3XL-23038-49904
4 vaccinations
4 coded responses
38 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 189 / PA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-24
- 2020-12-25
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-01
- 2021-01-06
-
2021-01-13
Dose 2 — Pfizer-BioNTech
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Pain · Joint painsFree text: Last evening had a few dizzy spells something like vertigo - went to bed and nothing todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-04-14
- 2021-07-14
-
2021-10-02
Dose 3 — Pfizer-BioNTech
-
2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-09
-
2021-10-16
Survey response — day 14, dose 3MedDRA: Pain, Pain in extremity — Feeling: GoodFree text: Last two days my injection arm became very sore again. The site looked fine but I had terrible pain lifting my arm up. Today it is gone though.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2021-11-13
-
2022-01-01
Survey response — 3 months, dose 3MedDRA: Chills, Cough, Fatigue, Influenza like illness, Influenza virus test negative, Medical counselling, Office visit, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · 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: Flu like chills- low grade fever - congestion - terrible cough that lasted a month . Body aches . Very tired. I did nothing for two weeks . Consulted doctor. After a week of it or more I tested at a facility - neg for flu or covid -other viruses.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-05
Call successfulNot applicable - Accidental Reporting
- 2022-04-02
-
2022-04-06
Dose 4 — Pfizer-BioNTech
-
2022-05-18
Survey response — day 42, dose 4MedDRA: Chills, Cough, Diarrhoea, Oropharyngeal pain, Pyrexia, Rib fracture, SARS-CoV-2 test positive, Upper-airway cough syndrome — Feeling: Good · 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: May 9 th tested positive for covid ( had been having a sore throat ,low grade fever , and post nasal drip causes frequent coughing spells . Then may 10 PCR done was positive. That night rigors and watery diarrhea and terrible cough / broke a rib .MedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-19
Call successfulParticipant prefers to complete VAERS report online
- 2022-07-06
- 2022-10-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Last evening had a few dizzy spells something like vertigo - went to bed and nothing today
Release 10 — day 14, dose 3
Symptoms: Last two days my injection arm became very sore again. The site looked fine but I had terrible pain lifting my arm up. Today it is gone though.
Release 10 — 3 months, dose 3
Symptoms: Flu like chills- low grade fever - congestion - terrible cough that lasted a month . Body aches . Very tired. I did nothing for two weeks . Consulted doctor. After a week of it or more I tested at a facility - neg for flu or covid -other viruses. cut off by CDC
Release 11 — day 42, dose 4
Symptoms: May 9 th tested positive for covid ( had been having a sore throat ,low grade fever , and post nasal drip causes frequent coughing spells . Then may 10 PCR done was positive. That night rigors and watery diarrhea and terrible cough / broke a rib . cut off by CDC
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rib fracture | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release