39J-53870-65455
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-19
Registered in v-safe
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2021-03-19
Dose 1 — Pfizer-BioNTech
- 2021-03-19
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-27
- 2021-04-02
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2021-04-09
Dose 2 — Pfizer-BioNTech
- 2021-04-09
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Facial & body itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Nausea, Abdominal painAdult check-in
- 2021-04-13
- 2021-04-14
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
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2021-04-16
Survey response — day 7, dose 2MedDRA: Rash pruritic — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Along with the itching there is mosquitoe like bumps on stomach, back, thigh, left arm that comes and goes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Abdominal pain upper, Dyspepsia, Flushing, Pruritus — Feeling: GoodFree text: Increase in stomach pain/feeling upset/indigestion. Face feeling flush & itchy, as well as body and itchy scalp.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
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2021-05-21
Survey response — day 42, dose 2MedDRA: Muscle spasms, Myalgia, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left arm pain, causing increase muscle spasms/painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-10
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Dyspnoea exertional, Exercise tolerance decreased, Fatigue, Hyperhidrosis, Muscle spasms, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Waking upFeeling fatigue constantly Easily exhausted upon small increase in level exercise, indoor cycling, walking causes excessive sweating,shortness of breath, have to rest then continue. Pain/cramping lower extremities. Still pain left arm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-11
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2021-10-13
Callback requested for03:00PM ET
- 2021-10-13
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2021-10-13
Callback requested for03:00PM ET
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2021-10-13
Call successfulCompleted over the phone
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2022-04-09
Survey response — 12 months, dose 2MedDRA: Back pain, Dyspnoea exertional, Fatigue, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fatigue, back pain, mild shortness of breath with increased activity. Rash on neck.MedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Facial & body itching
Release 7 — day 7, dose 2
Systemic reaction (other): Along with the itching there is mosquitoe like bumps on stomach, back, thigh, left arm that comes and goes.
Release 7 — day 14, dose 2
Symptoms: Increase in stomach pain/feeling upset/indigestion. Face feeling flush & itchy, as well as body and itchy scalp.
Release 8 — day 42, dose 2
Symptoms: Left arm pain, causing increase muscle spasms/pain
Release 10 — 6 months, dose 2
Symptoms: Waking upFeeling fatigue constantly Easily exhausted upon small increase in level exercise, indoor cycling, walking causes excessive sweating,shortness of breath, have to rest then continue. Pain/cramping lower extremities. Still pain left arm.
Release 11 — 12 months, dose 2
Symptoms: Fatigue, back pain, mild shortness of breath with increased activity. Rash on neck.
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 discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release