2Y5-13139-64940
4 vaccinations
7 coded responses
30 check-ins
7 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 681 / NE
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Pfizer-BioNTech
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2021-02-17
Health check-in — day 0, dose 1Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Muscle or body aches, NauseaFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-24
- 2021-03-05
-
2021-03-10
Dose 2 — Pfizer-BioNTech
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose abnormal — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: My blood sugar is out of rangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-24
- 2021-04-01
- 2021-04-07
-
2021-04-14
Survey response — day 35, dose 2MedDRA: Blood glucose abnormal, Feeling abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I did not realize how badly I was feeling this past month until yesterday when everything felt so much clearer. My blood sugars have been out of line no matter what I ate. and are now getting back to normal. Is it all coincidence! I dont knowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-21
-
2021-08-31
Dose 3 — Pfizer-BioNTech
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Failure to thrive, Hospitalisation, Pneumonia bacterial — 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 · Emergency room or emergency department visit, HospitalizationFree text: Hospital for bacterial pneumonia and again for failure to thriveMedDRA releases: 2024-11 · check-in free text available
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2021-09-09
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)
- 2021-09-10
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2021-09-10
Call successfulCompleted over the phone
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2022-03-10
Survey response — 12 months, dose 2MedDRA: Bacterial infection, Hospitalisation, Rotavirus 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 · Emergency room or emergency department visit, HospitalizationFree text: Hospitalized with Rotavirus and a bacterial infectionMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 12 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-03-11
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-04-08
Dose 4 — Pfizer-BioNTech
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2022-04-22
Survey response — day 14, dose 4MedDRA: Clostridium difficile infection, Hospitalisation, Sepsis, Urinary tract infection — 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 · Emergency room or emergency department visit, HospitalizationFree text: Hospitalized for UTI and sepsis and cdifMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — day 14, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-26
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2022-04-27
Call successfulNot applicable - Accidental Reporting
- 2022-05-01
- 2022-05-06
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2022-05-13
Survey response — day 35, dose 4MedDRA: Bronchitis, COVID-19, Hospitalisation, Office visit, Pre-existing disease — 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 · HospitalizationFree text: Symptoms: Came down with Covid had to be hospitalized as I had to have the IV medication due to my sever kidney disease and transplant the Covid virus was not Dr until may 10 after multiple test even though I saw the dr on May 5 and givens og bronchitus · Healthcare visit (other): Personal physicianMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-16
- 2022-05-16
- 2022-05-16
- 2022-05-16
- 2022-05-16
-
2022-05-17
Callback requested for06:00PM ET
-
2022-05-17
Callback requested for06:00PM ET
- 2022-05-17
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2022-05-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-18
- 2022-05-18
- 2022-05-18
- 2022-07-11
- 2022-10-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-08-31 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 3
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My blood sugar is out of range
Release 7 — day 35, dose 2
Symptoms: I did not realize how badly I was feeling this past month until yesterday when everything felt so much clearer. My blood sugars have been out of line no matter what I ate. and are now getting back to normal. Is it all coincidence! I dont know
Release 9 — 6 months, dose 2
Symptoms: Hospital for bacterial pneumonia and again for failure to thrive
Release 11 — 12 months, dose 2
Symptoms: Hospitalized with Rotavirus and a bacterial infection
Release 11 — day 14, dose 4
Symptoms: Hospitalized for UTI and sepsis and cdif
Release 11 — day 35, dose 4
Symptoms: Came down with Covid had to be hospitalized as I had to have the IV medication due to my sever kidney disease and transplant the Covid virus was not Dr until may 10 after multiple test even though I saw the dr on May 5 and givens og bronchitus
Healthcare visit (other): Personal physician
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 | Bacterial infection | · | · | ✓ |
| SD | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Clostridium difficile infection | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Failure to thrive | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pneumonia bacterial | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rotavirus infection | · | · | ✓ |
| SD | Sepsis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release