43N-11714-13536
5 vaccinations
7 coded responses
54 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 2MedDRA: Arthritis, Myalgia, Pain, Pre-existing disease — Feeling: GoodFree text: Arthritis in hands got worseSome mild muscle/body aches cropped upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
-
2021-04-23
Survey response — day 28, dose 2MedDRA: Arthritis, Fatigue, Mobility decreased, Myalgia, Nasal congestion, Oropharyngeal pain, Pain, Pre-existing disease, Upper-airway cough syndrome — Feeling: GoodFree text: Body and muscle aches. Fatigue. Arthritis got worse. Slow to move around. Sore throat, stuffy nose. I have allergies so there's that for nose & drip issues. Today is better with them all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-06-27
- 2021-09-25
-
2021-10-08
Dose 3 — Pfizer-BioNTech
- 2021-10-08
- 2021-10-09
- 2021-10-11
- 2021-10-12
-
2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Osteoarthritis, Pain in extremity — Feeling: GoodFree text: osteoarthritis pain in hands, thumbs and knees has increasedMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-15
- 2021-10-22
-
2021-10-29
Survey response — day 21, dose 3MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Paranasal sinus hypersecretion, Pre-existing disease, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Sore throat, stuffy nose, sinus drip, slight fever, chest congestion. Probably a Common Cold due to weather change, allergies. No infections.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-14
- 2021-11-19
- 2022-01-07
-
2022-04-01
Dose 4 — Pfizer-BioNTech
- 2022-04-18
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
-
2022-07-03
Survey response — 3 months, dose 4MedDRA: Ageusia, Anosmia, Aphonia, Condition aggravated, Cough, Dysphonia, Headache, Insomnia, Nausea, Oropharyngeal pain, Paranasal sinus hypersecretion, Pre-existing disease, Respiratory tract congestion, Sinus congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme sore throat,very bad dry cough, sinus congestion & drip, headache, hoarse throat/voice loss, mild lung congestion, loss of taste/loss of smell for 3 days, nausea, GERD worsened, unable to sleepMedDRA releases: 2024-11 · check-in free text available
-
2022-09-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-16
- 2022-09-17
-
2022-09-19
Survey response — days 1–6 daily, dose 5MedDRA: Body temperature decreased, Chills, Fatigue, Headache, Injection site pain, Injection site swelling — Feeling: GoodFree text: day of injection and one day after which I did not report because the link did not work was as follows: headache, pain at injections sites slight swelling, chills, tiredness, slight temperature 1 above my normal of 97MedDRA releases: 2024-11 · check-in free text available
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
-
2022-12-13
Survey response — 3 months, dose 5MedDRA: COVID-19, Cough, Diarrhoea, Ear pain, Headache, Pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Positive for COVID-19 on November 21, 2022 Headache, cough, congestion, runny nose, body aches, earache, DIARRHEA, etc. 3 week recovery taking oral COVID medication.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-13
Report sent to call center — 3 months, dose 5Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-15
Call successfulParticipant prefers to complete VAERS report online
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-09-13 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 2
Symptoms: Arthritis in hands got worseSome mild muscle/body aches cropped up
Release 7 — day 28, dose 2
Symptoms: Body and muscle aches. Fatigue. Arthritis got worse. Slow to move around. Sore throat, stuffy nose. I have allergies so there's that for nose & drip issues. Today is better with them all.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): osteoarthritis pain in hands, thumbs and knees has increased
Release 10 — day 21, dose 3
Symptoms: Sore throat, stuffy nose, sinus drip, slight fever, chest congestion. Probably a Common Cold due to weather change, allergies. No infections.
Release 12 — 3 months, dose 4
Symptoms: Extreme sore throat,very bad dry cough, sinus congestion & drip, headache, hoarse throat/voice loss, mild lung congestion, loss of taste/loss of smell for 3 days, nausea, GERD worsened, unable to sleep
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): day of injection and one day after which I did not report because the link did not work was as follows: headache, pain at injections sites slight swelling, chills, tiredness, slight temperature 1 above my normal of 97
Release 12 — 3 months, dose 5
Symptoms: Positive for COVID-19 on November 21, 2022 Headache, cough, congestion, runny nose, body aches, earache, DIARRHEA, etc. 3 week recovery taking oral COVID medication.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Osteoarthritis | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release