3KY-11211-02409
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 786 / TX
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2020-12-26
- 2020-12-27
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Seasonal allergy — Feeling: Fair · Site: Pain · HeadacheFree text: Headache likely due to seasonal allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-06
-
2021-01-09
Dose 2 — Pfizer-BioNTech
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
- 2021-02-07
- 2021-02-13
- 2021-02-20
- 2021-04-10
-
2021-07-10
Survey response — 6 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: New diagnoses of fibromyalgia and interstitial cystitis. I don't think they're related to immunization as the fibromyalgia-type pains started before the immunization. · Healthcare visit (other): Regular medical visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-16
-
2021-08-17
Dose 3 — Pfizer-BioNTech
-
2022-01-09
Survey response — 12 months, dose 2MedDRA: Dizziness, Hypoaesthesia, Office visit, Optic neuritis, Paraesthesia — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Numbness, tingling to head and primarily left side of face, swelling of optic nerves (only left side at this time), dizziness, tingling to neck, chest, arm, leg on left... Have seen neurologistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-09
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)
-
2022-01-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-09 | Pfizer-BioNTech | |
| 3 | 2021-08-17 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Headache likely due to seasonal allergies
Release 9 — 6 months, dose 2
Symptoms: New diagnoses of fibromyalgia and interstitial cystitis. I don't think they're related to immunization as the fibromyalgia-type pains started before the immunization.
Healthcare visit (other): Regular medical visit
Release 10 — 12 months, dose 2
Symptoms: Numbness, tingling to head and primarily left side of face, swelling of optic nerves (only left side at this time), dizziness, tingling to neck, chest, arm, leg on left... Have seen neurologist
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 | Dizziness | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Optic neuritis | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release