2UM-26247-56817
5 vaccinations
6 coded responses
30 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 494 / MI
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-08
Registered in v-safe
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: Slight metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-12
- 2021-01-13
- 2021-01-22
-
2021-01-27
Dose 2 — Pfizer-BioNTech
-
2021-02-03
Survey response — day 7, dose 2MedDRA: Arthralgia, Neck pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Minor neck and hip achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-17
- 2021-02-24
-
2021-03-03
Survey response — day 35, dose 2MedDRA: Headache, Pain — Feeling: FairFree text: Slight headache and some body pains. Could be stress related as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-11-04
Dose 3 — Pfizer-BioNTech
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Headache, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Runny nose, headache and congestion · Healthcare visit (other): Covid testMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-03
-
2022-02-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-21
Dose 4 — Pfizer-BioNTech
- 2022-04-28
- 2022-05-05
- 2022-05-13
- 2022-05-20
- 2022-06-04
- 2022-07-22
-
2022-09-22
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-11
- 2022-10-13
- 2022-10-21
-
2022-10-27
Survey response — day 35, dose 5MedDRA: Cough, Headache, Respiratory tract congestion, Rhinorrhoea, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Coughing-throat unckear, congestion, runny nose, headaches? · Healthcare visit (other): Called today and appt set for tomorrow @ 4:00pmMedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Report sent to call center — day 35, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-10-28
-
2022-10-31
Callback requested for08:30AM ET
-
2022-10-31
Call successfulDoes not wish to fill out VAERS report
- 2022-11-03
-
2022-12-22
Survey response — 3 months, dose 5MedDRA: Cough, Influenza virus test negative, Office visit, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, 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: Coughing for almost 2 weeks-tested negative at doctor for covid and flu last Thursday. Prescribed prednisone and antibiotics this week.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-23
-
2022-12-27
Callback requested for12:00PM ET
-
2022-12-27
Call successfulDoes not wish to fill out VAERS report
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Slight metallic taste in mouth
Release 3 — day 7, dose 2
Systemic reaction (other): Minor neck and hip aches
Release 5 — day 35, dose 2
Symptoms: Slight headache and some body pains. Could be stress related as well.
Release 11 — 12 months, dose 2
Release 12 — day 35, dose 5
Symptoms: Coughing-throat unckear, congestion, runny nose, headaches?
Healthcare visit (other): Called today and appt set for tomorrow @ 4:00pm
Release 12 — 3 months, dose 5
Symptoms: Coughing for almost 2 weeks-tested negative at doctor for covid and flu last Thursday. Prescribed prednisone and antibiotics this week.
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 | SARS-CoV-2 test | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release