2M2-31046-46842
3 vaccinations
2 coded responses
17 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 776 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Pfizer-BioNTech
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-19
-
2021-01-28
Dose 2 — Pfizer-BioNTech
- 2021-01-28
- 2021-07-13
-
2021-12-15
Dose 3 — Pfizer-BioNTech
- 2022-01-12
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-18
-
2022-06-15
Survey response — 6 months, dose 3MedDRA: Influenza like illness, Injection site erythema, Injection site inflammation, Injection site pain, Injection site reaction — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had fourth booster and had flu like symptoms for 3 days. Had a large site reaction. Redness inflammation extreme soreness. It is just now decreasing after having had the shot 6 days agoMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Survey response — 12 months, dose 3MedDRA: Amnesia, Balance disorder, Fatigue, Gait disturbance, Tremor, Vision blurred — 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: Tremors blurry vision gait and balance disturbance memory loss fatigue I do no think these are related to the vaccine but would be very interested to know if anyone has experienced any of these same symptoms in relation to the vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — 12 months, dose 3Be 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)
-
2022-12-19
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech | No |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 12 — 6 months, dose 3
Symptoms: Had fourth booster and had flu like symptoms for 3 days. Had a large site reaction. Redness inflammation extreme soreness. It is just now decreasing after having had the shot 6 days ago
Release 12 — 12 months, dose 3
Symptoms: Tremors blurry vision gait and balance disturbance memory loss fatigue I do no think these are related to the vaccine but would be very interested to know if anyone has experienced any of these same symptoms in relation to the vaccine.
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 | Amnesia | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site inflammation | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release