3GN-27560-43923
4 vaccinations
4 coded responses
35 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 379 / TN
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Dose 1 — Pfizer-BioNTech
-
2021-02-05
Registered in v-safe
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Increased bronchial secretion, Paranasal sinus hypersecretion, Pharyngeal disorder, Pre-existing disease, Productive cough — Feeling: Good · Site: Pain · Headache, Joint painsFree text: I have Eosinophilic Asthma and therefore I have increased nasal, pharyngeal and bronchial secretions. However, today, 24 hours post vaccine injection, I suffered acutely for 45 consistent minutes from excessive, tenacious mucous secretions with coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Vertigo — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Headache with moderate vertigo upon arising this AM. This is rare for me and thats why I mention it. After 3hoursI went back to bed, slept 4 hours and now the headache et vertigo are gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Medical counselling, Vertigo — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo after moving head left to right or up and down. This had a sudden onset and has lasted over a week. · Healthcare visit (other): My internist has sent orders to a Physical Therapist to assess and treat as/if indicated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
-
2021-09-07
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-12-07
- 2022-03-08
-
2022-04-18
Dose 4 — Pfizer-BioNTech
- 2022-05-13
- 2022-05-14
- 2022-05-16
- 2022-05-23
- 2022-05-30
-
2022-07-18
Survey response — 3 months, dose 4MedDRA: Back pain, Mobility decreased, Office visit, Physiotherapy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Sudden onset, severe low back pain. Dx=CT negative. Mobility severely affected/altered. Currently in PT. Etiology undetermined. · Healthcare visit (other): Follow up w my Internist w referral for PT.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-18
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-07-19
- 2022-07-19
-
2022-07-19
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-19
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-09-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have Eosinophilic Asthma and therefore I have increased nasal, pharyngeal and bronchial secretions. However, today, 24 hours post vaccine injection, I suffered acutely for 45 consistent minutes from excessive, tenacious mucous secretions with coughing.
Systemic reaction (other): Headache with moderate vertigo upon arising this AM. This is rare for me and thats why I mention it. After 3hoursI went back to bed, slept 4 hours and now the headache et vertigo are gone.
Release 8 — 3 months, dose 2
Symptoms: Vertigo after moving head left to right or up and down. This had a sudden onset and has lasted over a week.
Healthcare visit (other): My internist has sent orders to a Physical Therapist to assess and treat as/if indicated.
Release 12 — 3 months, dose 4
Symptoms: Sudden onset, severe low back pain. Dx=CT negative. Mobility severely affected/altered. Currently in PT. Etiology undetermined.
Healthcare visit (other): Follow up w my Internist w referral for PT.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Physiotherapy | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Increased bronchial secretion | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Pharyngeal disorder | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release