3ZM-28027-54072
5 vaccinations
14 coded responses
64 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Chills, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
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2021-01-29
Survey response — day 7, dose 1MedDRA: Blood pressure increased, Palpitations — Feeling: Fair · DiarrheaFree text: Had racing heart and blood pressure went upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
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2021-02-12
Dose 2 — Pfizer-BioNTech
- 2021-02-12
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
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2021-03-05
Survey response — day 21, dose 2MedDRA: Chills, Headache, Self-medication — Feeling: GoodFree text: I woke up with a headache and chills early this morning. It was in the 60s so not sure why the extreme chills. I took extra strength Tylenol and felt better, and no more symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
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2021-03-26
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea for two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Insomnia — Feeling: GoodFree text: Severe insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-14
Survey response — 6 months, dose 2MedDRA: Cholecystectomy, Cholelithiasis, Haematochezia, Nephrolithiasis, Thrombosis — 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 visit, HospitalizationFree text: Had blood clot size of grapefruit in stomach, but could find no source of bleed. Had bloody stools, had gallstones, gallbladder removed. Have kidney stones.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-14
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-08-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-10-08
Dose 3 — Pfizer-BioNTech
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2021-10-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, Nausea, Vomiting, DiarrheaAdult check-in
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2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Nausea, VomitingAdult check-in
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2021-10-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-13
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2022-01-07
- 2022-04-10
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2022-05-12
Dose 4 — Pfizer-BioNTech
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2022-05-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, VomitingAdult check-in
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2022-05-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Vomiting, DiarrheaAdult check-in
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2022-05-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Nausea, VomitingAdult check-in
- 2022-05-17
- 2022-05-18
- 2022-05-19
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2022-05-26
Survey response — day 14, dose 4MedDRA: Cough — Feeling: GoodFree text: Been having a cough that is lingeringMedDRA releases: 2024-11 · check-in free text available
- 2022-06-02
- 2022-06-09
- 2022-06-18
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2022-06-23
Survey response — day 42, dose 4MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: FairFree text: Coughing , sneezing and congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-08-11
Survey response — 3 months, dose 4MedDRA: Arthralgia, Cough, Diarrhoea, Fatigue, Headache — Feeling: Fair · 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: Cough, headache, extreme fatigue, joint pain, diarrheaMedDRA releases: 2024-11 · check-in free text available
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2022-08-11
Report sent to call center — 3 months, 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)
- 2022-08-12
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2022-08-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-10
Survey response — 6 months, dose 4MedDRA: Arthralgia, Chest pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Was having joint pain and chest pain.MedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-11
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2022-11-11
Call successfulParticipant prefers to complete VAERS report online
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2022-12-01
Dose 5 — Pfizer-BioNTech
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2022-12-03
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-12-04
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-12-05
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swelling under my arm in the lymph node area and pain in joint of arms.MedDRA releases: 2024-11 · check-in free text available
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2022-12-06
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-12-07
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Joint pains, DiarrheaAdult check-in
- 2022-12-08
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2022-12-15
Survey response — day 14, dose 5MedDRA: Cough, Nasal congestion — Feeling: GoodFree text: Coughing and stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2022-12-22
Survey response — day 21, dose 5MedDRA: Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: Had fever of 100.6, cough and congestion. Also had sneezing. Took two Covid test both have been negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-29
- 2023-01-05
- 2023-01-13
- 2023-03-02
- 2023-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-05-12 | Pfizer-BioNTech | No |
| 5 | 2022-12-01 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 3 — day 7, dose 1
Systemic reaction (other): Had racing heart and blood pressure went up
Release 5 — day 21, dose 2
Symptoms: I woke up with a headache and chills early this morning. It was in the 60s so not sure why the extreme chills. I took extra strength Tylenol and felt better, and no more symptoms.
Release 6 — day 42, dose 2
Symptoms: Diarrhea for two days.
Release 8 — 3 months, dose 2
Symptoms: Severe insomnia
Release 9 — 6 months, dose 2
Symptoms: Had blood clot size of grapefruit in stomach, but could find no source of bleed. Had bloody stools, had gallstones, gallbladder removed. Have kidney stones.
Release 11 — day 14, dose 4
Symptoms: Been having a cough that is lingering
Release 12 — day 42, dose 4
Symptoms: Coughing , sneezing and congestion.
Release 12 — 3 months, dose 4
Symptoms: Cough, headache, extreme fatigue, joint pain, diarrhea
Release 12 — 6 months, dose 4
Symptoms: Was having joint pain and chest pain.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Swelling under my arm in the lymph node area and pain in joint of arms.
Release 12 — day 14, dose 5
Symptoms: Coughing and stuffy nose
Release 12 — day 21, dose 5
Symptoms: Had fever of 100.6, cough and congestion. Also had sneezing. Took two Covid test both have been negative.
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 | Arthralgia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cholecystectomy | ✓ | · | ✓ |
| SD | Cholelithiasis | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Haematochezia | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Mesenteric artery thrombosis | ○ | · | ○ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nephrolithiasis | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Thrombosis | ✓ | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release