36A-53446-96975
5 vaccinations
11 coded responses
67 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 394 / MS
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-21
Registered in v-safe
-
2021-02-21
Dose 1 — Pfizer-BioNTech
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Injection site tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Ache at injection site is less than yesterday but still slightly noticeable todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-07
-
2021-03-13
Dose 2 — Pfizer-BioNTech
-
2021-03-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
-
2021-04-03
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Slight headache for four consecutive daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
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2021-09-11
Survey response — 6 months, dose 2MedDRA: Fall, Medical observation, Subdural haematoma — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Fell flat on my face and now have a small subdural hematoma · Healthcare visit (other): Overnight outpatient observation by neurosurgeonMedDRA releases: 2024-11 · check-in free text available
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2021-09-11
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)
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2021-09-15
Call successfulDoes not wish to fill out VAERS report
-
2021-11-01
Dose 3 — Pfizer-BioNTech
- 2021-11-01
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Nausea, DiarrheaAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-02-01
- 2022-05-02
-
2022-07-25
Dose 4 — Pfizer-BioNTech
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2022-07-26
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Poor quality sleep — Feeling: Fair · Headache, Fatigue or tirednessFree text: Symptoms are probably due to poor sleep last night and unrelated to receiving injection.MedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: Good dayMedDRA releases: 2024-11 · check-in free text available
- 2022-07-28
- 2022-07-29
- 2022-07-30
- 2022-07-31
- 2022-08-01
- 2022-08-08
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2022-08-15
Survey response — day 21, dose 4MedDRA: Cough, Dry mouth, Musculoskeletal stiffness, Oropharyngeal pain, Paranasal sinus discomfort, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: August 12 - begin severe coughing. Home covid test negative. August 13 - severe non-stop coughing, runny nose, fever, sore throat from coughing, cottonmouth, sinus pressure/congestion, stiff neck muscles. Most symptoms gone by next morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-10-24
-
2023-01-23
Survey response — 6 months, dose 4MedDRA: Bronchitis, Influenza, Mobility decreased — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-23
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
- 2023-01-24
- 2023-01-25
-
2023-01-27
Callback requested for11:00AM ET
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2023-01-27
Call successfulCompleted over the phone
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2023-02-17
Dose 5 — Pfizer-BioNTech
- 2023-02-17
-
2023-02-18
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Abdominal painMedDRA releases: 2024-11
- 2023-02-19
- 2023-02-20
-
2023-02-21
Survey response — days 1–6 daily, dose 5MedDRA: Speech disorder, Throat irritation — Feeling: GoodMedDRA releases: 2024-11
- 2023-02-22
- 2023-02-23
- 2023-02-24
- 2023-03-03
- 2023-03-10
- 2023-03-17
- 2023-03-24
- 2023-03-31
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-21 | Pfizer-BioNTech | |
| 2 | 2021-03-13 | Pfizer-BioNTech | |
| 3 | 2021-11-01 | Pfizer-BioNTech | No |
| 4 | 2022-07-25 | Pfizer-BioNTech | No |
| 5 | 2023-02-17 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site tenderness
Systemic reaction (other): Ache at injection site is less than yesterday but still slightly noticeable today
Release 6 — day 21, dose 2
Symptoms: Slight headache for four consecutive days
Release 9 — 6 months, dose 2
Symptoms: Fell flat on my face and now have a small subdural hematoma
Healthcare visit (other): Overnight outpatient observation by neurosurgeon
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Symptoms are probably due to poor sleep last night and unrelated to receiving injection.
Systemic reaction (other): Good day
Release 12 — day 21, dose 4
Symptoms: August 12 - begin severe coughing. Home covid test negative. August 13 - severe non-stop coughing, runny nose, fever, sore throat from coughing, cottonmouth, sinus pressure/congestion, stiff neck muscles. Most symptoms gone by next morning.
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 | Medical observation | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Subdural haematoma | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dysphonia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Speech disorder | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release