3VG-15406-06195
2 vaccinations
9 coded responses
16 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-21
Dose 1 — Pfizer-BioNTech
-
2021-04-11
Registered in v-safe
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2021-04-11
Dose 2 — Pfizer-BioNTech
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2021-04-11
Survey response — day 0, dose 2MedDRA: Dysphagia, Dysphonia, Paraesthesia, Taste disorder — Feeling: FairFree text: Tingling of hand on injection arm, change in voice as if getting sick, taste in mouth, difficulty swallowingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Middle insomnia, Tenderness — Feeling: Fair · Site: PainFree text: Painful to touch armpit of the arm that received the shot. This area hurt to touch and the pain woke me from my sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: Still have pain in armpit of arm that received the shot. It is painful to sleep on my side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
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2021-04-25
Survey response — day 14, dose 2MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe intermittent Pain in right calf and back of ankle · Healthcare visit (other): Internist appointment, ultrasound for blood clot, xrayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-02
Survey response — day 21, dose 2MedDRA: Gait disturbance, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Right calf continues to hurt randomly.Makes driving and walking difficult.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 28, dose 2MedDRA: Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Right leg calf pain is intermittent and intense. It interferes with walking and driving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-16
Survey response — day 35, dose 2MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Right leg calf painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Increased symptoms with known health issue, OABSide effects from taking Gemtesa · Healthcare visit (other): Specialist visitsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-15
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
- 2021-07-23
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2021-10-10
Survey response — 6 months, dose 2MedDRA: Back pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Low back pain. Went to Urgent Care.MedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-12
- 2021-10-15
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2021-10-15
Callback requested for7:30PM ET
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2021-10-15
Call successfulCompleted over the phone
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Pfizer-BioNTech | |
| 2 | 2021-04-11 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Tingling of hand on injection arm, change in voice as if getting sick, taste in mouth, difficulty swallowing
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Painful to touch armpit of the arm that received the shot. This area hurt to touch and the pain woke me from my sleep.
Systemic reaction (other): Still have pain in armpit of arm that received the shot. It is painful to sleep on my side.
Release 7 — day 14, dose 2
Symptoms: Severe intermittent Pain in right calf and back of ankle
Healthcare visit (other): Internist appointment, ultrasound for blood clot, xray
Release 8 — day 21, dose 2
Symptoms: Right calf continues to hurt randomly.Makes driving and walking difficult.
Release 8 — day 28, dose 2
Symptoms: Right leg calf pain is intermittent and intense. It interferes with walking and driving.
Release 8 — day 35, dose 2
Symptoms: Right leg calf pain
Release 9 — 3 months, dose 2
Symptoms: Increased symptoms with known health issue, OABSide effects from taking Gemtesa
Healthcare visit (other): Specialist visits
Release 10 — 6 months, dose 2
Symptoms: Low back pain. Went to Urgent Care.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release