3H7-13762-37673
4 vaccinations
6 coded responses
54 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-02
Registered in v-safe
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
-
2021-03-22
Dose 2 — Pfizer-BioNTech
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, NauseaFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-06-21
- 2021-09-20
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2021-10-04
- 2021-10-05
-
2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen Lymph node under left arm and is a little painful - started 10/5/21 in the evening.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node is still slightly sore and swelling went down a bit.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Lymphadenopathy — Feeling: GoodFree text: Slight pain under left arm, lymph node slightly swollen still.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2022-01-03
-
2022-04-04
Survey response — 6 months, dose 3MedDRA: Brain stem stroke, Cerebrovascular accident, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I suffered a small pons stroke on 1/31/2022. · Healthcare visit (other): Was in hospital for 4 days due to small pin stroke.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-04-16
Dose 4 — Moderna
- 2022-04-16
- 2022-04-17
-
2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
-
2022-04-29
Call successfulNot applicable - Accidental Reporting
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
-
2022-07-16
Survey response — 3 months, dose 4MedDRA: Asthma, Condition aggravated, Pre-existing disease, SARS-CoV-2 test positive — Feeling: Fair · 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 visitFree text: On 7/6/22 I tested positive for Covid 19. My Dr gave me Paxlovid because of being high risk with asthma and having a stroke on 1/31/22. The Covid exasperated my asthma and bronchial tubes for which I am still under my Drs care right now.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-16
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-07-18
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-15
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | |
| 2 | 2021-03-22 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-16 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen Lymph node under left arm and is a little painful - started 10/5/21 in the evening.
Systemic reaction (other): Swollen lymph node is still slightly sore and swelling went down a bit.
Systemic reaction (other): Slight pain under left arm, lymph node slightly swollen still.
Release 11 — 6 months, dose 3
Symptoms: I suffered a small pons stroke on 1/31/2022.
Healthcare visit (other): Was in hospital for 4 days due to small pin stroke.
Release 12 — 3 months, dose 4
Symptoms: On 7/6/22 I tested positive for Covid 19. My Dr gave me Paxlovid because of being high risk with asthma and having a stroke on 1/31/22. The Covid exasperated my asthma and bronchial tubes for which I am still under my Drs care right now.
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 | Brain stem stroke | · | · | ○ |
| HCVO | Cerebrovascular accident | · | · | ✓ |
| HCVO | Hospitalisation | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Brain stem stroke | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release