3JE-16260-24918
1 vaccination
4 coded responses
5 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 232 / VA
- Registered
- 2021-06-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-30
Dose 1 — Pfizer-BioNTech
-
2021-06-10
Registered in v-safe
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2021-06-10
Survey response — day 35, dose 1MedDRA: Brain fog, Dehydration, Depression, Fatigue, Hot flush, Inflammation, Lung disorder, Palpitations — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Heart palpitationsFatigueBrain fogDepressionInflammation/dehydrationLung stuffReturn of hot flashes after not having them for over a yearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Survey response — day 42, dose 1MedDRA: Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: When was my last checkin? Since the vaccine? then yes, worsening conditions as reported yesterday. Am I worse today from yesterday? No not really. Same as yesterday. Exhausted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-31
-
2021-10-31
Survey response — 6 months, dose 1MedDRA: Fatigue, Memory impairment, Office visit — 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 professionalFree text: Symptoms: Persistent fatigue Forgetfulness · Healthcare visit (other): Started seeing a primary for comprehensive evaluationMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Report sent to call center — 6 months, dose 1Be 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)
- 2021-11-03
-
2021-11-03
Call successfulParticipant prefers to complete VAERS report online
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2022-05-02
Survey response — 12 months, dose 1MedDRA: Pain, Sensory disturbance, Skin exfoliation — Feeling: FairFree text: Weird skinless feeling along rt knee. Surface pain when kneeling, like my skin was peeled off.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-30 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 9 — day 35, dose 1
Symptoms: Heart palpitationsFatigueBrain fogDepressionInflammation/dehydrationLung stuffReturn of hot flashes after not having them for over a year
Release 9 — day 42, dose 1
Symptoms: When was my last checkin? Since the vaccine? then yes, worsening conditions as reported yesterday. Am I worse today from yesterday? No not really. Same as yesterday. Exhausted.
Release 10 — 6 months, dose 1
Symptoms: Persistent fatigue Forgetfulness
Healthcare visit (other): Started seeing a primary for comprehensive evaluation
Release 11 — 12 months, dose 1
Symptoms: Weird skinless feeling along rt knee. Surface pain when kneeling, like my skin was peeled off.
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 | Brain fog | ✓ | ✓ | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Lung disorder | ✓ | ✓ | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Skin exfoliation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release