36V-29516-41654
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 837 / ID
- Registered
- 2020-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-16
Registered in v-safe
-
2020-12-16
Dose 1 — Pfizer-BioNTech
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2020-12-16
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Mild arm sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-17
Survey response — days 1–6 daily, dose 1MedDRA: Mobility decreased, Musculoskeletal stiffness, Paraesthesia — Feeling: Good · Site: PainFree text: Stiffness, paresthesias in dorsal hand of same arm as injection. Difficulty making a fist on day 1, improved to very minimal todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-21
- 2020-12-22
- 2020-12-25
- 2021-01-01
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2021-01-05
Dose 2 — Pfizer-BioNTech
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2021-01-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-06
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities2 call case(s)
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2021-01-07
Survey response — days 1–6 daily, dose 2MedDRA: Pain in jaw, Toothache — Feeling: Fair · Muscle or body achesFree text: Strange jaw pain/teeth painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-20
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2021-01-28
Survey response — day 21, dose 2MedDRA: Abdominal pain, Diarrhoea, Gastrointestinal infection, Gastrointestinal viral infection, Vomiting — Feeling: Good · Be unable to workFree text: Caught a bad GI bug from my kids in daycare. Vomiting/diarrhea/abdominal cramps for 1-2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-18
- 2021-04-11
- 2021-07-08
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2021-09-30
Dose 3 — Pfizer-BioNTech
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-07
- 2021-10-21
- 2021-11-11
- 2022-01-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-06 | priority 2/3 | |
| 2021-01-06 | priority 2/3 |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Mild arm soreness
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Stiffness, paresthesias in dorsal hand of same arm as injection. Difficulty making a fist on day 1, improved to very minimal today
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Strange jaw pain/teeth pain
Release 2 — day 21, dose 2
Symptoms: Caught a bad GI bug from my kids in daycare. Vomiting/diarrhea/abdominal cramps for 1-2 days.
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 |
|---|---|---|---|---|
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal infection | ○ | ✓ | ○ |
| SD | Gastrointestinal viral infection | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release