36V-15302-83677
3 vaccinations
7 coded responses
30 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 631 / MO
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood, Irritability, Vaccine positive rechallenge — Feeling: GoodFree text: Not sure if this is symptom or just me but I remember having this same irritability for at least one day after 1 st dose. Not feeling as happy as usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — day 7, dose 2MedDRA: Arthralgia, Fatigue — Feeling: Good · Fatigue or tirednessFree text: I also felt this fatigue & achey shoulders yesterday evening but just attributed it to playing with my grandsons on Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue, Pain — Feeling: GoodFree text: Just intermittent days of tiredness & low energy. Some soreness in my right calf; decreasing now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-06-17
Survey response — 3 months, dose 2MedDRA: Fatigue, Joint stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stiffness in left knee. Also seems like more allergy symptoms. Had 2 days of extreme fatigue & just had to rest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-16
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-08
- 2021-10-10
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Head discomfort — Feeling: GoodFree text: A little head pressure but it could be weather related.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2022-01-07
-
2022-04-08
Survey response — 6 months, dose 3MedDRA: Abdominal discomfort, Abdominal pain lower, Fatigue, Flatulence, Myalgia — 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 consultationFree text: Increasing smelly gas; intermittent lower abdominal pain/pressure. 2 episodes of fatigue w muscle aches. Lasting 24-48 hrs. No fever.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-08
Report sent to call center — 6 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 · 1 call case(s)
- 2022-04-12
- 2022-04-14
- 2022-04-15
-
2022-04-15
Callback requested for06:00PM ET
-
2022-04-15
Call successfulParticipant prefers to complete VAERS report online
-
2022-10-08
Survey response — 12 months, dose 3MedDRA: Chills, Headache, Influenza, Medical counselling, Mobility decreased, Nausea, Pain, Pyrexia, Self-medication — 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 consultationFree text: Symptoms: Got COVID updated vaccine on 9/9/22. I seemed ok until after getting the senior flu vaccine on 9/30/22. Six days later I came done w the worst flu symptoms I can ever remember. Aching all over. Could do nothing. Fever chills HA nausea · Healthcare visit (other): Spouse called MD; took TylenolMedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Report sent to call center — 12 months, 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 · 1 call case(s)
- 2022-10-10
-
2022-10-10
Callback requested for06:00PM ET
-
2022-10-11
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if this is symptom or just me but I remember having this same irritability for at least one day after 1 st dose. Not feeling as happy as usual.
Release 6 — day 7, dose 2
Systemic reaction (other): I also felt this fatigue & achey shoulders yesterday evening but just attributed it to playing with my grandsons on Monday.
Release 6 — day 14, dose 2
Symptoms: Just intermittent days of tiredness & low energy. Some soreness in my right calf; decreasing now.
Release 9 — 3 months, dose 2
Symptoms: Stiffness in left knee. Also seems like more allergy symptoms. Had 2 days of extreme fatigue & just had to rest.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): A little head pressure but it could be weather related.
Release 11 — 6 months, dose 3
Symptoms: Increasing smelly gas; intermittent lower abdominal pain/pressure. 2 episodes of fatigue w muscle aches. Lasting 24-48 hrs. No fever.
Release 12 — 12 months, dose 3
Symptoms: Got COVID updated vaccine on 9/9/22. I seemed ok until after getting the senior flu vaccine on 9/30/22. Six days later I came done w the worst flu symptoms I can ever remember. Aching all over. Could do nothing. Fever chills HA nausea
Healthcare visit (other): Spouse called MD; took Tylenol
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 counselling | · | · | ✓ |
| HCVO | Self-medication | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain lower | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Joint stiffness | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release