3E6-11119-55238
3 vaccinations
8 coded responses
25 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Pfizer-BioNTech
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2021-03-10
Survey response — day 0, dose 1MedDRA: Fatigue, Injection site erythema, Injection site pruritus — Feeling: Good · Site: Redness, Itching · Fever · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: The forearm of the arm that hot shot was red and itchy . Tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Thirst — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: After I did the survey yesterday in the evening through to the morning I had hot skin all over and very thirsty. Like a full body hot flash that did not go away until this morning .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-14
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-24
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2021-03-31
Dose 2 — Pfizer-BioNTech
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2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Heart rate increased, Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Resting heart rate up to 80 overnight . Usually its at 55bpm. Also swollen neck glands and ear ache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Skin in other parts of the body felt itchy since 24 hours after the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Skin disorder — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I had some skin issues they have seemed to subside.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 2MedDRA: Ear pain, Menstruation irregular — Feeling: GoodFree text: My menstrual cycle started 8 days early last week and I am very regular so I feel that may be related to the vaccine as it happened a week after the second dose. Also a little of left ear pain. Shot was given on left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
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2021-12-28
Dose 3 — Pfizer-BioNTech
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2022-06-28
Survey response — 6 months, dose 3MedDRA: Breast mass, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lump in left breast same side I got the shot. · Healthcare visit (other): Mammogram and ultrasoundMedDRA releases: 2024-11 · check-in free text available
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2022-06-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-06-29
Call successfulCompleted over the phone
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2022-12-28
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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 consultationFree text: Covid 19 after thanksgiving.MedDRA releases: 2024-11 · check-in free text available
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2022-12-28
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-29
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2022-12-29
Callback requested for04:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-03-31 | Pfizer-BioNTech | |
| 3 | 2021-12-28 | 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 5 — day 0, dose 1
Systemic reaction (other): The forearm of the arm that hot shot was red and itchy . Tired.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): After I did the survey yesterday in the evening through to the morning I had hot skin all over and very thirsty. Like a full body hot flash that did not go away until this morning .
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Resting heart rate up to 80 overnight . Usually its at 55bpm. Also swollen neck glands and ear ache.
Systemic reaction (other): Skin in other parts of the body felt itchy since 24 hours after the vaccine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had some skin issues they have seemed to subside.
Release 7 — day 14, dose 2
Symptoms: My menstrual cycle started 8 days early last week and I am very regular so I feel that may be related to the vaccine as it happened a week after the second dose. Also a little of left ear pain. Shot was given on left side.
Release 12 — 6 months, dose 3
Symptoms: Lump in left breast same side I got the shot.
Healthcare visit (other): Mammogram and ultrasound
Release 12 — 12 months, dose 3
Symptoms: Covid 19 after thanksgiving.
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 | Unevaluable event | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin disorder | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release