446-19710-33898
5 vaccinations
5 coded responses
34 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 497 / MI
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-11
Dose 2 — Pfizer-BioNTech
-
2021-01-13
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Chills, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Extremely watery stoolsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea, Abdominal pain · 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 visitAdult check-in
-
2021-01-14
Report sent to call center — days 1–6 daily, 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)
-
2021-01-18
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Vomiting, Diarrhea, Abdominal pain · 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 visitAdult check-in
-
2021-01-18
Report sent to call center — day 7, 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)
-
2021-01-25
Survey response — day 14, dose 2MedDRA: Emergency care, Malaise — Feeling: Good · 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: Vaccine on 1/11/21. Sick on 1/12/21 went to ED due to continued illness on 1/14/21. Remained ill on 1/15/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Report sent to call center — day 14, 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)
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-08
- 2021-04-12
- 2021-07-12
-
2021-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-01-11
-
2022-05-04
Dose 4 — Pfizer-BioNTech
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-18
- 2022-05-27
-
2022-06-01
Survey response — day 28, dose 4MedDRA: Condition aggravated, Osteoarthritis, Pre-existing disease — Feeling: GoodFree text: Osteoarthritis joint pain flareupMedDRA releases: 2024-11 · check-in free text available
- 2022-06-08
- 2022-06-15
-
2022-08-05
Survey response — 3 months, dose 4MedDRA: Autoimmune disorder, Glossodynia, Lip disorder, Medical counselling, Oral discomfort — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lips burning since early May after 4 vaccine sometimes tongue so sore couldn't at times.currently not as bad but lips have waxy feel to them still. · Healthcare visit (other): I work at hospital and spoke with physician he thought most like my auto immune systemMedDRA releases: 2024-11 · check-in free text available
-
2022-08-05
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-08
-
2022-08-08
Callback requested for07:15PM ET
-
2022-08-08
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-22
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-20
Survey response — day 28, dose 5MedDRA: Food intolerance, Lip exfoliation, Oral discomfort, Oral pain, Plicated tongue — Feeling: GoodFree text: After 3 vac I gad issues with my lips burning especially creases for my mouth, tongue had deep cracks, lips would peel after. 4th vac same thing happen I'm still having the same issues including mouth so sensitive ice cream/ yogurt was all I ate.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-22 | Pfizer-BioNTech | Flu |
Call center
5 call center cases
5 successful
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Extremely watery stools
Release 2 — day 14, dose 2
Symptoms: Vaccine on 1/11/21. Sick on 1/12/21 went to ED due to continued illness on 1/14/21. Remained ill on 1/15/21
Release 11 — day 28, dose 4
Symptoms: Osteoarthritis joint pain flareup
Release 12 — 3 months, dose 4
Symptoms: Lips burning since early May after 4 vaccine sometimes tongue so sore couldn't at times.currently not as bad but lips have waxy feel to them still.
Healthcare visit (other): I work at hospital and spoke with physician he thought most like my auto immune system
Release 12 — day 28, dose 5
Symptoms: After 3 vac I gad issues with my lips burning especially creases for my mouth, tongue had deep cracks, lips would peel after. 4th vac same thing happen I'm still having the same issues including mouth so sensitive ice cream/ yogurt was all I ate.
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 | Autoimmune disorder | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Food intolerance | · | · | ✓ |
| SD | Glossodynia | · | · | ✓ |
| SD | Lip disorder | · | · | ✓ |
| SD | Lip exfoliation | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oral discomfort | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SD | Plicated tongue | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release