34X-67766-10128
5 vaccinations
11 coded responses
65 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 088 / NJ
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-04-02
Registered in v-safe
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
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2021-04-18
Dose 2 — Pfizer-BioNTech
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2021-04-18
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: About 2 1/2 hours after shot- I feel fineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Existing back ache is exasperated. Otherwise felt pretty normal until about 1:30 pm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain underneath my right armpit - shot was in right arm lymph nodes maybe?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Slight tenderness and pain under right armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-31
- 2021-07-18
- 2021-10-18
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2021-10-19
Dose 3 — Pfizer-BioNTech
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2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal discomfort — Feeling: Good · Site: PainFree text: So far left shoulder neck discomfortMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-22
- 2021-10-23
- 2021-10-24
-
2021-10-26
Health check-in — day 7, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-02
Survey response — day 14, dose 3MedDRA: Dry skin, Rash — Feeling: GoodFree text: Rash under arms. And small dry patches on legs and arms. Don't know if it's still there because of vaccine. I will check with my dermatologist if it persists another few days. Otherwise I'm GOOD! Thanks for the vaccine!!!!!MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
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2022-01-18
Survey response — 3 months, dose 3MedDRA: Dry skin, Office visit, Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A rash under arms, arms, legs. Very sporadic. Dry patches. Sometimes itchy. Seeing dermatologist. Gave topical med. It works. Then a patch will appear on another area. · Healthcare visit (other): Regular dermatologist office visitMedDRA releases: 2024-11 · check-in free text available
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2022-01-18
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-20
-
2022-01-25
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-19
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2022-04-21
Dose 4 — Pfizer-BioNTech
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2022-04-21
Survey response — day 0, dose 4MedDRA: Office visit — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: DermatologistMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Report sent to call center — day 0, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-22
- 2022-04-22
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Tenderness in left armpit - shot was in left deltoidMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Rash, Rash erythematous — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash redness on inner right knee has startedMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Health check-in — day 7, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
- 2022-10-20
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2022-11-23
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-23
-
2022-11-24
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-25
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2022-11-26
Survey response — days 1–6 daily, dose 5MedDRA: Pruritus — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection siteFree text: Just underarm itchiness. I have a topical ointmentMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-11-28
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2022-11-29
Health check-in — days 1–6 daily, dose 5Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2022-12-28
- 2023-01-04
- 2023-02-22
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-18 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
| 5 | 2022-11-23 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
1 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): About 2 1/2 hours after shot- I feel fine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Existing back ache is exasperated. Otherwise felt pretty normal until about 1:30 pm.
Systemic reaction (other): Pain underneath my right armpit - shot was in right arm lymph nodes maybe?
Systemic reaction (other): Slight tenderness and pain under right armpit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): So far left shoulder neck discomfort
Release 10 — day 14, dose 3
Symptoms: Rash under arms. And small dry patches on legs and arms. Don't know if it's still there because of vaccine. I will check with my dermatologist if it persists another few days. Otherwise I'm GOOD! Thanks for the vaccine!!!!!
Release 10 — 3 months, dose 3
Symptoms: A rash under arms, arms, legs. Very sporadic. Dry patches. Sometimes itchy. Seeing dermatologist. Gave topical med. It works. Then a patch will appear on another area.
Healthcare visit (other): Regular dermatologist office visit
Release 11 — day 0, dose 4
Healthcare visit (other): Dermatologist
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Tenderness in left armpit - shot was in left deltoid
Systemic reaction (other): Rash redness on inner right knee has started
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Just underarm itchiness. I have a topical ointment
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 | Dry skin | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release