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3LU-13766-09088

3 vaccinations 3 coded responses 15 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
221 / VA
Registered
2021-08-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-31
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-28
    Dose 2 — Pfizer-BioNTech
  3. 2021-08-21
    Registered in v-safe
  4. 2021-08-21
    Dose 3 — Pfizer-BioNTech
  5. 2021-08-21
    Health check-in — day 0, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-08-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-08-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-08-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Nausea
    Adult check-in
  9. 2021-08-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-08-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  11. 2021-08-28
    Survey response — day 7, dose 3
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Fibromyalgia flare
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-09-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-09-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-09-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-09-25
    Survey response — day 35, dose 3
    MedDRA: Asthenia, Balance disorder, Body temperature increased, Chills, Decreased appetite, Headache, Lethargy, Myalgia, Nausea, Night sweats, Office visit, Oropharyngeal pain, Restless arm syndrome, Restless legs syndrome — 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 professional
    Free text: Symptoms: Sore throat, nonstop headache, extreme lethargy, zero energy, slight fever 99.5, night sweats, chills, muscle aches, restless arms & legs, off balance, nausea, lack of appetite 9/19-present. Had direct exposure for 4 consecutive days · Healthcare visit (other): Two In person appointments with PCP
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-09-25
    Report sent to call center — day 35, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  17. 2021-09-30
  18. 2021-10-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-03
  20. 2021-11-03
    Call successful
    Participant prefers to complete VAERS report online
  21. 2021-11-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-02-19
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  23. 2022-08-21
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Nasopharyngitis, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had Covid on June 12, approximately 2 weeks after my 2nd booster. Felt like a bad head cold, got Paxlovid and it helped a lot! · Healthcare visit (other): PCP visit
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-08-21
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  25. 2022-08-22
  26. 2022-08-22

Vaccinations

DoseDateManufacturerCo-administered
12021-01-31Pfizer-BioNTech No
22021-02-28Pfizer-BioNTech No
32021-08-21Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — day 7, dose 3

2021-08-28

Systemic reaction (other): Fibromyalgia flare

Release 9 — day 35, dose 3

2021-09-25

Symptoms: Sore throat, nonstop headache, extreme lethargy, zero energy, slight fever 99.5, night sweats, chills, muscle aches, restless arms & legs, off balance, nausea, lack of appetite 9/19-present. Had direct exposure for 4 consecutive days
Healthcare visit (other): Two In person appointments with PCP

Release 12 — 12 months, dose 3

2022-08-21

Symptoms: Had Covid on June 12, approximately 2 weeks after my 2nd booster. Felt like a bad head cold, got Paxlovid and it helped a lot!
Healthcare visit (other): PCP 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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAsthenia · · ✓
SDBalance disorder · · ✓
SDBody temperature increased · · ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDDecreased appetite · · ✓
SDHeadache · · ✓
SDLethargy · · ✓
SDMyalgia · · ✓
SDNasopharyngitis · · ✓
SDNausea · · ✓
SDNight sweats · · ✓
SDOropharyngeal pain · · ✓
SDRestless arm syndrome · · ✓
SDRestless legs syndrome · · ✓
SROCondition aggravated ✓ · ✓
SROPre-existing disease ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release