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2RN-33107-58411

4 vaccinations 9 coded responses 18 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
741 / OK
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Seasonal allergy — Feeling: Fair
    Free text: My allergies (hay fever) are way worse than usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease, Seasonal allergy — Feeling: Fair · Fatigue or tiredness
    Free text: Extreme allergies hay fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Seasonal allergy — Feeling: Good
    Free text: Just hay fever worse than normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-26
    Dose 2 — Pfizer-BioNTech
  11. 2021-04-10
    Survey response — day 14, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Just a breast biopsy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-18
    Survey response — day 21, dose 2
    MedDRA: Hypersensitivity, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sinus and allergies are worst theyve ever beenAnd have to have a breast lumpectomy in a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-23
    Survey response — day 28, dose 2
    MedDRA: Breast mass, Hypersensitivity, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Breast lump. Terrible allergies · Healthcare visit (other): Visit with PCP and surgeon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-23
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-24
    Survey response — 6 months, dose 2
    MedDRA: Infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with a break through infection via PCR test on August 14
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-09-24
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  19. 2021-09-27
    Call successful
    Does not wish to fill out VAERS report
  20. 2021-12-07
    Dose 3 — Moderna
  21. 2022-03-26
    Survey response — 12 months, dose 2
    MedDRA: Anosmia, Disturbance in attention — Feeling: Good
    Free text: Still no sense of smell. Still have focus issues
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-05-06
    Dose 4 — Moderna
  23. 2022-05-20
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-06-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-06-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-06-17
    Survey response — day 42, dose 4
    MedDRA: Hypersensitivity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Allergies are terrible worse than ever
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Pfizer-BioNTech
22021-03-26Pfizer-BioNTech
32021-12-07Moderna No
42022-05-06Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): My allergies (hay fever) are way worse than usual

2021-03-09

Systemic reaction (other): Extreme allergies hay fever

2021-03-11

Systemic reaction (other): Just hay fever worse than normal

Release 7 — day 14, dose 2

2021-04-10

Symptoms: Just a breast biopsy

Release 7 — day 21, dose 2

2021-04-18

Symptoms: Sinus and allergies are worst theyve ever beenAnd have to have a breast lumpectomy in a week

Release 7 — day 28, dose 2

2021-04-23

Symptoms: Breast lump. Terrible allergies
Healthcare visit (other): Visit with PCP and surgeon

Release 9 — 6 months, dose 2

2021-09-24

Symptoms: Diagnosed with a break through infection via PCR test on August 14

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Still no sense of smell. Still have focus issues

Release 12 — day 42, dose 4

2022-06-17

Symptoms: Allergies are terrible worse than ever

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAnosmia · · ✓
SDBreast mass ✓ ✓ ✓
SDDisturbance in attention · · ✓
SDHypersensitivity ✓ ✓ ✓
SDInfection · · ✓
SDPre-existing disease ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSeasonal allergy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release