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3FR-29508-95817

2 vaccinations 8 coded responses 21 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
900 / CA
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work
    Adult check-in
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-13
    Dose 2 — Pfizer-BioNTech
  11. 2021-04-13
    Health check-in — day 0, dose 2
    Feeling: Good · Fatigue or tiredness · Be unable to work
    Adult check-in
  12. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Neck pain, Spinal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: My headache extended along the back of the neck and the spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia, Peripheral coldness, Self-medication — Feeling: Fair · Chills · Be unable to work
    Free text: 1) My feet are extremely cold and do not warm up in spite of hot water soaking and heating pad. 2) I havent be able to sleep since getting the shot without taking a talynol PM, and even than fir just couple of hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Confusional state — Feeling: Good
    Free text: Confused memory
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-20
    Survey response — day 7, dose 2
    MedDRA: Peripheral coldness — Feeling: Good
    Free text: My feet are still unusually cold, thou improving over yesterday and prior days since the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-18
    Survey response — day 35, dose 2
    MedDRA: Dyspepsia, Nausea, Peripheral coldness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My digestion has been off since receiving the second dose of the vaccine. I wasnt sure, but I still have nausea and difficulties with digestion as I experienced right after receiving the second dose. Also, I have constantly cold feet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-25
    Survey response — day 42, dose 2
    MedDRA: Abdominal distension, Disturbance in attention, Dyspepsia, Fatigue, Lip discolouration, Memory impairment — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Digestive issues. Very slow digestion with bloating and purple lips. Excessive tiredness in the morning, very poor memory and concentration
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-07-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-10-12
    Survey response — 6 months, dose 2
    MedDRA: Blood pressure increased, Dizziness, Erythema, Hot flush, Hyperhidrosis, Nausea, Palpitations, Panic attack — Feeling: Good · Be unable to work or attend school
    Free text: Palpitation, dizziness, nausea, blood pressure spikes, red faces and rush of heat with sweats. They seem like panick attacks but happen randomly
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-13
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Asthenia, Muscular weakness, Sleep disorder — Feeling: Poor · 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, Outpatient clinic or urgent care clinic visit
    Free text: Increased joint pain in hands, wrists, shoulder, ankles and feet. The pain is increased by cold and during the past 6 month of winter it was so intense it woke me up at night and made it very difficult for me do handle objects and lift any weight
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-04-13
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-04-20
  27. 2022-04-20
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Pfizer-BioNTech
22021-04-13Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): My headache extended along the back of the neck and the spine

2021-04-17

Systemic reaction (other): 1) My feet are extremely cold and do not warm up in spite of hot water soaking and heating pad. 2) I havent be able to sleep since getting the shot without taking a talynol PM, and even than fir just couple of hours.

2021-04-19

Systemic reaction (other): Confused memory

Release 7 — day 7, dose 2

2021-04-20

Systemic reaction (other): My feet are still unusually cold, thou improving over yesterday and prior days since the shot

Release 8 — day 35, dose 2

2021-05-18

Symptoms: My digestion has been off since receiving the second dose of the vaccine. I wasnt sure, but I still have nausea and difficulties with digestion as I experienced right after receiving the second dose. Also, I have constantly cold feet.

Release 8 — day 42, dose 2

2021-05-25

Symptoms: Digestive issues. Very slow digestion with bloating and purple lips. Excessive tiredness in the morning, very poor memory and concentration

Release 10 — 6 months, dose 2

2021-10-12

Symptoms: Palpitation, dizziness, nausea, blood pressure spikes, red faces and rush of heat with sweats. They seem like panick attacks but happen randomly

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Increased joint pain in hands, wrists, shoulder, ankles and feet. The pain is increased by cold and during the past 6 month of winter it was so intense it woke me up at night and made it very difficult for me do handle objects and lift any weight

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

FieldPreferred term2021-092023-042024-11
SDAbdominal distension ✓ ✓ ✓
SDArthralgia · · ✓
SDAsthenia · · ✓
SDBlood pressure increased · · ✓
SDDisturbance in attention ✓ ✓ ✓
SDDizziness · · ✓
SDDyspepsia ✓ ✓ ✓
SDErythema · · ✓
SDFatigue ✓ ✓ ✓
SDHot flush · · ✓
SDHyperhidrosis · · ✓
SDLip discolouration ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDMuscular weakness · · ✓
SDNausea ✓ ✓ ✓
SDPalpitations · · ✓
SDPanic attack · · ✓
SDPeripheral coldness ✓ ✓ ✓
SDSleep disorder · · ✓
SROConfusional state ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSpinal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release