2QG-11808-30997
5 vaccinations
6 coded responses
34 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 240 / VA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Pfizer-BioNTech
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 2 — Pfizer-BioNTech
-
2021-02-17
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: GoodFree text: A little dizziness, was gone within an hour after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-02-26
- 2021-03-03
-
2021-03-11
Survey response — day 21, dose 2MedDRA: Immobilisation bandage, Medical counselling, Neurological symptom, Pre-existing disease, Rotator cuff syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: I think unrelated to the shot. I broke my shoulder a couple of weeks ago. Had symptoms of a stroke on Monday morning- doctors said it was nerve impingement due to the sling, Going for tests as soon as scheduled.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe coldMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-08-30
- 2021-08-31
-
2021-09-16
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-29
-
2021-12-16
Survey response — 3 months, dose 3MedDRA: Nerve compression, Spondylitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pinched nerve, arthritis of neckMedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-12-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-30
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-20
- 2022-04-27
- 2022-05-06
- 2022-05-11
- 2022-06-29
-
2022-09-15
Dose 5 — Pfizer-BioNTech
-
2022-09-23
Survey response — day 7, dose 5MedDRA: Adverse reaction, Chills, Cough, Exposure to SARS-CoV-2, Feeling abnormal, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Some of this ma be allergies · Healthcare visit (other): PCR test last week, about 5 days after booster. I had been exposed to 3 people who tested positive for Covid, and I felt awful w a slight temp, chills, headache, coughing, sore throat, etc. PCR test was negative, so it may have been a combination .MedDRA releases: 2024-11 · check-in free text available
-
2022-09-23
Report sent to call center — day 7, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-26
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
-
2022-12-15
Survey response — 3 months, dose 5MedDRA: COVID-19, Influenza like illness — Feeling: Fair · 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: Covid, feels like I have the fluMedDRA releases: 2024-11 · check-in free text available
-
2022-12-15
Report sent to call center — 3 months, dose 5Be 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)
-
2022-12-16
Call successfulParticipant prefers to complete VAERS report online
-
2022-12-16
Call successfulParticipant prefers to complete VAERS report online
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-17 | Pfizer-BioNTech | |
| 3 | 2021-09-16 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Pfizer-BioNTech | No |
| 5 | 2022-09-15 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): A little dizziness, was gone within an hour after the shot
Release 5 — day 21, dose 2
Symptoms: I think unrelated to the shot. I broke my shoulder a couple of weeks ago. Had symptoms of a stroke on Monday morning- doctors said it was nerve impingement due to the sling, Going for tests as soon as scheduled.
Release 9 — 6 months, dose 2
Symptoms: Severe cold
Release 10 — 3 months, dose 3
Symptoms: Pinched nerve, arthritis of neck
Release 12 — day 7, dose 5
Systemic reaction (other): Some of this ma be allergies
Healthcare visit (other): PCR test last week, about 5 days after booster. I had been exposed to 3 people who tested positive for Covid, and I felt awful w a slight temp, chills, headache, coughing, sore throat, etc. PCR test was negative, so it may have been a combination . cut off by CDC
Release 12 — 3 months, dose 5
Symptoms: Covid, feels like I have the flu
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 | Chills | · | · | ✓ |
| HCVO | Cough | · | · | ✓ |
| HCVO | Exposure to SARS-CoV-2 | · | · | ✓ |
| HCVO | Feeling abnormal | · | · | ✓ |
| HCVO | Headache | · | · | ✓ |
| HCVO | Oropharyngeal pain | · | · | ✓ |
| HCVO | Pyrexia | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Immobilisation bandage | ✓ | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nerve compression | · | · | ✓ |
| SD | Neurological symptom | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rotator cuff syndrome | ✓ | ✓ | ✓ |
| SD | Spondylitis | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release