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45A-22432-40001

4 vaccinations 6 coded responses 17 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
606 / IL
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-02-06
    Dose 2 — Pfizer-BioNTech
  3. 2021-02-07
    Registered in v-safe
  4. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash pruritic — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Itching with rash (rash actually started the 2nd day in the evening)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Rash pruritic — Feeling: Good · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Already has been itching with rash. Rash is starting to heal (scab phase now).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-09-27
    Dose 3 — Pfizer-BioNTech
  12. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Lymphadenopathy, Nausea, Pain — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Today, 9/30/21, is 3 days later than shot. I felt nauseated, achy, & extremely tired on 9/28, less so on 9/29, & less so today. Also seem to have some swollen glands in my neck
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: More mild than yesterdays.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Good
    Free text: None from vaccines.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-18
    Survey response — day 21, dose 3
    MedDRA: Blindness, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Lost 44% of vision in one eye. (Field of vision test results.) · Healthcare visit (other): Ophthalmologist arranged with visits to multiple specialists. Testing to ID cause is ongoing.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-18
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-10-21
  18. 2021-10-22
    Call successful
    Participant prefers to complete VAERS report online
  19. 2021-10-25
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  20. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  21. 2021-11-08
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  22. 2021-12-27
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  23. 2022-02-25
    Dose 4 — Pfizer-BioNTech
  24. 2022-03-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-05-27
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Pfizer-BioNTech
22021-02-06Pfizer-BioNTech
32021-09-27Pfizer-BioNTech No
42022-02-25Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): Itching with rash (rash actually started the 2nd day in the evening)

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Already has been itching with rash. Rash is starting to heal (scab phase now).

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Today, 9/30/21, is 3 days later than shot. I felt nauseated, achy, & extremely tired on 9/28, less so on 9/29, & less so today. Also seem to have some swollen glands in my neck

2021-10-01

Systemic reaction (other): More mild than yesterdays.

2021-10-02

Systemic reaction (other): None from vaccines.

Release 10 — day 21, dose 3

2021-10-18

Symptoms: Lost 44% of vision in one eye. (Field of vision test results.)
Healthcare visit (other): Ophthalmologist arranged with visits to multiple specialists. Testing to ID cause is ongoing.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDBlindness · · ✓
SROAdverse reaction · · ✓
SROFatigue · · ✓
SROLymphadenopathy · · ✓
SRONausea · · ✓
SRONo adverse event · · ✓
SROPain · · ✓
SRORash pruritic ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release