3FJ-33641-92243
5 vaccinations
14 coded responses
58 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 010 / MA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Pfizer-BioNTech
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2021-03-08
Registered in v-safe
- 2021-03-08
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2021-03-12
Dose 2 — Pfizer-BioNTech
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: lymph node swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: I usually do not have this many headaches in a week, which is why I am reporting it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
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2021-04-16
Survey response — day 35, dose 2MedDRA: Office visit, Urinary retention — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: urinary retention -- probably unrelated to vaccine · Healthcare visit (other): in-office visit + outpatient ultrasound a hospital next weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-23
Survey response — day 42, dose 2MedDRA: Kidney enlargement, Ultrasound scan, Urinary retention — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: bladder retention and mildly enlarged kidney · Healthcare visit (other): Ultrasound labin hospital for testingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
- 2021-09-10
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2021-09-30
Dose 3 — Pfizer-BioNTech
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: symptoms started 11 hours after vaccination and worsened despite taking tylenol. finally got symptoms under control after20 hours using excedrin. I don't feel all better, but I feel "less worseMedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: soreness/swelling/pain at injection site appeared about 36 hours after the injection and still persist. I was not tired teo days after the second dose, but I definitely am now following this third dose.MedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Self-medication — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: I walked 23.6 miles today for a fund-raiser, so the Excedrin I was taking might have masked any other symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-10-05
- 2021-10-06
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2021-10-07
Survey response — day 7, dose 3MedDRA: Headache, Pre-existing disease — Feeling: Fair · HeadacheFree text: no way to know whether this headache is related to the booster or is one of my usual headaches, but it started in the afternoon, and most of my headaches start in the early morning, so I am suspicious.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-12-30
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2022-03-01
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-31
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2022-06-01
Dose 4 — Pfizer-BioNTech
- 2022-06-01
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2022-06-02
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I spaced the second booster 8 months after the first booster, and my side effects are much less intense than they were after my second dose and after my first booster.MedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-06-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-07-06
- 2022-07-13
- 2022-08-31
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2022-10-06
Dose 5 — Pfizer-BioNTech
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2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: much less than previous boosters, but still noticeableMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
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2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: GoodFree text: so glad side effects subsided within 24 hours this timeMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
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2023-04-06
Survey response — 6 months, dose 5MedDRA: Eczema, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-06
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-07
- 2023-04-10
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2023-04-11
Callback requested for08:00AM ET
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2023-04-11
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-06-01 | Pfizer-BioNTech | No |
| 5 | 2022-10-06 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): swollen lymph nodes
Systemic reaction (other): swollen lymph nodes
Systemic reaction (other): lymph node swelling
Release 5 — day 7, dose 2
Systemic reaction (other): I usually do not have this many headaches in a week, which is why I am reporting it.
Release 7 — day 35, dose 2
Symptoms: urinary retention -- probably unrelated to vaccine
Healthcare visit (other): in-office visit + outpatient ultrasound a hospital next week
Release 7 — day 42, dose 2
Symptoms: bladder retention and mildly enlarged kidney
Healthcare visit (other): Ultrasound labin hospital for testing
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): symptoms started 11 hours after vaccination and worsened despite taking tylenol. finally got symptoms under control after20 hours using excedrin. I don't feel all better, but I feel "less worse
Systemic reaction (other): soreness/swelling/pain at injection site appeared about 36 hours after the injection and still persist. I was not tired teo days after the second dose, but I definitely am now following this third dose.
Systemic reaction (other): I walked 23.6 miles today for a fund-raiser, so the Excedrin I was taking might have masked any other symptoms
Release 10 — day 7, dose 3
Systemic reaction (other): no way to know whether this headache is related to the booster or is one of my usual headaches, but it started in the afternoon, and most of my headaches start in the early morning, so I am suspicious.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I spaced the second booster 8 months after the first booster, and my side effects are much less intense than they were after my second dose and after my first booster.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): much less than previous boosters, but still noticeable
Systemic reaction (other): so glad side effects subsided within 24 hours this time
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 | ✓ | ✓ | ✓ |
| HCVO | Ultrasound scan | ✓ | ✓ | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Kidney enlargement | ✓ | ✓ | ✓ |
| SD | Urinary retention | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release