3BA-19354-32945
2 vaccinations
7 coded responses
10 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 214 / MD
- Registered
- 2021-07-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-18
Dose 1 — Pfizer-BioNTech
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2021-07-09
Dose 2 — Pfizer-BioNTech
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2021-07-13
Registered in v-safe
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2021-07-13
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Cough, Paraesthesia, Photopsia, Pre-existing disease, Skin discolouration, Vitreous floaters — Feeling: Good · Site: Pain, SwellingFree text: breast soreness, nipple and areola color change from brown to pink, moderate coughing, increased floaters and flashes from ongoing posterior vitreous detachment, tingling from arms to fingertips on both sidesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — days 1–6 daily, dose 2MedDRA: Facial pain, Pain of skin, Photopsia, Sensitive skin, Vitreous detachment, Vitreous floaters — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: Sore cheek bones, facial skin sensitivity, sore scalp, increased floaters and lightening from posterior vitreous detachmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-07-16
Survey response — day 7, dose 2MedDRA: Back pain, Swelling face — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: forgotten symptom-swollen face within 2 hours of shot. NO FILLERS. Resolved at Day 5. Lower back pain Day 2 to present. (Moderate to Severe alternating)MedDRA releases: 2024-11 · check-in free text available
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2021-07-23
Survey response — day 14, dose 2MedDRA: Breast tenderness, Ear pain, Facial pain, Peripheral swelling, Skin burning sensation, Skin lesion, Swelling face — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Inner Ear pain with painful growth behind lobe. Facial pain. Burning skin. Swollen feet. Swollen face. Breast tenderness.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-23
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
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2021-07-30
Survey response — day 21, dose 2MedDRA: Peripheral swelling — Feeling: GoodFree text: forgot to mention that feet started swelling on day 3 and remains swollen.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-04
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2021-08-04
Call successfulCompleted over the phone
- 2021-08-06
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2021-08-13
Survey response — day 35, dose 2MedDRA: Breast tenderness, Dizziness, Ear pain, Ear swelling, Headache, Tenderness — Feeling: Fair · Be unable to work or attend schoolFree text: ear pain is now in left earpain and swelling inside ear..limp inside ear. Dizziness, Headache. Increased Breast tenders in in both breasts and under both arms.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Survey response — day 42, dose 2MedDRA: Dizziness, Ear discomfort, Ear pain, Nausea, Neuritis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: inflammation in the nerve of my inner earpain and fullness alternating between left and right ear lightheadedness, dizziness, nausea · Healthcare visit (other): In-person Doctors VisitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-22
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
- 2021-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-18 | Pfizer-BioNTech | No |
| 2 | 2021-07-09 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): breast soreness, nipple and areola color change from brown to pink, moderate coughing, increased floaters and flashes from ongoing posterior vitreous detachment, tingling from arms to fingertips on both sides
Systemic reaction (other): Sore cheek bones, facial skin sensitivity, sore scalp, increased floaters and lightening from posterior vitreous detachment
Release 9 — day 7, dose 2
Systemic reaction (other): forgotten symptom-swollen face within 2 hours of shot. NO FILLERS. Resolved at Day 5. Lower back pain Day 2 to present. (Moderate to Severe alternating)
Release 9 — day 14, dose 2
Symptoms: Inner Ear pain with painful growth behind lobe. Facial pain. Burning skin. Swollen feet. Swollen face. Breast tenderness.
Release 9 — day 21, dose 2
Symptoms: forgot to mention that feet started swelling on day 3 and remains swollen.
Release 9 — day 35, dose 2
Symptoms: ear pain is now in left earpain and swelling inside ear..limp inside ear. Dizziness, Headache. Increased Breast tenders in in both breasts and under both arms.
Release 9 — day 42, dose 2
Symptoms: inflammation in the nerve of my inner earpain and fullness alternating between left and right ear lightheadedness, dizziness, nausea
Healthcare visit (other): In-person Doctors Visit
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 | Breast tenderness | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Ear discomfort | ✓ | · | ✓ |
| SD | Ear pain | ✓ | · | ✓ |
| SD | Ear swelling | ✓ | · | ✓ |
| SD | Facial pain | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Neuritis | ✓ | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | Skin burning sensation | ✓ | · | ✓ |
| SD | Skin lesion | ✓ | · | ✓ |
| SD | Swelling face | ✓ | · | ✓ |
| SD | Tenderness | ✓ | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Photopsia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Swelling face | · | · | ✓ |
| SRO | Vitreous detachment | ✓ | ✓ | ✓ |
| SRO | Vitreous floaters | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release