2JB-12583-51915
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 275 / NC
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-22
Dose 1 — Pfizer-BioNTech
-
2021-01-15
Registered in v-safe
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2021-01-15
Dose 2 — Pfizer-BioNTech
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2021-01-15
Survey response — day 0, dose 2MedDRA: Cough, Eye haemorrhage, Hypoaesthesia, Oedema peripheral, Oxygen saturation decreased — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: My O2 saturation are 86 to 92%; numbness in affected hand with significant edema; constant coughing; broke all the blood vessels in both eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Report sent to call center — day 0, dose 2Be unable to do your normal daily activities1 call case(s)
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2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: Blood urine present, Hypoaesthesia, Oedema peripheral, Paraesthesia — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Bloody urine, edema in my ankles and hands, numbness and tingling in my handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-18
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-01-20
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2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: raised red rash all over my back and sidesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Health check-in — day 7, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-29
- 2021-02-05
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2021-02-12
Survey response — day 28, dose 2MedDRA: Arthralgia, Headache, Musculoskeletal stiffness, Pain — Feeling: FairFree text: Headaches, Body pains, joint pain and stiffness like I had just after the 2nd vaccine but not as badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-26
- 2021-04-16
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2021-07-16
Survey response — 6 months, dose 2MedDRA: Asthenia, Muscle spasms, Neuralgia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continuing muscle spasms and nerve pain, weakness · Healthcare visit (other): Appointment with neurologist in NovemberMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-01-15
Survey response — 12 months, dose 2MedDRA: Antinuclear antibody positive, Electromyogram abnormal, Neuralgia, Office visit, Pain in extremity, Physiotherapy — 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: I Continue to have nerve pain which my neurologist describes as atypical patterns. I have an abnormal EMG. I have recently had 4 epidural steroid blocks to try to decrease the amount of pain in my legs. I now have a moderate positive ANA test · Healthcare visit (other): I have seen a cardiologist, a neurologist and physical therapistMedDRA releases: 2024-11 · check-in free text available
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2022-01-15
Report sent to call center — 12 months, dose 2Be 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)
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2022-01-18
Call successfulReported to VAERS during previous contact from GDIT
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2022-01-18
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech |
Call center
6 call center cases
2 successful · 4 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): My O2 saturation are 86 to 92%; numbness in affected hand with significant edema; constant coughing; broke all the blood vessels in both eyes
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Bloody urine, edema in my ankles and hands, numbness and tingling in my hands
Systemic reaction (other): raised red rash all over my back and sides
Release 4 — day 28, dose 2
Symptoms: Headaches, Body pains, joint pain and stiffness like I had just after the 2nd vaccine but not as bad
Release 9 — 6 months, dose 2
Symptoms: Continuing muscle spasms and nerve pain, weakness
Healthcare visit (other): Appointment with neurologist in November
Release 10 — 12 months, dose 2
Symptoms: I Continue to have nerve pain which my neurologist describes as atypical patterns. I have an abnormal EMG. I have recently had 4 epidural steroid blocks to try to decrease the amount of pain in my legs. I now have a moderate positive ANA test
Healthcare visit (other): I have seen a cardiologist, a neurologist and physical therapist
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 | Office visit | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Antinuclear antibody positive | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Electromyogram abnormal | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Blood urine present | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Eye haemorrhage | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release