43P-23104-33429
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 194 / PA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Dose 1 — Pfizer-BioNTech
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2021-02-05
Registered in v-safe
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2021-02-06
Dose 2 — Pfizer-BioNTech
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2021-02-06
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache · Be unable to workAdult check-in
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Muscle tightness — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Tightness in my shoulder muscles. Possible thrush in my mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-20
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2021-02-27
Survey response — day 21, dose 2MedDRA: Office visit, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue, stomach pains, neck pain. Could possibly be from my autoimmune disorder- ulcerative colitis. · Healthcare visit (other): ChiropractorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-08
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2021-03-22
Survey response — day 42, dose 2MedDRA: Abdominal pain upper, Arthralgia, Arthritis, Back pain, Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diarrhea, inflammatory joints and stomach pain, hip andback pain. Could be related or not at all since I have ulcerative colitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Mid March I started a flare of my ulcerative colitis. My insurance has rejected increasing my medication needed to get out of a flare and I wonder if the vaccine triggered this flare of ulcerative colitis. But I do not know for sure so Im not sure · Healthcare visit (other): Doctor appointmentsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-06 | Pfizer-BioNTech |
Call center
4 call center cases
4 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Tightness in my shoulder muscles. Possible thrush in my mouth
Release 4 — day 21, dose 2
Symptoms: Fatigue, stomach pains, neck pain. Could possibly be from my autoimmune disorder- ulcerative colitis.
Healthcare visit (other): Chiropractor
Release 6 — day 42, dose 2
Symptoms: Diarrhea, inflammatory joints and stomach pain, hip andback pain. Could be related or not at all since I have ulcerative colitis
Release 8 — 3 months, dose 2
Symptoms: Mid March I started a flare of my ulcerative colitis. My insurance has rejected increasing my medication needed to get out of a flare and I wonder if the vaccine triggered this flare of ulcerative colitis. But I do not know for sure so Im not sure
Healthcare visit (other): Doctor appointments
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 | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release