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3XV-33959-16494

5 vaccinations 5 coded responses 22 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
221 / VA
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-11
    Dose 2 — Pfizer-BioNTech
  12. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Fatigue, Feeling hot, Pain — Feeling: Good · Site: Pain
    Free text: Hot was a week ago. I was very tired and a little achey starting at about 24 hours, gone by the next morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-12
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Discomfort breathing · Healthcare visit (other): Saw my regular internist in person
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-12
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-20
  22. 2021-08-20
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  23. 2021-08-21
    Dose 3 — Pfizer-BioNTech
  24. 2022-02-11
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-06-15
    Dose 4 — Moderna
  26. 2022-10-14
    Dose 5 — Moderna
    Co-administered: Flu
  27. 2022-11-05
    Survey response — day 21, dose 5
    MedDRA: COVID-19, Lower respiratory tract infection — 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 consultation
    Free text: Had Covid starting 2/24/22. This is the accurate date. The date entered below is false because the system requires a date starting since September. Had long lasting chest cold 10/22, lasted 3 weeks, maybe rsv
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-11-05
    Report sent to call center — day 21, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  29. 2022-11-08
  30. 2022-11-08
    Call successful
    Participant prefers to complete VAERS report online
  31. 2022-11-11
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  32. 2022-11-18
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  33. 2022-11-25
    Survey response — day 42, dose 5
    MedDRA: Chest pain, Cough, Nasopharyngitis, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Bad cold, deep cough, aches, chest pain when coughing
    MedDRA releases: 2024-11 · check-in free text available
  34. 2023-04-14
    Survey response — 6 months, dose 5
    MedDRA: Cough, Nasopharyngitis, Respiratory disorder — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Pfizer-BioNTech
22021-02-11Pfizer-BioNTech
32021-08-21Pfizer-BioNTech No
42022-06-15Moderna No
52022-10-14Moderna Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Hot was a week ago. I was very tired and a little achey starting at about 24 hours, gone by the next morning.

Release 9 — 6 months, dose 2

2021-08-12

Symptoms: Discomfort breathing
Healthcare visit (other): Saw my regular internist in person

Release 12 — day 21, dose 5

2022-11-05

Symptoms: Had Covid starting 2/24/22. This is the accurate date. The date entered below is false because the system requires a date starting since September. Had long lasting chest cold 10/22, lasted 3 weeks, maybe rsv

Release 12 — day 42, dose 5

2022-11-25

Symptoms: Bad cold, deep cough, aches, chest pain when coughing

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDChest pain · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDyspnoea ✓ · ✓
SDLower respiratory tract infection · · ✓
SDNasopharyngitis · · ✓
SDPain · · ✓
SDRespiratory disorder · · ✓
SROFatigue ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROPain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release