3SS-28305-30407
5 vaccinations
10 coded responses
66 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 531 / WI
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Pfizer-BioNTech
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
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2021-01-21
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: FairFree text: Fatigue not horrible, can do my job etc, but just tired. Didnt have that priorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 21, dose 1MedDRA: Fatigue, Limb discomfort — Feeling: GoodFree text: Its not consistent but there will be days that I will have fatigue. And this started after I received my first Covid shot. Its not bad but I just feel heavy and like I dont want to do anything. The next day Im usually fine...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Dose 2 — Pfizer-BioNTech
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: FairFree text: Dizzy, Visual vertigo type symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-11
- 2021-03-17
- 2021-05-05
- 2021-08-02
-
2021-10-19
Dose 3 — Pfizer-BioNTech
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2021-10-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
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2021-10-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-10-22
- 2021-10-23
- 2021-10-25
- 2021-10-26
-
2021-11-02
Survey response — day 14, dose 3MedDRA: Discomfort, Fatigue, Malaise, Reaction to previous exposure to any vaccine — Feeling: FairFree text: Fatigue or just feeling "heavy" malaise Almost similar to what I felt after the second Covid vaccine. And it happened a week or two outMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
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2021-11-16
Survey response — day 28, dose 3MedDRA: Fatigue, Feeling abnormal, Malaise — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fatigue, malaise, General feeling something not rightMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-17
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-26
- 2021-11-30
- 2022-01-20
- 2022-04-21
-
2022-05-20
Dose 4 — Moderna
- 2022-05-20
- 2022-05-21
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2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body achesAdult check-in
- 2022-05-23
- 2022-05-24
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Chills, Headache, Joint pains, DiarrheaAdult check-in
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
-
2022-06-17
Survey response — day 28, dose 4MedDRA: Orthostatic hypotension — Feeling: GoodFree text: Postural hypotension todayMedDRA releases: 2024-11 · check-in free text available
- 2022-06-24
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2022-07-02
Survey response — day 42, dose 4MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-08-19
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2022-10-18
Dose 5 — Moderna
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-10-20
- 2022-10-21
- 2022-10-22
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-10-24
- 2022-10-25
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2022-11-01
Survey response — day 14, dose 5MedDRA: Cough, Laryngitis, Respiratory symptom, SARS-CoV-2 test negative — Feeling: FairFree text: Laryngitis upper respiratory symptoms mild cough (Five negative Covid tests)MedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Survey response — day 21, dose 5MedDRA: Laryngitis — Feeling: GoodFree text: LaryngitisMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
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2022-11-22
Survey response — day 35, dose 5MedDRA: Myalgia — Feeling: FairFree text: Muscle aches but also received the Shingles vaccine last weekMedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
- 2023-01-17
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-10-19 | Pfizer-BioNTech | No |
| 4 | 2022-05-20 | Moderna | No |
| 5 | 2022-10-18 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — day 14, dose 1
Symptoms: Fatigue not horrible, can do my job etc, but just tired. Didnt have that prior
Release 2 — day 21, dose 1
Symptoms: Its not consistent but there will be days that I will have fatigue. And this started after I received my first Covid shot. Its not bad but I just feel heavy and like I dont want to do anything. The next day Im usually fine...
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy, Visual vertigo type symptoms
Release 10 — day 14, dose 3
Symptoms: Fatigue or just feeling "heavy" malaise Almost similar to what I felt after the second Covid vaccine. And it happened a week or two out
Release 10 — day 28, dose 3
Symptoms: Fatigue, malaise, General feeling something not right
Release 12 — day 28, dose 4
Symptoms: Postural hypotension today
Release 12 — day 42, dose 4
Symptoms: Fatigue
Release 12 — day 14, dose 5
Symptoms: Laryngitis upper respiratory symptoms mild cough (Five negative Covid tests)
Release 12 — day 21, dose 5
Symptoms: Laryngitis
Release 12 — day 35, dose 5
Symptoms: Muscle aches but also received the Shingles vaccine last week
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 | Discomfort | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Orthostatic hypotension | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release