2JM-20498-13408
4 vaccinations
10 coded responses
53 check-ins
9 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 290 / SC
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Pfizer-BioNTech
- 2021-01-05
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Swelling — Feeling: Good · Site: Itching · Fever · Chills, Fatigue or tirednessFree text: Slight swelling under collarbone, near sight of muscle pain from the last 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-19
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2021-01-26
Dose 2 — Pfizer-BioNTech
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2021-01-26
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Heart rate increased, Hot flush, Insomnia, Lymphadenopathy, Nasal congestion, Night sweats — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizziness, elevated heart rate, nasal congestion, swelling under collar bone, insomnia, hot flashes, night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Swelling under collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling under collarbone; swollen and painful lymph node behind collarboneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-02
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-09
Survey response — day 14, dose 2MedDRA: Arthralgia, Chills, Joint swelling, Nausea, Neck pain, Pyrexia, Vomiting — Feeling: Good · Be unable to work, 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: Nausea, vomiting, fever, pain and swelling in left shoulder, chills, neck pain on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-10
- 2021-04-27
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2021-06-14
Call successfulCompleted over the phone
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2021-06-14
Call successfulCompleted over the phone
- 2021-07-27
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2021-09-21
Dose 3 — Pfizer-BioNTech
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2021-09-21
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2021-09-22
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-09-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-09-23
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-09-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Abdominal painAdult check-in
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2021-09-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-09-26
Call successfulDoes not wish to fill out VAERS report
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2021-09-29
Health check-in — day 7, dose 3Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-05
- 2021-10-12
- 2021-10-20
- 2021-10-26
- 2021-11-02
- 2021-12-21
- 2022-03-22
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2022-09-21
Survey response — 12 months, dose 3MedDRA: Colitis, Lactose intolerance — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Colitis, Lactose intoleranceMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-22
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2022-11-04
Dose 4 — Pfizer-BioNTech
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2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-11-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-11-07
Survey response — days 1–6 daily, dose 4MedDRA: Hot flush — Feeling: Fair · Site: Pain, Itching · Fever · Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Extreme hot flashesMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
- 2022-11-09
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2022-11-10
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms, Night sweats — Feeling: Poor · Fever · Chills, Headache, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Sweating profusely overnight, muscle spasm in neck on same side as injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-18
- 2022-11-25
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2022-12-02
Survey response — day 28, dose 4MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
- 2022-12-16
- 2023-02-03
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2023-05-05
Survey response — 6 months, dose 4MedDRA: Lactose intolerance — 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 visitMedDRA releases: 2024-11
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2023-05-05
Report sent to call center — 6 months, dose 4Be 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)
- 2023-05-09
- 2023-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech | |
| 3 | 2021-09-21 | Pfizer-BioNTech | No |
| 4 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-30 | Successful 2021-06-14 |
Completed over the phone |
| 2021-02-09 | Successful 2021-06-14 |
Completed over the phone |
| 2021-09-23 | Successful 2021-09-26 |
Does not wish to fill out VAERS report |
| 2022-09-21 | Unsuccessful | |
| 2023-05-05 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Slight swelling under collarbone, near sight of muscle pain from the last 2 days
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness, elevated heart rate, nasal congestion, swelling under collar bone, insomnia, hot flashes, night sweats
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling under collarbone
Systemic reaction (other): Swelling under collarbone; swollen and painful lymph node behind collarbone
Release 3 — day 14, dose 2
Symptoms: Nausea, vomiting, fever, pain and swelling in left shoulder, chills, neck pain on left side
Release 12 — 12 months, dose 3
Symptoms: Colitis, Lactose intolerance
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Extreme hot flashes
Systemic reaction (other): Sweating profusely overnight, muscle spasm in neck on same side as injection
Release 12 — day 28, dose 4
Symptoms: Fatigue
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Colitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Lactose intolerance | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release