3J7-21577-91695
3 vaccinations
5 coded responses
22 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 951 / CA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-31
Registered in v-safe
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2021-03-31
Dose 1 — Pfizer-BioNTech
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2021-03-31
Survey response — day 0, dose 1MedDRA: Abdominal discomfort, Abdominal pain upper — Feeling: Fair · Site: Pain · Headache, Abdominal painFree text: Stomach cramps/upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-06
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2021-04-07
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Report sent to call center — day 7, dose 1Be unable to do your normal daily activitiesno matching call case
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2021-04-14
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Heavy fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — day 14, dose 1Be unable to do your normal daily activitiesno matching call case
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2021-04-16
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
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2021-04-21
Dose 2 — Pfizer-BioNTech
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Continuous Cramping, third trimesterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-07
- 2021-05-24
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
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2021-12-20
Dose 3 — Pfizer-BioNTech
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2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
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2022-01-20
Survey response — day 28, dose 3MedDRA: Acne, Arthralgia, Cheilitis, Condition aggravated, Fatigue, Lymphadenopathy, Myalgia, Pre-existing disease, Stomatitis — 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 · Outpatient clinic or urgent care clinic visitFree text: Auto immune disease flare up including severe fatigue and muscle & joint pain. Also have had swollen lymph nodes, sores in mouth and very odd acne or sores all around my lip area. It's been horrible.MedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-22
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2022-03-21
Survey response — 3 months, dose 3MedDRA: Condition aggravated, Dry eye, Dry mouth, Fatigue, Pain, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Worsening of sjogrens auto immune disease symptoms, particularly severe dry eyes, dry mouth, etc. Also, worsening of muscle and joint pain and fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-03-21
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-22
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-12-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
2 check-ins flagged for a call with no call center case on record
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Stomach cramps/upset stomach
Release 7 — day 14, dose 1
Symptoms: Heavy fatigue.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Continuous Cramping, third trimester
Release 10 — day 28, dose 3
Symptoms: Auto immune disease flare up including severe fatigue and muscle & joint pain. Also have had swollen lymph nodes, sores in mouth and very odd acne or sores all around my lip area. It's been horrible.
Release 11 — 3 months, dose 3
Symptoms: Worsening of sjogrens auto immune disease symptoms, particularly severe dry eyes, dry mouth, etc. Also, worsening of muscle and joint pain and fatigue.
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 |
|---|---|---|---|---|
| SD | Acne | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cheilitis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release