3NR-25219-68133
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Pfizer-BioNTech
- 2021-01-06
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Throat irritation — Feeling: GoodFree text: Scratchy throat/rhinorrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
-
2021-01-13
Survey response — day 7, dose 1MedDRA: Nasal congestion, Upper-airway cough syndrome — Feeling: GoodFree text: Post nasal drip/slight nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-09-24
Dose 3 — Pfizer-BioNTech
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Tachycardia — Feeling: GoodFree text: Axillary lymph node swelling (resolving since received booster 9/24). Night of 9/24 and 9/25 I also had tachycardia for a couple hours in the evening (also resolved)MedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Tachycardia — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I documented yesterday that on vaccine night snd night after I had tachycardia for a couple hours(resolved); and first 3-4 days after I had axillary lymph node swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
- 2021-10-09
- 2021-10-15
- 2021-10-22
-
2021-10-29
Survey response — day 35, dose 3MedDRA: Condition aggravated, Office visit, Pemphigus, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Worsening oral lichen planus and new dx of Oral Pemphigous vulgaris ( I have autoimmune issues-I doubt vaccine related s.e. But important for your data collecting possibly. · Healthcare visit (other): Oral surgery clinic per my dentist's referralMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-04
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-05
- 2021-12-24
-
2022-03-25
Survey response — 6 months, dose 3MedDRA: Blood pressure increased, Tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I still have tachycardia at rest off and on; and my BP has been increased slightly since April '21 ; increased more starting in October '21.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-28
Call successfulParticipant prefers to complete VAERS report online
- 2022-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Scratchy throat/rhinorrhea
Release 1 — day 7, dose 1
Systemic reaction (other): Post nasal drip/slight nasal congestion
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Axillary lymph node swelling (resolving since received booster 9/24). Night of 9/24 and 9/25 I also had tachycardia for a couple hours in the evening (also resolved)
Systemic reaction (other): I documented yesterday that on vaccine night snd night after I had tachycardia for a couple hours(resolved); and first 3-4 days after I had axillary lymph node swelling
Release 10 — day 35, dose 3
Symptoms: Worsening oral lichen planus and new dx of Oral Pemphigous vulgaris ( I have autoimmune issues-I doubt vaccine related s.e. But important for your data collecting possibly.
Healthcare visit (other): Oral surgery clinic per my dentist's referral
Release 11 — 6 months, dose 3
Symptoms: I still have tachycardia at rest off and on; and my BP has been increased slightly since April '21 ; increased more starting in October '21.
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 | Blood pressure increased | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Pemphigus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Tachycardia | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release