3N5-10067-93455
5 vaccinations
18 coded responses
56 check-ins
18 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 430 / OH
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-20
Dose 1 — Pfizer-BioNTech
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2021-01-22
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaFree text: Numb R 4th digit, paresthesias L foot/LLEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Hot flush, Oropharyngeal discomfort — Feeling: Good · Fatigue or tirednessFree text: 20 min after injection felt posterior throat thickness, hot flash, little dizzy- all resolved in 10 minMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · DiarrheaFree text: Think related to what I ateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
- 2021-02-10
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2021-02-16
Dose 2 — Pfizer-BioNTech
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Cholecystectomy, Diarrhoea — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Am also having intermittent diarrhea after gallbladder removalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Cholecystectomy, Diarrhoea — Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Diarrhea may be related to diet & recent cholecystectomyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
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2021-02-23
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-17
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2021-10-20
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Tenderness L axilla on arm that had Covid booster shotMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: L axillary fullness / swellingMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Resolving lymphadenopathy Left axillaMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Resolving lymphadenopathy left axillaMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-11-04
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2021-11-10
Survey response — day 21, dose 3MedDRA: Diarrhoea, Fatigue, Malaise, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Malaise, fatigue, rhinnorhea, diarrhea for 3 days last weekMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
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2021-12-01
Survey response — day 42, dose 3MedDRA: Muscle strain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pulled muscle in legMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-06
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2021-12-20
Call successfulDoes not wish to fill out VAERS report
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2022-01-19
Survey response — 3 months, dose 3MedDRA: Night sweats — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Night sweats for one night.MedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Dose 4 — Moderna
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2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
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2022-05-11
Survey response — day 28, dose 4MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhea but don't think relatedMedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — day 35, dose 4MedDRA: Cough, Ear pain, Fatigue, Oropharyngeal discolouration, Oropharyngeal pain, Pharyngeal oedema, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore left pharynx with grayish edema and pain and left ear pain. Cough. No fever. Negative Covid home test. Some increase of rhinnorhea. Had fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-07-13
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2022-10-12
Survey response — 6 months, dose 4MedDRA: Cough, Diarrhoea, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sore throat. Cough. Diarrhea. Fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-15
- 2022-10-16
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2022-10-17
Survey response — days 1–6 daily, dose 5MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: 3 days armpit soreness and fullness same side as shotMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Survey response — days 1–6 daily, dose 5MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Axillary lymph node tendernessMedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — days 1–6 daily, dose 5MedDRA: Oedema peripheral — Feeling: GoodFree text: Still swelling in axilla of arm where had shotMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-22
- 2022-10-29
- 2022-11-08
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2023-01-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-10-20 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-10-15 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Numb R 4th digit, paresthesias L foot/LLE
Systemic reaction (other): 20 min after injection felt posterior throat thickness, hot flash, little dizzy- all resolved in 10 min
Systemic reaction (other): Think related to what I ate
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Am also having intermittent diarrhea after gallbladder removal
Systemic reaction (other): Diarrhea may be related to diet & recent cholecystectomy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tenderness L axilla on arm that had Covid booster shot
Systemic reaction (other): L axillary fullness / swelling
Systemic reaction (other): Resolving lymphadenopathy Left axilla
Systemic reaction (other): Resolving lymphadenopathy left axilla
Release 10 — day 21, dose 3
Symptoms: Malaise, fatigue, rhinnorhea, diarrhea for 3 days last week
Release 10 — day 42, dose 3
Symptoms: Pulled muscle in leg
Release 10 — 3 months, dose 3
Symptoms: Night sweats for one night.
Release 11 — day 28, dose 4
Symptoms: Diarrhea but don't think related
Release 11 — day 35, dose 4
Symptoms: Sore left pharynx with grayish edema and pain and left ear pain. Cough. No fever. Negative Covid home test. Some increase of rhinnorhea. Had fatigue.
Release 12 — 6 months, dose 4
Symptoms: Sore throat. Cough. Diarrhea. Fatigue.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): 3 days armpit soreness and fullness same side as shot
Systemic reaction (other): Axillary lymph node tenderness
Systemic reaction (other): Still swelling in axilla of arm where had shot
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscle strain | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal discolouration | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngeal oedema | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Cholecystectomy | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release