3S7-59680-78128
4 vaccinations
10 coded responses
33 check-ins
10 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 142 / NY
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Dose 1 — Pfizer-BioNTech
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2021-03-16
Registered in v-safe
- 2021-03-16
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2021-03-18
Dose 2 — Pfizer-BioNTech
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Thank you for giving us opportunity to provide feedbackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
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2021-06-17
Survey response — 3 months, dose 2MedDRA: Rash, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Rash on face. Might be rosacea but cant see my dermatologist until August. · Healthcare visit (other): Dermatologist appointment in AugustMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
- 2021-09-16
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2021-10-01
Dose 3 — Pfizer-BioNTech
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2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: Swelling of lymph nodes- quite pronounced. Visible to the eye and can feel swelling.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Swollen lymph nodes. Last night this area also turned red.MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: Armpit area lymph nodes swollen; still red altogether redness beginning to fadeMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: Good · Site: Redness, ItchingFree text: Swelling and redness in armpit lymph nodes. Both symptoms are starting to subside.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymphadenopathy — Feeling: Good · Site: ItchingFree text: Lymph nodes- redness disappearing. Swelling almost gone.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
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2021-12-31
Survey response — 3 months, dose 3MedDRA: Blood urine present, Laboratory test abnormal, Liver function test abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: One abnormal liver and kidney enzyme test. Follow up came back normal. Some blood in urine, doing follow up test in 3 weeks. · Healthcare visit (other): Doctor office and Quest for tests.MedDRA releases: 2024-11 · check-in free text available
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2021-12-31
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-01-04
Call successfulCompleted over the phone
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2022-04-02
Survey response — 6 months, dose 3MedDRA: Culture urine positive, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Atypical cells in a urine culture. · Healthcare visit (other): Plus in office visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
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)
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2022-04-05
Call successfulCompleted over the phone
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2022-06-02
Dose 4 — Pfizer-BioNTech
- 2022-10-03
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2022-12-01
Survey response — 6 months, dose 4MedDRA: Colonoscopy abnormal, Office visit, Polypectomy, Rectal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Rectal bleeding. Colonoscopy- removed 3 polyps, one probably the bleeding culprit; none cancerous. · Healthcare visit (other): Colonoscopy at (b)(6) Cancer CenterMedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-02
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2022-12-06
Call successfulDoes not wish to fill out VAERS report
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-06-02 | Pfizer-BioNTech | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Thank you for giving us opportunity to provide feedback
Release 9 — 3 months, dose 2
Symptoms: Rash on face. Might be rosacea but cant see my dermatologist until August.
Healthcare visit (other): Dermatologist appointment in August
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling of lymph nodes- quite pronounced. Visible to the eye and can feel swelling.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes. Last night this area also turned red.
Systemic reaction (other): Armpit area lymph nodes swollen; still red altogether redness beginning to fade
Systemic reaction (other): Swelling and redness in armpit lymph nodes. Both symptoms are starting to subside.
Systemic reaction (other): Lymph nodes- redness disappearing. Swelling almost gone.
Release 10 — 3 months, dose 3
Symptoms: One abnormal liver and kidney enzyme test. Follow up came back normal. Some blood in urine, doing follow up test in 3 weeks.
Healthcare visit (other): Doctor office and Quest for tests.
Release 11 — 6 months, dose 3
Symptoms: Atypical cells in a urine culture.
Healthcare visit (other): Plus in office visit
Release 12 — 6 months, dose 4
Symptoms: Rectal bleeding. Colonoscopy- removed 3 polyps, one probably the bleeding culprit; none cancerous.
Healthcare visit (other): Colonoscopy at (b)(6) Cancer Center
redacted (b)(6)
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 | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Blood urine present | · | · | ✓ |
| SD | Colonoscopy abnormal | · | · | ✓ |
| SD | Culture urine positive | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Liver function test abnormal | · | · | ✓ |
| SD | Polypectomy | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rectal haemorrhage | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release