372-17750-85587
3 vaccinations
6 coded responses
32 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Pfizer-BioNTech
-
2021-03-14
Registered in v-safe
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Pfizer-BioNTech
-
2021-04-02
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal sensation in eye, Immediate post-injection reaction, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: On the first day of the 1st & 2nd shot, for about 5 seconds it felt like someone held my eyes open. It only occurred once on each day for a short amount of time. It occurred within 30 minutes of getting the shot. After it happened twice, I thought I should mention it!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
-
2021-07-06
Survey response — 3 months, dose 2MedDRA: Blister, Office visit, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Rash & blisters under both arms. Actually started in March & got worse in April. I thought it was eczema but recently went to a dermatologist for specific testing. The rash & blisters are similar to vaccine side effects in my opinion. · Healthcare visit (other): Dermatologist office visit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-06
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-09
- 2021-07-13
-
2021-07-14
Call successfulCompleted over the phone
-
2021-09-11
Dose 3 — Pfizer-BioNTech
-
2021-09-15
Survey response — days 1–6 daily, dose 3MedDRA: Urinary tract disorder — Feeling: Fair · Site: PainFree text: Urinary issuesMedDRA releases: 2024-11 · check-in free text available
-
2021-09-16
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Office visit, Urinary tract infection — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Diarrhea caused urinary track infection. · Healthcare visit (other): General practitioner visitMedDRA releases: 2024-11 · check-in free text available
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2021-09-16
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-17
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea, Office visit, Urinary tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Diarrhea caused urinary track infection. I visited the doctor & was prescribed antibiotics. · Healthcare visit (other): Doctor officeMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-17
- 2021-09-18
-
2021-09-20
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-10-18
- 2021-10-24
- 2021-12-11
- 2022-03-12
- 2022-09-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-02 | Pfizer-BioNTech | |
| 3 | 2021-09-11 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): No
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): On the first day of the 1st & 2nd shot, for about 5 seconds it felt like someone held my eyes open. It only occurred once on each day for a short amount of time. It occurred within 30 minutes of getting the shot. After it happened twice, I thought I should mention it!
Release 9 — 3 months, dose 2
Symptoms: Rash & blisters under both arms. Actually started in March & got worse in April. I thought it was eczema but recently went to a dermatologist for specific testing. The rash & blisters are similar to vaccine side effects in my opinion.
Healthcare visit (other): Dermatologist office visit.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Urinary issues
Systemic reaction (other): Diarrhea caused urinary track infection.
Healthcare visit (other): General practitioner visit
Systemic reaction (other): Diarrhea caused urinary track infection. I visited the doctor & was prescribed antibiotics.
Healthcare visit (other): Doctor office
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 | Blister | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Abnormal sensation in eye | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Urinary tract disorder | · | · | ✓ |
| SRO | Urinary tract infection | · | · | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release