia — Feeling: Good
    Free text: Last week felt very tired, feverish, sore muscles. Headache
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-12-21
    Survey response — 3 months, dose 5
    MedDRA: Joint swelling, Magnetic resonance imaging abnormal, Office visit, Peripheral swelling — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Right knee swelling. MRI shows problem with patella and cartilage. Seeing a Dr about it. Swelling in legs. Dr checking out veins . Heart is ok · Healthcare visit (other): Dr office
    MedDRA releases: 2024-11 · check-in free text available
  50. 2022-12-21
    Report sent to call center — 3 months, dose 5
    Get care from a doctor or other healthcare professional
    1 call case(s)
  51. 2022-12-22
  52. 2023-03-23
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Pfizer-BioNTech
22021-03-03Pfizer-BioNTech
32021-10-11Pfizer-BioNTech No
42022-04-08Pfizer-BioNTech No
52022-09-21Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-05 Successful
2022-03-08
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-12-21 Unsuccessful

Free text

Release 5 — day 14, dose 2

2021-03-17

Symptoms: Sore throat and lung congestion. It is also pollen season in Texas.

Release 11 — 12 months, dose 2

2022-03-05

Symptoms: Dry macular degeneration in the left eye turned wet. I have to have shots in the left eye for the next three months.
Healthcare visit (other): Retina specialist office

Release 11 — day 35, dose 4

2022-05-13

Symptoms: Yesterday I felt nauseated and exhausted and a slight headache. No energy. I think it may have been dehydration. I drank Liquid IV and woke up this morning feeling much better.

Release 12 — 3 months, dose 4

2022-07-10

Symptoms: Diagnosed with nonalcoholic fatty liver disease. Have thickened endometrium and am having a D&C this week.

Release 12 — days 1–6 daily, dose 5

2022-09-22

Systemic reaction (other): Sore knees, very tired

2022-09-25

Systemic reaction (other): Sore knees

Release 12 — day 21, dose 5

2022-10-13

Symptoms: Foggy brain, swelling in legs and feet and hands

Release 12 — day 42, dose 5

2022-11-02

Symptoms: Last week felt very tired, feverish, sore muscles. Headache

Release 12 — 3 months, dose 5

2022-12-21

Symptoms: Right knee swelling. MRI shows problem with patella and cartilage. Seeing a Dr about it. Swelling in legs. Dr checking out veins . Heart is ok
Healthcare visit (other): Dr office

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
HCVOOffice visit · · ✓
SDAsthenia · · ✓
SDBrain fog · · ✓
SDDry age-related macular degeneration · · ✓
SDEndometrial thickening · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDJoint swelling · · ✓
SDMagnetic resonance imaging abnormal · · ✓
SDMyalgia · · ✓
SDNausea · · ✓
SDNeovascular age-related macular degeneration · · ✓
SDNon-alcoholic fatty liver · · ✓
SDOffice visit · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPeripheral swelling · · ✓
SDPulmonary congestion ✓ ✓ ✓
SDPyrexia · · ✓
SROArthralgia · · ✓
SROFatigue · · ✓

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