3HS-10906-72024
6 vaccinations
9 coded responses
22 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-02-25
Registered in v-safe
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2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have developed a rash on my lower abdomen that is quite itchy.enMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Itching is below navel near whatxwoukd be my bikini line if I wasn't almost 74 and as round as i am tall :-)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is still on my lower abdomen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 7, dose 1MedDRA: Abdominal pain, Rash — Feeling: Good · Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Today I have abdominal pain and the rash is still there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-17
- 2021-03-24
-
2021-03-26
Dose 2 — Pfizer-BioNTech
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2021-05-26
Survey response — 3 months, dose 1MedDRA: Chemotherapy, Colon cancer, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have colon cancer - I don't think its related. Getting chemo. So far, so good. · Healthcare visit (other): See oncologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
- 2021-09-24
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2021-10-11
Dose 3 — Pfizer-BioNTech
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2022-03-17
Dose 4 — Pfizer-BioNTech
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2022-03-28
Survey response — 12 months, dose 2MedDRA: Colonoscopy abnormal, Polypectomy, Precancerous lesion of digestive tract — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 16 Feb 22 colonoscopy found a couple of suspicious polyps - they are pre-cancerous. I go back on the 30th for another colonoscopy to be sure Doc got everything.MedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-29
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2022-03-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-03-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-05-09
Dose 5 — Pfizer-BioNTech
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2022-10-05
Dose 6 — Pfizer-BioNTech
- 2022-10-13
- 2022-10-19
- 2022-10-26
- 2022-11-02
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2022-11-09
Survey response — day 35, dose 6MedDRA: Pre-existing disease — Feeling: GoodFree text: Except for fall allergies, I think I'm Great!!MedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
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2023-01-04
Survey response — 3 months, dose 6MedDRA: SARS-CoV-2 test positive, Unevaluable event — 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 consultationMedDRA releases: 2024-11
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2023-01-04
Report sent to call center — 3 months, dose 6Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-05
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2023-01-06
Call successfulCompleted over the phone
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2023-04-05
Survey response — 6 months, dose 6MedDRA: Muscle strain, Rotator cuff syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-05
Report sent to call center — 6 months, dose 6Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-04-06
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | No |
| 3 | 2021-10-11 | Pfizer-BioNTech | No |
| 4 | 2022-03-17 | Pfizer-BioNTech | No |
| 5 | 2022-05-09 | Pfizer-BioNTech | No |
| 6 | 2022-10-05 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have developed a rash on my lower abdomen that is quite itchy.en
Systemic reaction (other): Itching is below navel near whatxwoukd be my bikini line if I wasn't almost 74 and as round as i am tall :-)
Systemic reaction (other): Rash is still on my lower abdomen.
Release 5 — day 7, dose 1
Systemic reaction (other): Today I have abdominal pain and the rash is still there.
Release 8 — 3 months, dose 1
Symptoms: I have colon cancer - I don't think its related. Getting chemo. So far, so good.
Healthcare visit (other): See oncologist.
Release 11 — 12 months, dose 2
Symptoms: 16 Feb 22 colonoscopy found a couple of suspicious polyps - they are pre-cancerous. I go back on the 30th for another colonoscopy to be sure Doc got everything.
Release 12 — day 35, dose 6
Symptoms: Except for fall allergies, I think I'm Great!!
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 | Unevaluable event | · | · | ✓ |
| SD | Chemotherapy | ✓ | ✓ | ✓ |
| SD | Colon cancer | ✓ | ✓ | ✓ |
| SD | Colonoscopy abnormal | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Polypectomy | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Precancerous lesion of digestive tract | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release