2W5-28146-40106
4 vaccinations
7 coded responses
30 check-ins
7 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 306 / GA
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
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2020-12-22
Dose 1 — Pfizer-BioNTech
- 2020-12-22
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-07
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2021-01-12
Dose 2 — Pfizer-BioNTech
- 2021-01-12
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2021-01-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-01-15
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2021-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-04-13
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2021-07-13
Survey response — 6 months, dose 2MedDRA: COVID-19, Chills, Cough, Headache, Medical counselling, Pain, Respiratory tract congestion, SARS-CoV-2 test, Urinary tract infection — 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 · Telehealth, virtual health, or email health consultationFree text: Symptoms: I was diagnosed COVID positive on Thursday 7/8/21 despite my two Pfizer vaccines back on 12/22/20 and second dose 1/12/21 4 days shy of my 6 mths Ann of my second vaccine injection. I had dry cough, chills, aches pains headache and congestion now UTI · Healthcare visit (other): Also drive up COVID nasal 2 hr test results by my employee HC nurse at my Hosp (b)(6) where Im an RNMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Report sent to call center — 6 months, dose 2Be 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)
- 2021-07-19
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2021-09-15
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-08
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2021-10-13
Survey response — day 28, dose 3MedDRA: Breakthrough COVID-19, Concussion, Fall, Fatigue, Foot fracture, Hand fracture, Loss of consciousness, Office visit, Physiotherapy, Post-acute COVID-19 syndrome, Vitamin B12 decreased — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Long haul COVID from break thru Delta COVID I July. I'm seeing a total of 6 doctors. My symptoms are many including a COVID black out fall that left me w a concussion, broken L foot & R hand and now that I continue in PT therapy. Exhaustion, fatigue. · Healthcare visit (other): Specialist hand and foot surgeon and now a neurologist who has found my Vit B12 has had a major neuro not dietary crash. I'm on daily Vit B12 injectionsMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-15
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2021-10-20
Survey response — day 35, dose 3MedDRA: Breakthrough COVID-19, Fall, Joint injury, Loss of consciousness — Feeling: Fair · 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: Had to have appt w hand surgeon for MRI to see if I need surgery on R wrist from my COVID black out and fall from my post COVID break thru long haul infection.MedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Report sent to call center — day 35, dose 3Be 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)
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2021-10-20
Call successfulCompleted over the phone
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2022-03-16
Survey response — 6 months, dose 3MedDRA: Adjustment disorder with depressed mood, Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend schoolFree text: I had to have R wrist surgery from my COVID black out and fall last July that wouldn't heal without surgery. I'm more tired. My eyesight and memory - neuro problems are worse along with depression over my illness my Dr calls situational depression.MedDRA releases: 2024-11 · check-in free text available
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2022-03-22
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — day 21, dose 4MedDRA: Aphasia, Balance disorder, Brain fog, Concussion, Fall, Fatigue, Foot fracture, Memory impairment, Office visit, Pain, Visual impairment, Wrist fracture, Wrist surgery — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: Symptoms: Worse fatigue and foggy brain short term memory issues word find pain balance and vision issues, a fall with additional fracture-broken L wrist. My 1st fall left me with Concussion, L foot fracture R wrist fracture 7/18/21 1st fall surgery on R wrist · Healthcare visit (other): I see 6 Drs 3 neuro specialties GP 2 Ortho 1 hand surgeon 1 foot fractureMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Report sent to call center — day 21, dose 4Be 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 · Emergency room or emergency department visit · 1 call case(s)
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2022-04-19
Survey response — day 28, dose 4MedDRA: Amnesia, Asthenia, Fall, Fatigue — Feeling: Fair · 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: Worse fatigue short term memory loss, fall weaknessMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — day 28, dose 4Be 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)
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2022-04-19
Call successfulCompleted over the phone
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2022-04-21
Call successfulReported to VAERS during previous contact from GDIT
- 2022-05-05
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2022-06-21
Survey response — 3 months, dose 4MedDRA: Hypoaesthesia, Immunisation reaction, Skin discolouration — Feeling: Fair · Be unable to do your normal daily activitiesFree text: R index finger went numb eating breakfast Sun. Looked down & whole finger turning dk purple. As a nurse after finding no explanation, I assessed it as COVID purple toe finger. More commonly seen in toes but also in fingers. 2 other fingers discoloredMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-12 | Pfizer-BioNTech | |
| 3 | 2021-09-15 | Pfizer-BioNTech | No |
| 4 | 2022-03-22 | Pfizer-BioNTech | No |
Call center
6 call center cases
5 successful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 5
Free text
Release 9 — 6 months, dose 2
Symptoms: I was diagnosed COVID positive on Thursday 7/8/21 despite my two Pfizer vaccines back on 12/22/20 and second dose 1/12/21 4 days shy of my 6 mths Ann of my second vaccine injection. I had dry cough, chills, aches pains headache and congestion now UTI cut off by CDC
Healthcare visit (other): Also drive up COVID nasal 2 hr test results by my employee HC nurse at my Hosp (b)(6) where Im an RN
redacted (b)(6)
Release 10 — day 28, dose 3
Symptoms: Long haul COVID from break thru Delta COVID I July. I'm seeing a total of 6 doctors. My symptoms are many including a COVID black out fall that left me w a concussion, broken L foot & R hand and now that I continue in PT therapy. Exhaustion, fatigue. cut off by CDC
Healthcare visit (other): Specialist hand and foot surgeon and now a neurologist who has found my Vit B12 has had a major neuro not dietary crash. I'm on daily Vit B12 injections
Release 10 — day 35, dose 3
Symptoms: Had to have appt w hand surgeon for MRI to see if I need surgery on R wrist from my COVID black out and fall from my post COVID break thru long haul infection.
Release 11 — 6 months, dose 3
Symptoms: I had to have R wrist surgery from my COVID black out and fall last July that wouldn't heal without surgery. I'm more tired. My eyesight and memory - neuro problems are worse along with depression over my illness my Dr calls situational depression. cut off by CDC
Release 11 — day 21, dose 4
Symptoms: Worse fatigue and foggy brain short term memory issues word find pain balance and vision issues, a fall with additional fracture-broken L wrist. My 1st fall left me with Concussion, L foot fracture R wrist fracture 7/18/21 1st fall surgery on R wrist cut off by CDC
Healthcare visit (other): I see 6 Drs 3 neuro specialties GP 2 Ortho 1 hand surgeon 1 foot fracture
Release 11 — day 28, dose 4
Symptoms: Worse fatigue short term memory loss, fall weakness
Release 12 — 3 months, dose 4
Symptoms: R index finger went numb eating breakfast Sun. Looked down & whole finger turning dk purple. As a nurse after finding no explanation, I assessed it as COVID purple toe finger. More commonly seen in toes but also in fingers. 2 other fingers discolored cut off by CDC
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 | Foot fracture | · | · | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | Vitamin B12 decreased | · | · | ✓ |
| SD | Adjustment disorder with depressed mood | · | · | ✓ |
| SD | Amnesia | · | · | ✓ |
| SD | Aphasia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Breakthrough COVID-19 | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Concussion | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Foot fracture | · | · | ✓ |
| SD | Hand fracture | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ○ | ○ | ○ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SD | Wrist fracture | · | · | ✓ |
| SD | Wrist surgery | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release