3FA-58761-51370
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 302 / GA
- Registered
- 2021-07-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XQC-18192-74087
Child or adolescent in my care · Male · 2021-07-24
Timeline
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2021-07-24
Registered in v-safe
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2021-07-24
Dose 1 — Pfizer-BioNTech
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2021-07-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Abdominal painAdult check-in
-
2021-07-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-07-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-07-28
Survey response — days 1–6 daily, dose 1MedDRA: Herpes zoster — Feeling: Good · Site: Itching · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I have shingles so I have an outbreak that has appearedMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-29
- 2021-07-30
- 2021-07-31
- 2021-08-07
-
2021-08-14
Dose 2 — Pfizer-BioNTech
- 2021-08-14
-
2021-08-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-08-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-08-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-19
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Office visit, Pelvic pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Intense pelvic pain and lower back pain. I didnt experience this within my first vaccine. This has occurred now that Ive taken the 2nd dose. · Healthcare visit (other): Im currently working with my doctor and scheduled for a stomach X-ray later today.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-21
Health check-in — day 7, dose 2Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-08-21
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-08-28
- 2021-08-30
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2021-09-04
Survey response — day 21, dose 2MedDRA: Back pain, Headache, Migraine — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Constant headaches which results in migraines. Ive also experiencing extreme lower back pains and this was since my last vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-08
- 2021-09-11
- 2021-09-13
-
2021-09-13
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-18
- 2021-09-25
- 2021-11-13
- 2022-02-12
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2022-08-14
Survey response — 12 months, dose 2MedDRA: Blood test abnormal, Hyperthyroidism — Feeling: GoodFree text: Recently did some blood work and was told that my thyroid levels were elevated and that's something I've never had an issue with before. Will repeat blood work on two wks.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-24 | Pfizer-BioNTech | No |
| 2 | 2021-08-14 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I have shingles so I have an outbreak that has appeared
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Intense pelvic pain and lower back pain. I didnt experience this within my first vaccine. This has occurred now that Ive taken the 2nd dose.
Healthcare visit (other): Im currently working with my doctor and scheduled for a stomach X-ray later today.
Release 9 — day 21, dose 2
Symptoms: Constant headaches which results in migraines. Ive also experiencing extreme lower back pains and this was since my last vaccine.
Release 12 — 12 months, dose 2
Symptoms: Recently did some blood work and was told that my thyroid levels were elevated and that's something I've never had an issue with before. Will repeat blood work on two wks.
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 | Back pain | ✓ | · | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hyperthyroidism | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SRO | Back pain | ✓ | · | ✓ |
| SRO | Herpes zoster | ✓ | · | ✓ |
| SRO | Pelvic pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release