3DH-97999-02233
4 vaccinations
5 coded responses
33 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 210 / MD
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-03-23
Survey response — day 0, dose 1MedDRA: Plasma cell myeloma — Feeling: GoodFree text: I am a veteran and have multiple myeloma. This first shot, I have kept busy moving the arm and body. No aches, no stiffness. I will start medicines on this cycle so I will be vigilant about any noted change.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Pfizer-BioNTech
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Yesterday after the survey I began to have the itching, swelling fatigue and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-22
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2021-11-11
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-04-05
Dose 4 — Moderna
- 2022-04-13
- 2022-04-13
- 2022-04-19
- 2022-05-03
-
2022-05-10
Survey response — day 35, dose 4MedDRA: Bronchitis, Pyrexia, Sinusitis — 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 · Outpatient clinic or urgent care clinic visitFree text: Bronchitis, sinus infection fevers of 102.5.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-19
-
2022-07-06
Survey response — 3 months, dose 4MedDRA: Bronchitis, COVID-19, Diarrhoea, Sinusitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I had bronchitis, sinus infection, covid in May. I had had Evershield shots in April. I had the shots to mediate the covid. In Mid June another sinus infection and lots of diarrhea.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-06
Report sent to call center — 3 months, dose 4Be unable to work or attend school · 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)
- 2022-07-07
- 2022-07-07
- 2022-07-12
-
2022-07-12
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-06
-
2023-04-05
Survey response — 12 months, dose 4MedDRA: Bronchitis, Sinusitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-05 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I am a veteran and have multiple myeloma. This first shot, I have kept busy moving the arm and body. No aches, no stiffness. I will start medicines on this cycle so I will be vigilant about any noted change.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday after the survey I began to have the itching, swelling fatigue and chills
Release 11 — day 35, dose 4
Symptoms: Bronchitis, sinus infection fevers of 102.5.
Release 12 — 3 months, dose 4
Symptoms: I had bronchitis, sinus infection, covid in May. I had had Evershield shots in April. I had the shots to mediate the covid. In Mid June another sinus infection and lots of diarrhea.
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 | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Plasma cell myeloma | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release