3M5-16722-25385
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 009 / PR
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
U2R-23282-61562
Child or adolescent in my care · Female · 2021-12-04
L53-81648-55271
Child or adolescent in my care · Female · 2021-12-04
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Pfizer-BioNTech
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-05
- 2021-02-06
- 2021-02-13
-
2021-02-20
Dose 2 — Pfizer-BioNTech
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessFree text: An elarged axillary node in the right arm near the breast and it is a little painful when i extend the arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Still have the enlarged axillary node near the breast on the left arm and ot still feels a little painful if i extend my arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-15
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-08
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-22
-
2021-10-29
Survey response — day 21, dose 3MedDRA: Arthralgia, Chest pain, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I keep feeling the same kind of chest pain i experienced after the third shot but in a lower scale. I also began to experience pain in my knee which is more noticeable when i bend or sit.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-04
Call successfulParticipant prefers to complete VAERS report online
-
2021-11-12
Survey response — day 35, dose 3MedDRA: Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: High blood pressureMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-15
- 2022-01-07
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): An elarged axillary node in the right arm near the breast and it is a little painful when i extend the arm.
Systemic reaction (other): Still have the enlarged axillary node near the breast on the left arm and ot still feels a little painful if i extend my arm.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain
Release 10 — day 21, dose 3
Symptoms: I keep feeling the same kind of chest pain i experienced after the third shot but in a lower scale. I also began to experience pain in my knee which is more noticeable when i bend or sit.
Release 10 — day 35, dose 3
Symptoms: High blood pressure
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 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release