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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

  1. 2021-06-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-18
    Registered in v-safe
  3. 2021-06-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-06-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-06-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-06-21
    Health check-in — day 7, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-06-28
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-07-05
    Dose 2 — Pfizer-BioNTech
  9. 2021-07-05
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Palpitations — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Racing heart beat, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-07-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Heaviness in chest, burning pain in skin, flushing of face, neck, chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Burning sensation, Skin irritation — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Skin irritation burning feeling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysphonia, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Mild congestion, hoarseness, mild sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysphonia, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Hoarseness, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-07-12
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-07-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-26
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Heart rate irregular — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  18. 2021-08-02
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-08-09
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, Fatigue, Heart rate increased — Feeling: Good
    Free text: Intermittent rapid heartbeat, more frequent shortness of breath, fatigue.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-08-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-04
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Viral infection. Sore throat, diarrhea, body aches, fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-04
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2021-10-11
    Call successful
    Participant prefers to complete VAERS report online
  24. 2022-07-05
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Headache, Myalgia, Viral infection — Feeling: Good · Be unable to do your normal daily activities
    Free 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

DoseDateManufacturerCo-administered
12021-06-14Pfizer-BioNTech
22021-07-05Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — day 0, dose 2

2021-07-05

Systemic reaction (other): Racing heart beat, dizziness

Release 9 — days 1–6 daily, dose 2

2021-07-06

Systemic reaction (other): Heaviness in chest, burning pain in skin, flushing of face, neck, chest

2021-07-07

Systemic reaction (other): Skin irritation burning feeling

2021-07-09

Systemic reaction (other): Mild congestion, hoarseness, mild sore throat.

2021-07-10

Systemic reaction (other): Hoarseness, sore throat

Release 9 — day 21, dose 2

2021-07-26

Symptoms: Episodes of rapid or uneven heartbeat and frequent fatigue. Neither is excessive, but both are ongoing.

Release 9 — day 35, dose 2

2021-08-09

Symptoms: Intermittent rapid heartbeat, more frequent shortness of breath, fatigue.

Release 10 — 3 months, dose 2

2021-10-04

Symptoms: Viral infection. Sore throat, diarrhea, body aches, fatigue.

Release 12 — 12 months, dose 2

2022-07-05

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

FieldPreferred term2021-092023-042024-11
SDDiarrhoea · · ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ · ✓
SDHeadache · · ✓
SDHeart rate increased ✓ · ✓
SDHeart rate irregular ✓ · ✓
SDMyalgia · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDViral infection · · ✓
SROBurning sensation ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODysphonia ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSkin burning sensation ✓ ✓ ✓
SROSkin irritation ✓ ✓ ✓

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