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393-19620-46441

4 vaccinations 16 coded responses 31 check-ins 16 free-text entries 7 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
949 / CA
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-19
    Registered in v-safe
  2. 2021-02-19
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-19
    Health check-in — day 0, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  4. 2021-02-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Peripheral swelling, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swelling in my hands, increase in SOB (I have COPD).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  6. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-02-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-03-05
    Survey response — day 14, dose 1
    MedDRA: Diarrhoea, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Couple days of severe diarrhea, increased reactivity to airborne allergens (common now, things are starting to bloom)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-12
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair
    Free text: Increased shortness of breath and heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-17
    Dose 2 — Pfizer-BioNTech
  14. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea, Fatigue, Self-medication — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: It wont let me report on the day after my injection, but on that day I had severe fatigue and shortness of breath, bad enough I needed to use an inhaler and take 50 mg of benedryl. That was better yesterday, worse again today, though not as bad as on 3/18/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness
    Free text: Shortness of breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  18. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Having a migraine that is resistant to medication.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  20. 2021-03-31
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-04-08
    Survey response — day 21, dose 2
    MedDRA: Cough, Fatigue, Loss of personal independence in daily activities, Lung disorder, Productive cough — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Extreme fatigue correlated with the use of fluorouracil cream on my face for potential skin cancer. Several biopsies taken. My lungs have also been bad, with a lot of phlegm and coughing. No tolerance for activities.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-08
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-04-15
    Survey response — day 28, dose 2
    MedDRA: Cough, Dyspnoea, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Cellulitis following a biopsy for skin cancer, increased coughing and shortness of breath due to spring allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-15
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-04-28
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I have been using Efudex cream, and my fatigue levels have been very high, as they have been in the past when I used it,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-16
    Survey response — 3 months, dose 2
    MedDRA: Cancer surgery, Fatigue, Squamous cell carcinoma of skin — 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 consultation, Outpatient clinic or urgent care clinic visit
    Free text: Extreme fatigue. Had squamous cell skin cancer removed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-06-16
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-06-18
  30. 2021-06-24
  31. 2021-06-29
  32. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea, Migraine — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: I have had one month of chronic diarrhea, that also had migraine headaches when it started.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-09-15
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  34. 2021-09-17
  35. 2021-11-22
    Dose 3 — Pfizer-BioNTech
  36. 2022-03-17
    Survey response — 12 months, dose 2
    MedDRA: Tremor — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tremors in my hands
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-04-12
    Dose 4 — Moderna
  38. 2022-04-21
    Survey response — day 7, dose 4
    MedDRA: Vertigo — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Vertigo
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-04-26
    Survey response — day 14, dose 4
    MedDRA: Ataxia, Hemiparesis, Nausea, Neurological symptom, Vertigo, Vestibular migraine — 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 consultation, Emergency room or emergency department visit
    Free text: I had an episode that my doctor suspected was a stroke or TIA. I had vertigo, ataxia, one sided weakness, and nausea. After imaging and other tests, they now believe it was new symptoms of vestibular migraine. This is being pursued further.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-26
    Report sent to call center — day 14, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  41. 2022-04-27
  42. 2022-04-28
    Call successful
    Participant prefers to complete VAERS report online
  43. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-17
    Health check-in — day 35, dose 4
    Feeling: Poor
    Adult check-in
  45. 2022-05-24
    Survey response — day 42, dose 4
    MedDRA: Migraine, Neurological symptom, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I have had increasing frequency and severity of neurological and pain symptoms associated with migraines.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-05-24
    Report sent to call center — day 42, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  47. 2022-05-25
    Call successful
    Participant prefers to complete VAERS report online
  48. 2022-07-15
    Survey response — 3 months, dose 4
    MedDRA: Hemiplegic migraine — Feeling: Poor · 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 consultation
    Free text: Hemiplegic migraine
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-07-15
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  50. 2022-07-18
  51. 2022-07-20
  52. 2022-07-20
  53. 2023-04-12
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Pfizer-BioNTech
22021-03-17Pfizer-BioNTech
32021-11-22Pfizer-BioNTech No
42022-04-12Moderna No

Call center

7 call center cases

6 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-20

Systemic reaction (other): Swelling in my hands, increase in SOB (I have COPD).

Release 5 — day 14, dose 1

2021-03-05

Symptoms: Couple days of severe diarrhea, increased reactivity to airborne allergens (common now, things are starting to bloom)

Release 5 — day 21, dose 1

2021-03-12

Symptoms: Increased shortness of breath and heart rate

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): It wont let me report on the day after my injection, but on that day I had severe fatigue and shortness of breath, bad enough I needed to use an inhaler and take 50 mg of benedryl. That was better yesterday, worse again today, though not as bad as on 3/18/21.

2021-03-21

Systemic reaction (other): Shortness of breathing

2021-03-23

Systemic reaction (other): Having a migraine that is resistant to medication.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: Extreme fatigue correlated with the use of fluorouracil cream on my face for potential skin cancer. Several biopsies taken. My lungs have also been bad, with a lot of phlegm and coughing. No tolerance for activities.

Release 7 — day 28, dose 2

2021-04-15

Symptoms: Cellulitis following a biopsy for skin cancer, increased coughing and shortness of breath due to spring allergies

Release 8 — day 42, dose 2

2021-04-28

Symptoms: I have been using Efudex cream, and my fatigue levels have been very high, as they have been in the past when I used it,

Release 9 — 3 months, dose 2

2021-06-16

Symptoms: Extreme fatigue. Had squamous cell skin cancer removed.

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: I have had one month of chronic diarrhea, that also had migraine headaches when it started.

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Tremors in my hands

Release 11 — day 7, dose 4

2022-04-21

Systemic reaction (other): Vertigo

Release 11 — day 14, dose 4

2022-04-26

Symptoms: I had an episode that my doctor suspected was a stroke or TIA. I had vertigo, ataxia, one sided weakness, and nausea. After imaging and other tests, they now believe it was new symptoms of vestibular migraine. This is being pursued further.

Release 11 — day 42, dose 4

2022-05-24

Symptoms: I have had increasing frequency and severity of neurological and pain symptoms associated with migraines.

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: Hemiplegic migraine

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

FieldPreferred term2021-092023-042024-11
SDAtaxia · · ✓
SDCancer surgery ✓ · ✓
SDCough ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDHemiparesis · · ✓
SDHemiplegic migraine · · ✓
SDHypersensitivity ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDLung disorder ✓ ✓ ✓
SDMigraine · · ✓
SDNausea · · ✓
SDNeurological symptom · · ✓
SDPain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDProductive cough ✓ ✓ ✓
SDSquamous cell carcinoma of skin ○ ✓ ○
SDTremor · · ✓
SDVertigo · · ✓
SDVestibular migraine · · ✓
SROCondition aggravated ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROVertigo · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release