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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

  1. 2021-03-23
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-13
    Dose 2 — Pfizer-BioNTech
  3. 2021-11-09
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  4. 2021-12-15
    Registered in v-safe
  5. 2021-12-16
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  6. 2022-02-08
    Survey response — 3 months, dose 3
    MedDRA: 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 professional
    Free 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 & treatments
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-02-08
    Report sent to call center — 3 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2022-03-24
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  9. 2022-05-10
    Survey response — 6 months, dose 3
    MedDRA: Chest discomfort, Muscle tightness — Feeling: Good
    Free text: Tightness in chest and sometimes through to the back
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-11-09
    Survey response — 12 months, dose 3
    MedDRA: Office visit, Physiotherapy, Tendon rupture — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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
  11. 2022-11-09
    Report sent to call center — 12 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2022-11-10
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Pfizer-BioNTech No
22021-04-13Pfizer-BioNTech No
32021-11-09Pfizer-BioNTech Flu

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 11 — 3 months, dose 3

2022-02-08

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

2022-05-10

Symptoms: Tightness in chest and sometimes through to the back

Release 12 — 12 months, dose 3

2022-11-09

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOPhysiotherapy · · ✓
SDBlister · · ✓
SDChest discomfort · · ✓
SDDiscomfort · · ✓
SDDrainage · · ✓
SDEar infection · · ✓
SDFatigue · · ✓
SDMiddle ear effusion · · ✓
SDMuscle tightness · · ✓
SDPain · · ✓
SDSARS-CoV-2 test negative · · ✓
SDTendon rupture · · ✓
SDVertigo · · ✓

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