3YZ-14794-75696
2 vaccinations
14 coded responses
16 check-ins
14 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 122 / NY
- Registered
- 2021-10-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-10-15
Dose 1 — Pfizer-BioNTech
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2021-10-27
Registered in v-safe
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2021-10-27
Survey response — day 7, dose 1MedDRA: Sciatica, Unevaluable event — Feeling: GoodFree text: Lower back sciatica painMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — day 14, dose 1MedDRA: Arthralgia, Back pain, Joint swelling, Pain in extremity — Feeling: GoodFree text: Pain mid back radiating bilaterally to hips encompassing front and back of thighs with swelling of left ankle over sides of shoe. That was yesterday, today pain in both knees and left thigh front and back and left hip- I will be seeking medical evalMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Dose 2 — Pfizer-BioNTech
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2021-11-05
Survey response — day 0, dose 2MedDRA: Joint swelling — Feeling: GoodFree text: Left ankle still swollen since last sundayMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-11-07
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral, Swelling — Feeling: Good · Site: Itching · Muscle or body achesFree text: Right armpit and supraclavicular area more swollenMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: Redness · Muscle or body achesFree text: Red line going from injection site up toward shoulderMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 2MedDRA: Telangiectasia — Feeling: Good · Site: RednessFree text: Sudden appearance telangectasia right thigh encompassing area 2"x10" above and lateral to kneeMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Oedema peripheral, Periorbital pain, Swelling — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bilateral underarm swelling ,redness, swelling, pain left periorbital areaMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-12
Survey response — day 7, dose 2MedDRA: Headache, Office visit, Pain, Periorbital swelling, Tenderness, Visual impairment — Feeling: Fair · Headache, Muscle or body aches · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Saw only white in left eye upon awakening, cleared after a few minutes. Left periorbital area swollen, to suborbital foremen, slight headache, tender to touch, hurts when blinking. Went to urgent care- no infection evident, but gave erythromycin forMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Report sent to call center — day 7, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-15
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-19
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2021-11-27
Survey response — day 21, dose 2MedDRA: Monocular vision, Nodule, Oedema peripheral, Office visit, Swelling, Visual field defect — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Four days of monocular vision loss in left eye upon wakening. Left eye lateral field vision impairment. Right neck nodule detected with ultrasound, right neck and supraclavicular swelling, bilateral armpit swelling. · Healthcare visit (other): Urgent care visit with ophthalmologist, carotid ultrasound bilateral- so happy to be part of a mandated vaccination cohort to keep my job- God bless America.land of the free. Home of the brave. Can't wait to be mandated for booster.MedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-30
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2021-12-04
Survey response — day 28, dose 2MedDRA: Eyelid pain, Oedema peripheral, Swelling, Swelling of eyelid, Unevaluable event, Visual impairment — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Right lower eyelid increasingly swollen and painful since last Sunday morning- similar to what happened to left eye. Sat, Dec 3,2021 woke up and gray fog looking out of right eye- within an hour vision back to normal. Armpits-and neck swollen still · Healthcare visit (other): Monday see ophthalmologist for follow up and assessment of right eyeMedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-10
Survey response — day 35, dose 2MedDRA: Arthralgia, Lymphadenopathy, Pain — Feeling: FairFree text: Right ankle pain when walking, palpable lymph nodes bilateral groin areaMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
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2021-12-19
Survey response — day 42, dose 2MedDRA: Erythema, Oedema peripheral, Swelling — Feeling: GoodFree text: Skin on arms red like a sunburn and hairdresser asked me last Sunday if my scalp hurt because she said it was very red when I arrived - no pain or itchiness with redness- supraclavicular, armpit,and back of neck swelling still not resolved.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — 6 months, dose 2MedDRA: Eye swelling, Oedema peripheral, Pain in extremity, Peripheral swelling, Rash, Swelling, Visual acuity reduced — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Left eye acuity diminished post swelling even with corrective lens. Armpits, nape of neck and right supraclavicular area still swollen. Inner thigh swollen and painful bilateral/ painless rash on arms bilateral- both resolved.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
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2022-11-05
Survey response — 12 months, dose 2MedDRA: Burning sensation, Oedema peripheral, Peripheral swelling, Tinnitus, Visual impairment — Feeling: FairFree text: Both armpits are still swollen but now burn at times. I have tinnitus in both ears.Vision in left eye still compromised.Both big toes have become swollen. Have been told just exercise moreMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-15 | Pfizer-BioNTech | No |
| 2 | 2021-11-05 | Pfizer-BioNTech | No |
Call center
5 call center cases
2 successful · 3 unsuccessful
Free text
Release 10 — day 7, dose 1
Systemic reaction (other): Lower back sciatica pain
Release 10 — day 14, dose 1
Symptoms: Pain mid back radiating bilaterally to hips encompassing front and back of thighs with swelling of left ankle over sides of shoe. That was yesterday, today pain in both knees and left thigh front and back and left hip- I will be seeking medical eval cut off by CDC
Release 10 — day 0, dose 2
Systemic reaction (other): Left ankle still swollen since last sunday
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Right armpit and supraclavicular area more swollen
Systemic reaction (other): Red line going from injection site up toward shoulder
Systemic reaction (other): Sudden appearance telangectasia right thigh encompassing area 2"x10" above and lateral to knee
Systemic reaction (other): Bilateral underarm swelling ,redness, swelling, pain left periorbital area
Release 10 — day 7, dose 2
Systemic reaction (other): Saw only white in left eye upon awakening, cleared after a few minutes. Left periorbital area swollen, to suborbital foremen, slight headache, tender to touch, hurts when blinking. Went to urgent care- no infection evident, but gave erythromycin for cut off by CDC
Release 10 — day 21, dose 2
Symptoms: Four days of monocular vision loss in left eye upon wakening. Left eye lateral field vision impairment. Right neck nodule detected with ultrasound, right neck and supraclavicular swelling, bilateral armpit swelling.
Healthcare visit (other): Urgent care visit with ophthalmologist, carotid ultrasound bilateral- so happy to be part of a mandated vaccination cohort to keep my job- God bless America.land of the free. Home of the brave. Can't wait to be mandated for booster.
Release 10 — day 28, dose 2
Symptoms: Right lower eyelid increasingly swollen and painful since last Sunday morning- similar to what happened to left eye. Sat, Dec 3,2021 woke up and gray fog looking out of right eye- within an hour vision back to normal. Armpits-and neck swollen still cut off by CDC
Healthcare visit (other): Monday see ophthalmologist for follow up and assessment of right eye
Release 10 — day 35, dose 2
Symptoms: Right ankle pain when walking, palpable lymph nodes bilateral groin area
Release 10 — day 42, dose 2
Symptoms: Skin on arms red like a sunburn and hairdresser asked me last Sunday if my scalp hurt because she said it was very red when I arrived - no pain or itchiness with redness- supraclavicular, armpit,and back of neck swelling still not resolved.
Release 11 — 6 months, dose 2
Symptoms: Left eye acuity diminished post swelling even with corrective lens. Armpits, nape of neck and right supraclavicular area still swollen. Inner thigh swollen and painful bilateral/ painless rash on arms bilateral- both resolved.
Release 12 — 12 months, dose 2
Symptoms: Both armpits are still swollen but now burn at times. I have tinnitus in both ears.Vision in left eye still compromised.Both big toes have become swollen. Have been told just exercise more
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Burning sensation | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Eyelid pain | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Monocular vision | · | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SD | Swelling of eyelid | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Visual acuity reduced | · | · | ✓ |
| SD | Visual field defect | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Periorbital pain | · | · | ✓ |
| SRO | Periorbital swelling | · | · | ✓ |
| SRO | Sciatica | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Telangiectasia | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release