2JS-84240-72695
3 vaccinations
13 coded responses
34 check-ins
13 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 493 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Pfizer-BioNTech
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2021-03-09
Registered in v-safe
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-18
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2021-03-25
Dose 2 — Pfizer-BioNTech
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2021-03-25
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Feel like I'm in a fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Still feel like I'm in a fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-01
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2021-04-08
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 21, dose 2MedDRA: Eructation, Histoplasmosis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Chronic belching, Histoplasmosis · Healthcare visit (other): Opthmologist office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Survey response — day 28, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Pain in hip and leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 35, dose 2MedDRA: Fatigue, Hypotension — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Exhaustion, low blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-06-24
Survey response — 3 months, dose 2MedDRA: Histoplasmosis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Histoplasmosis in my left eye, · Healthcare visit (other): Retinal doctor office visitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-29
- 2021-09-23
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2021-10-22
Dose 3 — Pfizer-BioNTechCo-administered: Pneumonia
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2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Dysphonia — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Gravely voiceMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
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2021-11-05
Survey response — day 14, dose 3MedDRA: Peroneal nerve palsy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Drop footMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-08
- 2021-11-12
- 2021-11-15
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2021-11-19
Survey response — day 28, dose 3MedDRA: Arthralgia, Limb discomfort, Myalgia, Peroneal nerve palsy — Feeling: GoodFree text: Drop foot is becoming uncomfortable - joint pain and muscle aches. My doctor referred me for a nerve test but unfortunately I couldn't get an appointment until March 24, 2022.MedDRA releases: 2024-11 · check-in free text available
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2021-11-26
Survey response — day 35, dose 3MedDRA: Muscle spasms, Peroneal nerve palsy — Feeling: GoodFree text: Charlie horses in my leg that I developed acute drop foot after receiving my booster vaccine.MedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — day 42, dose 3MedDRA: Bronchitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
- 2022-04-22
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2022-10-22
Survey response — 12 months, dose 3MedDRA: Abdominal pain, Diabetes mellitus, Goitre — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Newly diagnosed diabetic, markedly enlarged thyroid gland. Abdominal pain, 24/7.MedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-10-25
Call successfulDoes not wish to fill out VAERS report
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2022-10-25
Call successfulDoes not wish to fill out VAERS report
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2022-10-25
Call successfulCompleted over the phone
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2022-10-25
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-10-22 | Pfizer-BioNTech | Pneumonia |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Feel like I'm in a fog
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Still feel like I'm in a fog
Release 7 — day 14, dose 2
Symptoms: Diarrhea
Release 7 — day 21, dose 2
Symptoms: Chronic belching, Histoplasmosis
Healthcare visit (other): Opthmologist office visit
Release 7 — day 28, dose 2
Symptoms: Pain in hip and leg.
Release 8 — day 35, dose 2
Symptoms: Exhaustion, low blood pressure
Release 9 — 3 months, dose 2
Symptoms: Histoplasmosis in my left eye,
Healthcare visit (other): Retinal doctor office visits
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Gravely voice
Release 10 — day 14, dose 3
Symptoms: Drop foot
Release 10 — day 28, dose 3
Symptoms: Drop foot is becoming uncomfortable - joint pain and muscle aches. My doctor referred me for a nerve test but unfortunately I couldn't get an appointment until March 24, 2022.
Release 10 — day 35, dose 3
Symptoms: Charlie horses in my leg that I developed acute drop foot after receiving my booster vaccine.
Release 10 — day 42, dose 3
Symptoms: Bronchitis
Release 12 — 12 months, dose 3
Symptoms: Newly diagnosed diabetic, markedly enlarged thyroid gland. Abdominal pain, 24/7.
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 | ✓ | ✓ | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Diabetes mellitus | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Eructation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Goitre | · | · | ✓ |
| SD | Histoplasmosis | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peroneal nerve palsy | · | · | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release