2UR-32055-93120
5 vaccinations
11 coded responses
60 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Pfizer-BioNTech
-
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 · Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: GoodFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Dose 2 — Pfizer-BioNTech
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Pruritus — Feeling: Good · Site: PainFree text: ItchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: Swollen at injection site, possibly hematomaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site nodule — Feeling: Good · Site: Pain, Redness, SwellingFree text: Hard knot at site of incisionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-05
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: GoodFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Survey response — day 42, dose 2MedDRA: Office visit, Pre-existing disease, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itching and skin rash has worsened. Went to dermatologist today and will take a round of prednisone and antihistamines to combat the flare-up. · Healthcare visit (other): Doctor's officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Lichen planus, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dermatologist confirmed that the lichen planus flare-up was due to the vaccinations. · Healthcare visit (other): Doctor's officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Continued problems with auto-immune flare-ups.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-12
Dose 3 — Pfizer-BioNTech
- 2021-11-12
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
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2021-12-24
Survey response — day 42, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Flare-up of auto-immune conditionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
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2022-03-17
Call successfulParticipant prefers to complete VAERS report online
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2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-12
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2022-07-19
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-09-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-13
- 2022-09-14
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-26
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Pfizer-BioNTech | |
| 2 | 2021-02-26 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-13 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 14, dose 1
Symptoms: Itching
Release 4 — day 0, dose 2
Systemic reaction (other): Itchy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen at injection site, possibly hematoma
Systemic reaction (other): Hard knot at site of incision
Systemic reaction (other): Itching
Release 5 — day 7, dose 2
Systemic reaction (other): Itching
Release 7 — day 42, dose 2
Symptoms: Itching and skin rash has worsened. Went to dermatologist today and will take a round of prednisone and antihistamines to combat the flare-up.
Healthcare visit (other): Doctor's office
Release 8 — 3 months, dose 2
Symptoms: Dermatologist confirmed that the lichen planus flare-up was due to the vaccinations.
Healthcare visit (other): Doctor's office
Release 9 — 6 months, dose 2
Symptoms: Continued problems with auto-immune flare-ups.
Release 10 — day 42, dose 3
Symptoms: Flare-up of auto-immune condition
Release 12 — 3 months, dose 4
Symptoms: Covid
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Lichen planus | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release