3J5-42091-64876
2 vaccinations
16 coded responses
22 check-ins
16 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 890 / NV
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-01-28
Registered in v-safe
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2021-01-28
Dose 1 — Pfizer-BioNTech
- 2021-01-28
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Probably not related to vaccine other than pain at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Other symptoms besides injection site pain are probably NOT related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still think, not related to vaccine, but answering questions honestly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still, only sore at injection site do I think is related to vaccine. Honest answers to questions though. I plan to continue answering thru second injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Do not believe other than injection site pain, (that is now gone). That is all i think related to vaccination. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-19
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2021-02-24
Dose 2 — Pfizer-BioNTech
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Condition aggravated, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: I have chronic issues & I think my "normal" symptoms are exacerabated but NOT caused by vaccine. (Had several chronic conditions, some up to 30 years.) Not NEW symptoms, just flaring more than "normal".MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Aggravated maybe but NOT caused by vaccine....chronic issuedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Exacerbated of chronic issues not caused, IMO, by vaccine. Just reporting as questions are asked.MedDRA 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 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activitiesFree text: Vaccine aggravated, not causedMedDRA 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 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Vaccine aggravated but NOT caused by vaccine.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 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Vaccine aggravated, NOT causedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-18
- 2021-03-24
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2021-03-31
Survey response — day 35, dose 2MedDRA: Unevaluable event — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Again, IF vaccine related ONLY exacerbated my chronic health issues.Just honestly answering questions asked.Not a good day for me today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 42, dose 2MedDRA: Pain in jaw — Feeling: PoorFree text: Soreness, tenderness at jawline, worse on R side than L. Just started 2 days ago? Unknown cause.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Adverse reaction, Office visit — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed non tuberculosis mycobacterium disease · Healthcare visit (other): Pulmonologist & referral to Infectious Disease SpecialistMedDRA 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 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Fatigue — Feeling: Fair · 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 visitFree text: Shortness of breath, extreme fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-31
Call successfulCompleted over the phone
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Cough, Respiratory disorder, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe congestion, cough & breathing issues for months. Do NOT KNOW if VACCINE RELATED but marking YES below because DNK option, NA.MedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 12 months, dose 2Be 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)
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2022-02-28
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Probably not related to vaccine other than pain at injection site.
Systemic reaction (other): Other symptoms besides injection site pain are probably NOT related to vaccine.
Systemic reaction (other): Still think, not related to vaccine, but answering questions honestly.
Systemic reaction (other): Still, only sore at injection site do I think is related to vaccine. Honest answers to questions though. I plan to continue answering thru second injection.
Release 3 — day 7, dose 1
Systemic reaction (other): Do not believe other than injection site pain, (that is now gone). That is all i think related to vaccination. Thank you
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have chronic issues & I think my "normal" symptoms are exacerabated but NOT caused by vaccine. (Had several chronic conditions, some up to 30 years.) Not NEW symptoms, just flaring more than "normal".
Systemic reaction (other): Aggravated maybe but NOT caused by vaccine....chronic issued
Systemic reaction (other): Exacerbated of chronic issues not caused, IMO, by vaccine. Just reporting as questions are asked.
Systemic reaction (other): Vaccine aggravated, not caused
Systemic reaction (other): Vaccine aggravated but NOT caused by vaccine.
Release 5 — day 7, dose 2
Systemic reaction (other): Vaccine aggravated, NOT caused
Release 6 — day 35, dose 2
Symptoms: Again, IF vaccine related ONLY exacerbated my chronic health issues.Just honestly answering questions asked.Not a good day for me today.
Release 7 — day 42, dose 2
Symptoms: Soreness, tenderness at jawline, worse on R side than L. Just started 2 days ago? Unknown cause.
Release 8 — 3 months, dose 2
Symptoms: Diagnosed non tuberculosis mycobacterium disease
Healthcare visit (other): Pulmonologist & referral to Infectious Disease Specialist
Release 9 — 6 months, dose 2
Symptoms: Shortness of breath, extreme fatigue
Release 11 — 12 months, dose 2
Symptoms: Severe congestion, cough & breathing issues for months. Do NOT KNOW if VACCINE RELATED but marking YES below because DNK option, NA.
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 | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release