4A9-45670-85140
3 vaccinations
3 coded responses
4 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 334 / FL
- Registered
- 2021-12-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-11-09
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-12-15
Registered in v-safe
- 2021-12-16
-
2022-02-08
Survey response — 3 months, dose 3MedDRA: Blister, Discomfort, Drainage, Ear infection, Fatigue, Middle ear effusion, Office visit, Pain, SARS-CoV-2 test negative, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Bad ear infections and blisters in my ears. Right ear had to have procedure to drain fluid from ear after suffering a month with pain and discomfort and fatigue. Negative Covid pcr test. Also, a few months ago I had bad vertigo. · Healthcare visit (other): Physicians offices & treatmentsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-24
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-05-10
Survey response — 6 months, dose 3MedDRA: Chest discomfort, Muscle tightness — Feeling: GoodFree text: Tightness in chest and sometimes through to the backMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Survey response — 12 months, dose 3MedDRA: Office visit, Physiotherapy, Tendon rupture — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Labral tear in left hip. Not caused by any incident. · Healthcare visit (other): Physical doctors office and Physical Therapy.MedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-11-10
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | No |
| 2 | 2021-04-13 | Pfizer-BioNTech | No |
| 3 | 2021-11-09 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 11 — 3 months, dose 3
Symptoms: Bad ear infections and blisters in my ears. Right ear had to have procedure to drain fluid from ear after suffering a month with pain and discomfort and fatigue. Negative Covid pcr test. Also, a few months ago I had bad vertigo.
Healthcare visit (other): Physicians offices & treatments
Release 11 — 6 months, dose 3
Symptoms: Tightness in chest and sometimes through to the back
Release 12 — 12 months, dose 3
Symptoms: Labral tear in left hip. Not caused by any incident.
Healthcare visit (other): Physical doctors office and Physical Therapy.
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 | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| SD | Blister | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Drainage | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Tendon rupture | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release