3K4-13221-75981
6 vaccinations
6 coded responses
56 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 946 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-25
- 2021-01-26
- 2021-01-30
- 2021-02-03
-
2021-02-10
Dose 2 — Pfizer-BioNTech
-
2021-02-10
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: WoozyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Site: PainFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-17
- 2021-02-24
-
2021-03-04
Survey response — day 21, dose 2MedDRA: Dizziness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I feel a bit lightheaded every morning when I eat breakfast. That is new since the vaccine. Having blood tests. · Healthcare visit (other): Blood test panelMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-10
Survey response — day 28, dose 2MedDRA: Dizziness, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Felt lightheaded every morning. · Healthcare visit (other): Blood testing in labMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalno matching call case
-
2021-03-17
Survey response — day 35, dose 2MedDRA: Condition aggravated, Dizziness, Feeling abnormal, Pre-existing disease, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Spaciness and dizziness especially in the mornings. Suspect that the 2nd vaccine caused a flare up of my Hashimotos symptoms. My physician ordered several blood tests a month after the vaccination. All normal results except forTSH (4.6). · Healthcare visit (other): Lab workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-27
-
2021-05-15
Survey response — 3 months, dose 2MedDRA: Tendonitis — Feeling: GoodFree text: Achilles tendonitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-11
-
2021-10-09
Dose 3 — Pfizer-BioNTech
- 2021-10-16
- 2021-10-21
-
2021-10-22
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-25
- 2021-10-30
- 2021-11-07
- 2021-11-13
- 2021-11-20
- 2022-04-09
-
2022-04-13
Dose 4 — Pfizer-BioNTech
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-20
- 2022-04-27
- 2022-05-06
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-14
-
2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-10-04
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
-
2023-04-21
Dose 6 — Moderna
- 2023-04-21
-
2023-04-22
Health check-in — days 1–6 daily, dose 6Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2023-04-23
- 2023-04-24
- 2023-04-25
- 2023-04-27
- 2023-04-28
- 2023-05-06
- 2023-05-13
- 2023-05-19
- 2023-05-26
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
| 6 | 2023-04-21 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
1 check-in flagged for a call with no call center case on record
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Woozy
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia
Release 5 — day 21, dose 2
Symptoms: I feel a bit lightheaded every morning when I eat breakfast. That is new since the vaccine. Having blood tests.
Healthcare visit (other): Blood test panel
Release 5 — day 28, dose 2
Release 5 — day 35, dose 2
Symptoms: Spaciness and dizziness especially in the mornings. Suspect that the 2nd vaccine caused a flare up of my Hashimotos symptoms. My physician ordered several blood tests a month after the vaccination. All normal results except forTSH (4.6).
Healthcare visit (other): Lab work
Release 8 — 3 months, dose 2
Symptoms: Achilles tendonitis
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release