3UW-14729-66874
4 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 931 / CA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Pfizer-BioNTech
-
2021-01-27
Dose 2 — Pfizer-BioNTech
-
2021-02-02
Registered in v-safe
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal tenderness, Headache, Joint swelling, Pain, Sensitive skin, Shoulder girdle pain, Tenderness — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: The day after the 2nd dose I had headache and body ache and a skin hypersensitivity on the posterior aspect of my body from lower rib cage to my ankles bilaterally. These symptoms dissipated within 24 hrs. Shoulder girdle tenderness and swelling last about 3 days. All totally worth it! Thank you for the opportunity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-20
- 2021-02-24
- 2021-03-03
- 2021-03-12
- 2021-04-28
-
2021-07-30
Survey response — 6 months, dose 2MedDRA: Tendonitis — Feeling: GoodFree text: Achilles tendonitisMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-07
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-30
- 2021-10-12
- 2021-10-19
-
2021-12-07
Survey response — 3 months, dose 3MedDRA: Allergic bronchitis, Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, sore throat, runny nose, cough. Deemed to be allergy precipitated bronchitis. NO fever, loss of taste, or smell & 3 negative COVID tests over 9 days.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-08
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-08
-
2022-04-14
Dose 4 — Pfizer-BioNTech
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2022-04-20
- 2022-04-21
- 2022-05-08
- 2022-05-15
- 2022-05-21
- 2022-05-26
- 2022-07-18
- 2022-10-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-09-07 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The day after the 2nd dose I had headache and body ache and a skin hypersensitivity on the posterior aspect of my body from lower rib cage to my ankles bilaterally. These symptoms dissipated within 24 hrs. Shoulder girdle tenderness and swelling last about 3 days. All totally worth it! Thank you for the opportunity.
Release 9 — 6 months, dose 2
Symptoms: Achilles tendonitis
Release 10 — 3 months, dose 3
Symptoms: Congestion, sore throat, runny nose, cough. Deemed to be allergy precipitated bronchitis. NO fever, loss of taste, or smell & 3 negative COVID tests over 9 days.
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 | Allergic bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tendonitis | ✓ | · | ✓ |
| SRO | Abdominal tenderness | ○ | ✓ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Joint swelling | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Shoulder girdle pain | ○ | ✓ | ○ |
| SRO | Tenderness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release