2JX-16566-94600
1 vaccination
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 461 / IN
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-12
Dose 1 — Pfizer-BioNTech
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2021-04-13
Registered in v-safe
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: BloatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Dizziness- mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation, Nasal congestion — Feeling: Fair · Joint pains, Muscle or body achesFree text: Eye irritation stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Lymph node pain — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: Tender lymph node under vaccinated armpit / slight morning light headednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
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2021-04-28
Survey response — day 14, dose 1MedDRA: Abdominal distension, Arthralgia, Dizziness, Eructation, Lymphadenopathy, Malaise, Pre-existing disease, Vision blurred, Vulvovaginal swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Felt unwell for 15 days post vaccination. Symptoms included, light headededness, random blurred vision, achy knees, abdominal bloating with belching, worsening uterine prolapse/vaginal swelling, swollen lymph nodes under arm. All better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-19
- 2021-07-12
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2021-10-12
Survey response — 6 months, dose 1MedDRA: Musculoskeletal stiffness, Vaccination site pain, Vaccination site reaction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pain and stiffness in arm at vaccination siteMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-19
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Bloating
Systemic reaction (other): Dizziness- mild
Systemic reaction (other): Eye irritation stuffy nose
Systemic reaction (other): Tender lymph node under vaccinated armpit / slight morning light headedness
Release 8 — day 14, dose 1
Symptoms: Felt unwell for 15 days post vaccination. Symptoms included, light headededness, random blurred vision, achy knees, abdominal bloating with belching, worsening uterine prolapse/vaginal swelling, swollen lymph nodes under arm. All better now.
Release 10 — 6 months, dose 1
Symptoms: Pain and stiffness in arm at vaccination site
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Eructation | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | · | · | ✓ |
| SD | Vaccination site reaction | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SD | Vulvovaginal swelling | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release