3LM-16394-10487
4 vaccinations
11 coded responses
42 check-ins
11 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 483 / MI
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-03
Registered in v-safe
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2021-04-03
Dose 1 — Pfizer-BioNTech
- 2021-04-03
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-10
- 2021-04-17
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2021-04-23
Dose 2 — Pfizer-BioNTech
- 2021-04-23
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sleeping a lot this weekend. Its a good thing I dont have to work until Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
- 2021-04-28
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · HeadacheFree text: Runny nose, sore throat last night and part of today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-14
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2021-05-22
Survey response — day 28, dose 2MedDRA: Oedema peripheral, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Edema this week. Swelling in legs and feet since the Saturday before Mothers Day. Zoo visit. Outdoor controlled environment. Foot pain. · Healthcare visit (other): Doctor requesting in person visit next week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-30
Survey response — day 35, dose 2MedDRA: Joint swelling, Oedema peripheral, Peripheral swelling, Rheumatoid factor positive — Feeling: FairFree text: Blood work is showing a weak positive for RA. Swelling/edema in feet, ankles & lower legs still present; but less than Mothers Day week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-07-23
Survey response — 3 months, dose 2MedDRA: Iritis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Within the last month, I was diagnosed with Iritis first in the left eye and then the right one week later. I dont know the root cause. Doctors have not found a reason.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-23
Survey response — 6 months, dose 2MedDRA: Night sweats, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Night Sweats. Biopsy of lung lymph nodes. · Healthcare visit (other): Pulmonologist, rheumatologist, ophthamologistMedDRA releases: 2024-11 · check-in free text available
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2021-10-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-25
Dose 3 — Pfizer-BioNTech
- 2021-10-25
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2021-10-26
Call successfulCompleted over the phone
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain a shot siteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-03
- 2021-11-08
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2021-11-15
Survey response — day 21, dose 3MedDRA: Hot flush, Medical counselling, Night sweats — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: More frequent hot flashes, night sweats · Healthcare visit (other): Phone calls with physicians.MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-16
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2021-11-22
Survey response — day 28, dose 3MedDRA: Abdominal pain upper, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue yesterday. Stomach pain. Slight headache.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-06
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2022-01-26
Survey response — 3 months, dose 3MedDRA: Urticaria — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hives occurred 2 days in a row. I had been on Ozempic due to elevated A1C believed to be because of prednisone. No longer on Ozempic. No more hives.MedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-01
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2022-04-11
Dose 4 — Pfizer-BioNTech
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
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2022-05-16
Survey response — day 35, dose 4MedDRA: Arthralgia, Office visit, Photophobia, Uveitis — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Uveitis in right eye. Joint pain. Started steroid eye drops Friday. Pain and light sensitivity gone. · Healthcare visit (other): Ophthalmologist office visitMedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-05-17
- 2022-10-12
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-23 | Pfizer-BioNTech | |
| 3 | 2021-10-25 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Pfizer-BioNTech | No |
Call center
5 call center cases
2 successful · 3 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sleeping a lot this weekend. Its a good thing I dont have to work until Monday.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose, sore throat last night and part of today.
Release 8 — day 28, dose 2
Symptoms: Edema this week. Swelling in legs and feet since the Saturday before Mothers Day. Zoo visit. Outdoor controlled environment. Foot pain.
Healthcare visit (other): Doctor requesting in person visit next week.
Release 8 — day 35, dose 2
Symptoms: Blood work is showing a weak positive for RA. Swelling/edema in feet, ankles & lower legs still present; but less than Mothers Day week.
Release 9 — 3 months, dose 2
Symptoms: Within the last month, I was diagnosed with Iritis first in the left eye and then the right one week later. I dont know the root cause. Doctors have not found a reason.
Release 10 — 6 months, dose 2
Symptoms: Night Sweats. Biopsy of lung lymph nodes.
Healthcare visit (other): Pulmonologist, rheumatologist, ophthamologist
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain a shot site
Release 10 — day 21, dose 3
Symptoms: More frequent hot flashes, night sweats
Healthcare visit (other): Phone calls with physicians.
Release 10 — day 28, dose 3
Symptoms: Fatigue yesterday. Stomach pain. Slight headache.
Release 11 — 3 months, dose 3
Symptoms: Hives occurred 2 days in a row. I had been on Ozempic due to elevated A1C believed to be because of prednisone. No longer on Ozempic. No more hives.
Release 11 — day 35, dose 4
Symptoms: Uveitis in right eye. Joint pain. Started steroid eye drops Friday. Pain and light sensitivity gone.
Healthcare visit (other): Ophthalmologist office visit
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Iritis | ✓ | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Photophobia | · | · | ✓ |
| SD | Rheumatoid factor positive | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Uveitis | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release