34X-21116-45924
3 vaccinations
14 coded responses
24 check-ins
14 free-text entries
10 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 344 / FL
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Dose 1 — Pfizer-BioNTech
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2021-03-05
Dose 2 — Pfizer-BioNTech
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2021-03-06
Registered in v-safe
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 2MedDRA: Cerebrovascular accident, Gait disturbance — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have suffered a stroke and can not walkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Survey response — day 21, dose 2MedDRA: Fall, Gait disturbance, Headache, Tinnitus, Unevaluable event, Walking aid user — Feeling: Poor · Be unable to work, 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: Symptoms: Had Brain MRI today to either determine Stroke or Multiple Sclerosis episode ( I have been in remission for 21 years): now I am falling, headaches, severe tinnitus; can only walk with a cane. I am 72 years old and in trouble. The doctor started me on · Healthcare visit (other): MRI Imaging CenterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-02
Survey response — day 28, dose 2MedDRA: Anticoagulant therapy, Cerebral small vessel ischaemic disease, Cerebrovascular accident, Muscle spasms, Peripheral arterial occlusive disease — Feeling: Poor · Be unable to work, 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: The stroke has resulted in tests including a brain MRI, use of blood thinners (Elequis) (which I can't afford) and a statin drug (Crestor) which has resulted in very painful severe cramping and a diagnosis of Small Vessel Disease, and PAD in both legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — day 35, dose 2MedDRA: Blood glucose abnormal, Cerebrovascular accident, Headache, Physiotherapy, Tinnitus — Feeling: Poor · Be unable to work, 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: Continued stroke complications; will need physical therapy for the left side of my body starting next week; headaches worse; tinnitus worse. Started Actos in addition to Insulin to get glucose under control.MedDRA 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 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Survey response — day 42, dose 2MedDRA: Head discomfort, Physiotherapy, Tinnitus — Feeling: Poor · Be unable to work, 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: Symptoms: Pressure in my head and ringing in my ears has become worse. I have been unable to afford the new stroke medication. · Healthcare visit (other): Physical therapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-04
Survey response — 3 months, dose 2MedDRA: Cerebrovascular accident, Unevaluable event — Feeling: Poor · 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: Symptoms: 2nd stroke; this time on my right side · Healthcare visit (other): MRI and CAT scanMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
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2021-09-03
Survey response — 6 months, dose 2MedDRA: Ischaemic stroke — Feeling: Fair · 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: Recovering from second ischemic strokeMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-03
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
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2021-09-28
Dose 3 — Pfizer-BioNTech
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pulse is higher than normalMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-05
Health check-in — day 7, dose 3Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-12
- 2021-10-20
- 2021-10-26
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2021-11-02
Survey response — day 35, dose 3MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: CoughMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-03
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2021-11-09
Survey response — day 42, dose 3MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continuos coughingMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulCompleted over the phone
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2021-11-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-28
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2022-09-28
Survey response — 12 months, dose 3MedDRA: Anxiety — Feeling: Fair · 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 visitFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
Call center
10 call center cases
9 successful · 1 unsuccessful
VAERS report filed, before or during a call: 7
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing
Release 6 — day 14, dose 2
Symptoms: I have suffered a stroke and can not walk
Release 6 — day 21, dose 2
Symptoms: Had Brain MRI today to either determine Stroke or Multiple Sclerosis episode ( I have been in remission for 21 years): now I am falling, headaches, severe tinnitus; can only walk with a cane. I am 72 years old and in trouble. The doctor started me on cut off by CDC
Healthcare visit (other): MRI Imaging Center
Release 6 — day 28, dose 2
Symptoms: The stroke has resulted in tests including a brain MRI, use of blood thinners (Elequis) (which I can't afford) and a statin drug (Crestor) which has resulted in very painful severe cramping and a diagnosis of Small Vessel Disease, and PAD in both leg cut off by CDC
Release 7 — day 35, dose 2
Symptoms: Continued stroke complications; will need physical therapy for the left side of my body starting next week; headaches worse; tinnitus worse. Started Actos in addition to Insulin to get glucose under control.
Release 7 — day 42, dose 2
Symptoms: Pressure in my head and ringing in my ears has become worse. I have been unable to afford the new stroke medication.
Healthcare visit (other): Physical therapy
Release 8 — 3 months, dose 2
Symptoms: 2nd stroke; this time on my right side
Healthcare visit (other): MRI and CAT scan
Release 9 — 6 months, dose 2
Symptoms: Recovering from second ischemic stroke
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Pulse is higher than normal
Release 10 — day 35, dose 3
Symptoms: Cough
Release 10 — day 42, dose 3
Symptoms: Continuos coughing
Release 12 — 12 months, dose 3
Symptoms: Anxiety
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 | Physiotherapy | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Anticoagulant therapy | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SD | Cerebral small vessel ischaemic disease | ✓ | ✓ | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Ischaemic stroke | ✓ | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Peripheral arterial occlusive disease | ✓ | ✓ | ✓ |
| SD | Physiotherapy | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Walking aid user | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release