3AR-13055-14448
5 vaccinations
11 coded responses
61 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
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2021-03-29
Dose 1 — Pfizer-BioNTech
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2021-03-29
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Good · Site: Pain, SwellingFree text: Pins and needles in left hand (shot given on left arm), but only in the first 20 minutes. Then gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-05
- 2021-04-12
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2021-04-19
Dose 2 — Pfizer-BioNTech
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2021-04-19
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-23
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
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2021-05-31
Survey response — day 42, dose 2MedDRA: Fatigue — Feeling: GoodFree text: More tired than usual. Has been a gradual uptick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-20
Survey response — 3 months, dose 2MedDRA: Body temperature increased, Fatigue — Feeling: GoodFree text: Tiredness, higher base temperatureMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Dose 3 — Pfizer-BioNTech
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2021-10-18
Survey response — 6 months, dose 2MedDRA: Lymphadenopathy, Pain, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: After booster shot, delayed fever and body aches, 24 jours after booster, lasted 36 hours. Also swollen lymph nodes under left armpit (shot in left arm).MedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Swollen, painful lymph node in left armpit, same arm as shotMedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Survey response — day 7, dose 3MedDRA: Axillary pain — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Sore left armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2022-01-12
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2022-04-13
Survey response — 6 months, dose 3MedDRA: Anxiety, Fatigue — Feeling: Good · 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 visitFree text: Anxiety, fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-04-13
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-26
Call successfulParticipant prefers to complete VAERS report online
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2022-05-16
Dose 4 — Pfizer-BioNTech
- 2022-05-16
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2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-05-18
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: swollen armpitMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
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2022-08-15
Survey response — 3 months, dose 4MedDRA: Anxiety, Depression — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Depression, anxietyMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Dose 5 — Pfizer-BioNTech
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2022-09-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-10-31
Survey response — day 35, dose 5MedDRA: Depression, Fatigue — Feeling: FairFree text: Tiredness, depressionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-07
- 2022-12-26
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2023-03-27
Survey response — 6 months, dose 5MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-10-13 | Pfizer-BioNTech | No |
| 4 | 2022-05-16 | Pfizer-BioNTech | No |
| 5 | 2022-09-26 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Pins and needles in left hand (shot given on left arm), but only in the first 20 minutes. Then gone.
Release 8 — day 42, dose 2
Symptoms: More tired than usual. Has been a gradual uptick.
Release 9 — 3 months, dose 2
Symptoms: Tiredness, higher base temperature
Release 10 — 6 months, dose 2
Symptoms: After booster shot, delayed fever and body aches, 24 jours after booster, lasted 36 hours. Also swollen lymph nodes under left armpit (shot in left arm).
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen, painful lymph node in left armpit, same arm as shot
Release 10 — day 7, dose 3
Systemic reaction (other): Sore left armpit
Release 11 — 6 months, dose 3
Symptoms: Anxiety, fatigue
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): swollen armpit
Release 12 — 3 months, dose 4
Symptoms: Depression, anxiety
Release 12 — day 35, dose 5
Symptoms: Tiredness, depression
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 | Anxiety | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release