46R-21275-90636
5 vaccinations
8 coded responses
49 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 484 / MI
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Pfizer-BioNTech
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-09
Dose 2 — Pfizer-BioNTech
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-28
Dose 3 — Pfizer-BioNTech
- 2021-10-28
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Agitation — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: AgitatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
-
2021-11-25
Survey response — day 28, dose 3MedDRA: Ageusia, Anosmia, Headache, SARS-CoV-2 test negative — Feeling: GoodFree text: Loss of taste and smell this past Monday and Tuesday. Headache Monday Tuesday and Wednesday. Took a Covid rapid test on Monday and it was negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — day 35, dose 3MedDRA: Headache — Feeling: PoorFree text: Headache yep days this weekMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2022-01-27
-
2022-04-19
Dose 4 — Pfizer-BioNTech
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-11
- 2022-05-17
- 2022-05-24
-
2022-06-01
Survey response — day 42, dose 4MedDRA: Aphonia, Cough, Laryngitis, Respiratory tract oedema — Feeling: FairFree text: Cough with laryngitis- feel like my airway is a little swollen, talking is a struggle, but otherwise fine.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
-
2022-09-23
Dose 5 — Pfizer-BioNTech
-
2022-10-18
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Cold symptoms with a negative covid testMedDRA releases: 2024-11 · check-in free text available
- 2022-10-20
- 2022-10-21
- 2022-10-30
-
2022-11-05
Survey response — day 42, dose 5MedDRA: Cough, Nasal congestion, Pain, SARS-CoV-2 test negative — Feeling: FairFree text: Cough, stuffy nose, achy. Home covid test negativeMedDRA releases: 2024-11 · check-in free text available
-
2022-12-23
Survey response — 3 months, dose 5MedDRA: SARS-CoV-2 test negative, Sinus congestion, Sinus pain — Feeling: FairFree text: Sinus pain and congestion but had a negative covid testMedDRA releases: 2024-11 · check-in free text available
-
2023-03-24
Survey response — 6 months, dose 5MedDRA: Chills, Cough, Nasal congestion, Pyrexia — Feeling: Fair · 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 consultationMedDRA releases: 2024-11
-
2023-03-24
Report sent to call center — 6 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 · 1 call case(s)
- 2023-03-27
-
2023-03-28
Callback requested for06-8:00pm
-
2023-03-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Pfizer-BioNTech | |
| 2 | 2021-02-09 | Pfizer-BioNTech | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-19 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-24 | Successful 2023-03-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Agitated
Release 10 — day 28, dose 3
Symptoms: Loss of taste and smell this past Monday and Tuesday. Headache Monday Tuesday and Wednesday. Took a Covid rapid test on Monday and it was negative.
Release 10 — day 35, dose 3
Symptoms: Headache yep days this week
Release 11 — day 42, dose 4
Symptoms: Cough with laryngitis- feel like my airway is a little swollen, talking is a struggle, but otherwise fine.
Release 12 — 6 months, dose 4
Symptoms: Cold symptoms with a negative covid test
Release 12 — day 42, dose 5
Symptoms: Cough, stuffy nose, achy. Home covid test negative
Release 12 — 3 months, dose 5
Symptoms: Sinus pain and congestion but had a negative covid test
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract oedema | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Agitation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release