45G-14542-82778
2 vaccinations
12 coded responses
23 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 577 / SD
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Pfizer-BioNTech
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2021-03-11
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Metal taste in my mouth shortly after shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Fatigue, Pain — Feeling: Good · Site: Pain, Redness · DiarrheaFree text: Yesterday fatigue, pain, rednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-17
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2021-03-18
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2021-03-25
Survey response — day 14, dose 1MedDRA: Oxygen saturation decreased — Feeling: GoodFree text: Blood oxygen level decreasedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Pfizer-BioNTech
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2021-04-01
Survey response — day 0, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Visual impairment — Feeling: Fair · Site: Pain · Headache · Be unable to workFree text: Vision issues. Forgot to mention right after shot for a few hours had a metal taste.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Visual impairment — Feeling: Good · Headache, Fatigue or tirednessFree text: Vision issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Vision blurred — Feeling: GoodFree text: Blurred visionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-15
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2021-04-22
Survey response — day 21, dose 2MedDRA: Adverse reaction, Weight increased — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Gained weight as retaining fluid ... creatine is 1.45 and GFR 39 .... doctor has me doubling my kidney meds for a week and will recheck blood work next TuesdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 21, 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)
- 2021-05-02
- 2021-05-06
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2021-05-13
Survey response — day 42, dose 2MedDRA: Oedema, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Retaining more fluid ... doctor wants me to see cardiologist .. kidney numbers are better · Healthcare visit (other): Saw my GPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Cardiac disorder — 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 · Outpatient clinic or urgent care clinic visitFree text: Doctoring for heart issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Report sent to call center — 3 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)
- 2021-07-06
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2021-07-12
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-30
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2022-04-01
Survey response — 12 months, dose 2MedDRA: Fluid retention, Office visit, Weight increased — 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 · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Weight gain but think it is from extreme stress (son was killed by drunk driver and still haven't gotten our 2020 income tax refund so funds are extra tight) and fluid retention · Healthcare visit (other): Follow-up with neuro ophthalmologist, General doctor, heart doctorMedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Metal taste in my mouth shortly after shot
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday fatigue, pain, redness
Release 6 — day 14, dose 1
Symptoms: Blood oxygen level decreased
Release 6 — day 0, dose 2
Systemic reaction (other): Short of breath
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Short of breath
Systemic reaction (other): Vision issues. Forgot to mention right after shot for a few hours had a metal taste.
Systemic reaction (other): Vision issues
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Blurred vision
Release 7 — day 21, dose 2
Symptoms: Gained weight as retaining fluid ... creatine is 1.45 and GFR 39 .... doctor has me doubling my kidney meds for a week and will recheck blood work next Tuesday
Release 8 — day 42, dose 2
Symptoms: Retaining more fluid ... doctor wants me to see cardiologist .. kidney numbers are better
Healthcare visit (other): Saw my GP
Release 9 — 3 months, dose 2
Symptoms: Doctoring for heart issues
Release 11 — 12 months, dose 2
Symptoms: Weight gain but think it is from extreme stress (son was killed by drunk driver and still haven't gotten our 2020 income tax refund so funds are extra tight) and fluid retention
Healthcare visit (other): Follow-up with neuro ophthalmologist, General doctor, heart doctor
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Fluid retention | · | · | ✓ |
| SD | Oedema | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release