4B4-26741-20812
6 vaccinations
15 coded responses
46 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-03-12
Dose 1 — Pfizer-BioNTech
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2021-03-16
Registered in v-safe
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: Slightly elevated hr w intense exerciseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-19
Survey response — day 7, dose 1MedDRA: Gastric disorder — Feeling: Fair · Chills, HeadacheFree text: Stomach issues maybe brussel sprouts I ateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Dose 2 — Pfizer-BioNTech
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2021-04-07
Survey response — day 0, dose 2MedDRA: Feeling abnormal, Head discomfort, Paraesthesia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Facial tingling and head pressure. SpaceyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Myalgia, Self-medication — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe muscle pain and low back left pain 20 hrs post shot while sleeping. Took tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Dizziness, Head discomfort — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Mild dizziness or head pressure cloudinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-13
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2021-04-14
Survey response — day 7, dose 2MedDRA: Swelling of eyelid — Feeling: GoodFree text: Swollen right eyelidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-07
- 2021-05-19
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2021-10-06
Dose 3 — Pfizer-BioNTech
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2021-10-06
Survey response — 6 months, dose 2MedDRA: Euphoric mood, Facial discomfort, Paraesthesia, Self-medication — Feeling: FairFree text: New shot today dose 3. Just weird face. Maybe fever. Tingling in booster dose arm and neck. Felt buzzed. Took tylenol.MedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Feeling abnormal, Headache, Hypoaesthesia, Pain, Self-medication — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Headache. Had the shot make hand and arm and neck and face feel numb a bit yesterday. Am tired. Spaced out mentally. Have taken a lot of tylenol this time to keep aches under control.MedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Chest injury, Muscle discomfort — Feeling: GoodFree text: A weird chest muscle sensation but that might be more related to my injured ribsMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigue yesterday and today is mild. I've been pretty active as an athlete but am more depleted energetically than usual.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-13
- 2021-10-27
- 2021-11-03
- 2021-11-12
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2021-11-17
Survey response — day 42, dose 3MedDRA: Anxiety, Depression — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Depression and anxiety.MedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-22
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2021-11-22
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-07
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2022-01-12
Dose 4 — Pfizer-BioNTech
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2022-01-12
Survey response — day 0, dose 4MedDRA: Feeling abnormal, Muscle tightness — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Jaw tightness, spaceyMedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Confusional state, Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizziness, mental disorientation/fogMedDRA releases: 2024-11 · check-in free text available
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2022-01-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2022-01-17
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness, NauseaFree text: But I've XC skiied 16 miles and biked the last few daysMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-20
- 2022-01-26
- 2022-02-02
- 2022-02-09
- 2022-02-16
- 2022-02-23
- 2022-04-13
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2022-05-02
Dose 5 — Moderna
- 2022-07-13
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2022-10-07
Dose 6 — Moderna
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2022-10-09
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2022-10-10
- 2022-10-11
- 2022-10-16
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-01-12 | Pfizer-BioNTech | No |
| 5 | 2022-05-02 | Moderna | No |
| 6 | 2022-10-07 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly elevated hr w intense exercise
Release 6 — day 7, dose 1
Systemic reaction (other): Stomach issues maybe brussel sprouts I ate
Release 7 — day 0, dose 2
Systemic reaction (other): Facial tingling and head pressure. Spacey
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Severe muscle pain and low back left pain 20 hrs post shot while sleeping. Took tylenol.
Systemic reaction (other): Mild dizziness or head pressure cloudiness
Release 7 — day 7, dose 2
Systemic reaction (other): Swollen right eyelid
Release 10 — 6 months, dose 2
Symptoms: New shot today dose 3. Just weird face. Maybe fever. Tingling in booster dose arm and neck. Felt buzzed. Took tylenol.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache. Had the shot make hand and arm and neck and face feel numb a bit yesterday. Am tired. Spaced out mentally. Have taken a lot of tylenol this time to keep aches under control.
Systemic reaction (other): Dizziness
Systemic reaction (other): A weird chest muscle sensation but that might be more related to my injured ribs
Systemic reaction (other): Fatigue yesterday and today is mild. I've been pretty active as an athlete but am more depleted energetically than usual.
Release 10 — day 42, dose 3
Symptoms: Depression and anxiety.
Release 10 — day 0, dose 4
Systemic reaction (other): Jaw tightness, spacey
Release 10 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness, mental disorientation/fog
Systemic reaction (other): But I've XC skiied 16 miles and biked the last few days
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 | Anxiety | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Euphoric mood | · | · | ✓ |
| SD | Facial discomfort | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Chest injury | · | · | ✓ |
| SRO | Confusional state | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Gastric disorder | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Muscle discomfort | · | · | ✓ |
| SRO | Muscle tightness | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release