492-14015-53877
1 vaccination
6 coded responses
10 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 851 / AZ
- Registered
- 2021-07-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Y89-23341-24965
Adult relative or friend · Male · 2021-07-27
Timeline
-
2021-07-27
Registered in v-safe
-
2021-07-27
Dose 1 — Pfizer-BioNTech
- 2021-07-27
-
2021-07-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-08-01
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Neck pain — Feeling: Poor · Chills, Headache, Muscle or body aches, Nausea, VomitingFree text: Neck pain muscle spasmsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-05
Survey response — day 7, dose 1MedDRA: Dizziness, Ear pain, Paranasal sinus discomfort — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus pressure, ear pain dizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-10
- 2021-08-24
-
2021-08-31
Survey response — day 35, dose 1MedDRA: Ear infection, Eye irritation, Headache, Muscle twitching — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Eyes are super irritated, headaches, muscle twitches, ear infections.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-10
Survey response — day 42, dose 1MedDRA: Muscle twitching, Ocular hyperaemia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extremely red eyes muscle twitchingMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — 3 months, dose 1MedDRA: Headache, Injection site pain — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Horrible headaches and arm injection site painMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-29
Call successfulParticipant prefers to complete VAERS report online
-
2022-01-25
Survey response — 6 months, dose 1MedDRA: Dry eye, Muscle spasms — Feeling: FairFree text: Extreme dry eye Muscle spasmsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-28 | Successful 2021-10-29 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Neck pain muscle spasms
Release 9 — day 7, dose 1
Systemic reaction (other): Sinus pressure, ear pain dizziness
Release 9 — day 35, dose 1
Symptoms: Eyes are super irritated, headaches, muscle twitches, ear infections.
Release 9 — day 42, dose 1
Symptoms: Extremely red eyes muscle twitching
Release 10 — 3 months, dose 1
Symptoms: Horrible headaches and arm injection site pain
Release 11 — 6 months, dose 1
Symptoms: Extreme dry eye Muscle spasms
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 | Dry eye | · | · | ✓ |
| SD | Ear infection | ✓ | · | ✓ |
| SD | Eye irritation | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Muscle twitching | ✓ | · | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Ear pain | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
| SRO | Neck pain | ✓ | · | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release