2QT-21547-04085
5 vaccinations
8 coded responses
38 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Pfizer-BioNTech
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2021-02-07
Registered in v-safe
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
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2021-02-26
Dose 2 — Pfizer-BioNTech
- 2021-02-26
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Fatigue or tirednessFree text: itching all over bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · ChillsAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 28, dose 2MedDRA: Pruritus, Rash pruritic — Feeling: GoodFree text: I continue to have an odd itching from scalp to knees with a few red bumps. The itching is intense, fleeting and migrates constantly. It started 4 hrs after 1st vaccine but persists weeks later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-09
Survey response — day 42, dose 2MedDRA: Immunisation reaction, Pruritus, Rash — Feeling: GoodFree text: intense itching with fine pin point rash on arms, torso, esp back. It began approx 4hrs after 1st shot and is still persisting ! No fever, no change in detergents, foods, etc. to explain. I had covid arm lasting 2-3 wks after vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: onset of significant fatigue that felt like I did after Pfizer vaccine...lasted 36 hrs, unrelated to any recent activity. resolved todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-27
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2021-11-21
Dose 3 — Pfizer-BioNTech
- 2022-02-26
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2022-07-29
Dose 4 — Pfizer-BioNTech
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2022-07-29
Health check-in — day 0, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-07-30
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2022-07-31
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2022-08-01
- 2022-08-02
- 2022-08-03
- 2022-08-04
- 2022-08-05
- 2022-08-12
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2022-08-19
Survey response — day 21, dose 4MedDRA: Arthralgia, Emergency care, Erythema, Joint swelling, Office visit, Pain in extremity, Peripheral swelling, Pre-existing disease — 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 visit, Emergency room or emergency department visitFree text: sudden onset pain, swelling, redness of right wrist, forearm few days after 2nd Pfizer booster.No fever.Seen in urgent care and sent to ER.Blood cultures neg. Felt EXACTLY like covid arm that I had last year.MedDRA releases: 2024-11 · check-in free text available
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2022-08-19
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-22
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2022-08-26
Survey response — day 28, dose 4MedDRA: Arthralgia, Emergency care, Erythema, Oedema peripheral, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I had left deltoid covid ARM with 1st Pfizer vaccine, had significant pain, edema, erythema after 2nd booster in right WRIST. Seen in ER, blood cultures negative x2, antibiotics dc'd. Mds have no explanation, symptoms stopped after 3-4 days.MedDRA releases: 2024-11 · check-in free text available
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2022-08-26
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-08-29
- 2022-08-29
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2022-08-29
Call successfulCompleted over the phone
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2022-08-29
Call successfulCompleted over the phone
- 2022-09-02
- 2022-09-09
- 2022-10-28
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2022-12-20
Dose 5 — Pfizer-BioNTech
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2023-01-29
Survey response — 6 months, dose 4MedDRA: Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-29
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2023-01-30
Call successfulReported to VAERS during previous contact from GDIT
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2023-06-20
Survey response — 6 months, dose 5MedDRA: Electrocardiogram abnormal, Emergency care, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-11-21 | Pfizer-BioNTech | No |
| 4 | 2022-07-29 | Pfizer-BioNTech | No |
| 5 | 2022-12-20 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): itching all over body
Release 6 — day 28, dose 2
Symptoms: I continue to have an odd itching from scalp to knees with a few red bumps. The itching is intense, fleeting and migrates constantly. It started 4 hrs after 1st vaccine but persists weeks later.
Release 7 — day 42, dose 2
Symptoms: intense itching with fine pin point rash on arms, torso, esp back. It began approx 4hrs after 1st shot and is still persisting ! No fever, no change in detergents, foods, etc. to explain. I had covid arm lasting 2-3 wks after vaccine.
Release 8 — 3 months, dose 2
Symptoms: onset of significant fatigue that felt like I did after Pfizer vaccine...lasted 36 hrs, unrelated to any recent activity. resolved today
Release 12 — day 21, dose 4
Symptoms: sudden onset pain, swelling, redness of right wrist, forearm few days after 2nd Pfizer booster.No fever.Seen in urgent care and sent to ER.Blood cultures neg. Felt EXACTLY like covid arm that I had last year.
Release 12 — day 28, dose 4
Symptoms: I had left deltoid covid ARM with 1st Pfizer vaccine, had significant pain, edema, erythema after 2nd booster in right WRIST. Seen in ER, blood cultures negative x2, antibiotics dc'd. Mds have no explanation, symptoms stopped after 3-4 days.
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 | Electrocardiogram abnormal | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | · | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release