3X3-11265-24714
5 vaccinations
7 coded responses
39 check-ins
5 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 132 / NY
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 2 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-09-30
Dose 3 — Pfizer-BioNTech
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: VERY Slight tenderness st vaccination site only when touchedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-04
- 2021-11-11
-
2021-12-30
Survey response — 3 months, dose 3MedDRA: Bone density abnormal, Bone loss, Osteoporosis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had bone density test - diagnosed w osteoporosis. · Healthcare visit (other): New prescription to slow osteoporosis bone lossMedDRA releases: 2024-11 · check-in free text available
-
2021-12-30
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-03-31
-
2022-04-05
Dose 4 — Pfizer-BioNTech
- 2022-04-16
- 2022-04-19
- 2022-04-26
- 2022-05-05
-
2022-05-10
Survey response — day 35, dose 4MedDRA: Asthenia, Chest discomfort, Chills, Cough, Diarrhoea, Dyspnoea, Ear pain, Fatigue, Headache, Hypoaesthesia, Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 test positive, Sinus congestion, Vomiting — Feeling: Poor · 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: Symptoms: Congested L sinuses,,fever, chills, headache, sore throat, coughing, nausea, vomiting, body aches, lower legs numbness, diarrhea, chest tightness, shortness of breath, exhausting fatigue, weakness,,left ear ache · Healthcare visit (other): Did rapid home test and Covid detectedMedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — day 35, dose 4Be 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)
-
2022-05-11
Call successfulCompleted over the phone
-
2022-05-17
Survey response — day 42, dose 4MedDRA: COVID-19, Emergency care, Myalgia, Paraesthesia, Self-medication — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Muscle pain in hips, legs, feet and tingling that started in feet and was moving up thighs, diagnosed at hospital ER with Covid myalgia. R/o clots and r/o GBS taking extra strength Tylenol and Motrin for the pain. · Healthcare visit (other): 11 hours at ER - 6 waiting and 5 w labs, IV, and medsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-17
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-05-18
-
2022-05-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-05
Survey response — 3 months, dose 4MedDRA: Dyspnoea, Fatigue, Haematuria, Unevaluable event, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Painful gross hematuria, UTI, shortness of breath so used rescue inhaler in addition to asthmanex, fatigue · Healthcare visit (other): Lab test metabolic panel, urinalysis/urine culture - having CT scan and cystoscopy this weekMedDRA releases: 2024-11 · check-in free text available
-
2022-07-05
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-06
- 2022-07-06
- 2022-07-06
- 2022-07-06
-
2022-07-11
Call successfulCompleted over the phone
- 2022-10-04
-
2022-10-17
Dose 5 — Pfizer-BioNTech
-
2023-04-05
Survey response — 12 months, dose 4MedDRA: Blindness transient, Cerebrovascular accident, Emergency care, Muscle spasms, Office visit, Transient ischaemic attack — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-05
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-04-06
-
2023-04-19
Survey response — 6 months, dose 5MedDRA: Arthralgia, Emergency care, Erythema, Joint swelling, Office visit, Synovial cyst, Ultrasound scan abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-19
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2023-04-20
Call successfulReported to VAERS during previous contact from GDIT
-
2023-04-20
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Pfizer-BioNTech | No |
| 5 | 2022-10-17 | Pfizer-BioNTech | No |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 4
1 wait over 3 months for a first call
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): VERY Slight tenderness st vaccination site only when touched
Release 10 — 3 months, dose 3
Symptoms: Had bone density test - diagnosed w osteoporosis.
Healthcare visit (other): New prescription to slow osteoporosis bone loss
Release 11 — day 35, dose 4
Symptoms: Congested L sinuses,,fever, chills, headache, sore throat, coughing, nausea, vomiting, body aches, lower legs numbness, diarrhea, chest tightness, shortness of breath, exhausting fatigue, weakness,,left ear ache
Healthcare visit (other): Did rapid home test and Covid detected
Release 11 — day 42, dose 4
Symptoms: Muscle pain in hips, legs, feet and tingling that started in feet and was moving up thighs, diagnosed at hospital ER with Covid myalgia. R/o clots and r/o GBS taking extra strength Tylenol and Motrin for the pain.
Healthcare visit (other): 11 hours at ER - 6 waiting and 5 w labs, IV, and meds
Release 12 — 3 months, dose 4
Symptoms: Painful gross hematuria, UTI, shortness of breath so used rescue inhaler in addition to asthmanex, fatigue
Healthcare visit (other): Lab test metabolic panel, urinalysis/urine culture - having CT scan and cystoscopy this 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 |
|---|---|---|---|---|
| HCVO | Bone loss | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Osteoporosis | · | · | ✓ |
| HCVO | SARS-CoV-2 test positive | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Blindness transient | · | · | ✓ |
| SD | Bone density abnormal | · | · | ✓ |
| SD | Cerebrovascular accident | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Haematuria | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Osteoporosis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Synovial cyst | · | · | ✓ |
| SD | Transient ischaemic attack | · | · | ✓ |
| SD | Ultrasound scan abnormal | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release