4AZ-21577-10952
2 vaccinations
9 coded responses
19 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 107 / NY
- Registered
- 2021-06-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-06-14
Dose 1 — Pfizer-BioNTech
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2021-06-18
Registered in v-safe
- 2021-06-18
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2021-06-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-06-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-06-21
- 2021-06-28
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2021-07-05
Dose 2 — Pfizer-BioNTech
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2021-07-05
Survey response — day 0, dose 2MedDRA: Dizziness, Palpitations — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Racing heart beat, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Flushing, Pain of skin, Skin burning sensation — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Heaviness in chest, burning pain in skin, flushing of face, neck, chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-07
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Skin irritation — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Skin irritation burning feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Survey response — days 1–6 daily, dose 2MedDRA: Dysphonia, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild congestion, hoarseness, mild sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-10
Survey response — days 1–6 daily, dose 2MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Hoarseness, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-07-12
- 2021-07-19
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2021-07-26
Survey response — day 21, dose 2MedDRA: Fatigue, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activitiesFree text: Episodes of rapid or uneven heartbeat and frequent fatigue. Neither is excessive, but both are ongoing.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-02
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2021-08-09
Survey response — day 35, dose 2MedDRA: Dyspnoea, Fatigue, Heart rate increased — Feeling: GoodFree text: Intermittent rapid heartbeat, more frequent shortness of breath, fatigue.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-17
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2021-10-04
Survey response — 3 months, dose 2MedDRA: Diarrhoea, Fatigue, Oropharyngeal pain, Pain, Viral infection — 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 · Outpatient clinic or urgent care clinic visitFree text: Viral infection. Sore throat, diarrhea, body aches, fatigue.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-11
Call successfulParticipant prefers to complete VAERS report online
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2022-07-05
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache, Myalgia, Viral infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Continued fatigue, more frequent headaches and muscle aches. These are from the virus, rather than the vaccine, though.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-14 | Pfizer-BioNTech | |
| 2 | 2021-07-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): Racing heart beat, dizziness
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Heaviness in chest, burning pain in skin, flushing of face, neck, chest
Systemic reaction (other): Skin irritation burning feeling
Systemic reaction (other): Mild congestion, hoarseness, mild sore throat.
Systemic reaction (other): Hoarseness, sore throat
Release 9 — day 21, dose 2
Symptoms: Episodes of rapid or uneven heartbeat and frequent fatigue. Neither is excessive, but both are ongoing.
Release 9 — day 35, dose 2
Symptoms: Intermittent rapid heartbeat, more frequent shortness of breath, fatigue.
Release 10 — 3 months, dose 2
Symptoms: Viral infection. Sore throat, diarrhea, body aches, fatigue.
Release 12 — 12 months, dose 2
Symptoms: Continued fatigue, more frequent headaches and muscle aches. These are from the virus, rather than the vaccine, though.
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 | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Heart rate irregular | ✓ | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysphonia | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
| SRO | Skin irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release