2J9-85201-38875
4 vaccinations
7 coded responses
30 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 707 / LA
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-16
Dose 1 — Pfizer-BioNTech
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2021-03-21
Registered in v-safe
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Joint pains, Muscle or body achesAdult check-in
- 2021-03-23
- 2021-03-30
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2021-04-05
Dose 2 — Pfizer-BioNTech
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2021-04-05
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: Heart rate 102MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Chills · Be unable to do your normal daily activitiesFree text: Last night my heart rate went to 120 beats at rest for no reason. At that time my heart was jumping and I felt lightheaded.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, VomitingAdult check-in
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2021-04-12
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-21
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
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2021-08-17
Dose 3 — Pfizer-BioNTech
- 2021-10-04
- 2021-11-18
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2022-02-15
Survey response — 6 months, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have stage one kidney disease and hypertensive kidney diseaseMedDRA releases: 2024-11 · check-in free text available
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2022-02-15
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-17
- 2022-08-19
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2022-09-12
Dose 4 — Pfizer-BioNTech
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2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-09-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Muscle or body achesAdult check-in
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2022-09-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-19
Health check-in — day 7, dose 4Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2022-10-04
Survey response — day 21, dose 4MedDRA: Clostridium difficile infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have C diffMedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-04
Call successfulCompleted over the phone
- 2022-10-10
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2022-10-17
Survey response — day 35, dose 4MedDRA: Abdominal pain upper, Diarrhoea, Medical counselling, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Runaway diarrhea and stomach cramps. Nausea · Healthcare visit (other): I called the doctor's office and spoke to the nurse because the doctor was already gone for the dayMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-18
Call successfulReported to VAERS during previous contact from GDIT
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2022-10-25
Survey response — day 42, dose 4MedDRA: Clostridium difficile infection, Clostridium test positive, Medical counselling, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have C diff. I took antibiotics for 10 days and then tested positive again for C diff. I started a new antibiotic today · Healthcare visit (other): Testing at (b)(6) Clinic and several phone consultationsMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-26
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2022-10-31
Call successfulReported to VAERS during previous contact from GDIT
- 2022-12-12
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2023-03-13
Survey response — 6 months, dose 4MedDRA: Malaise, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-13
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-08-17 | Pfizer-BioNTech | No |
| 4 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
VAERS report filed, before or during a call: 3
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Heart rate 102
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Last night my heart rate went to 120 beats at rest for no reason. At that time my heart was jumping and I felt lightheaded.
Release 11 — 6 months, dose 3
Symptoms: I have stage one kidney disease and hypertensive kidney disease
Release 12 — day 21, dose 4
Symptoms: I have C diff
Release 12 — day 35, dose 4
Symptoms: Runaway diarrhea and stomach cramps. Nausea
Healthcare visit (other): I called the doctor's office and spoke to the nurse because the doctor was already gone for the day
Release 12 — day 42, dose 4
Symptoms: I have C diff. I took antibiotics for 10 days and then tested positive again for C diff. I started a new antibiotic today
Healthcare visit (other): Testing at (b)(6) Clinic and several phone consultations
redacted (b)(6)
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 | Abdominal pain upper | · | · | ✓ |
| SD | Clostridium difficile infection | · | · | ✓ |
| SD | Clostridium test positive | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release