4BN-18297-91527
4 vaccinations
7 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 606 / IL
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 1MedDRA: Basedow's disease, Pre-existing disease, Sensation of foreign body — Feeling: GoodFree text: I qas diagnisws with Graves Disease last year, and am undergoing treatment, where i am responding well to medication. Starting today I have felt like I have a lump in my throat all day near the base if my neck/thyroid area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Dose 2 — Pfizer-BioNTech
-
2021-04-17
Survey response — day 0, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Fatigue or tirednessFree text: Brain fog, likely due to fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-23
-
2021-04-24
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — day 14, dose 2MedDRA: Blood test abnormal, Vitamin D deficiency — Feeling: GoodFree text: Recent blood test results revealed i have Vitamin D deficiency,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-15
- 2021-05-24
- 2021-05-31
- 2021-07-18
- 2021-10-17
-
2021-11-11
Dose 3 — ModernaCo-administered: Flu
- 2022-04-18
-
2022-10-06
Dose 4 — ModernaCo-administered: Flu
- 2022-10-06
-
2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-29
-
2022-11-03
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Got a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-17
-
2023-01-05
Survey response — 3 months, dose 4MedDRA: Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Viral upper respiratory tract infection — Feeling: Good · 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 visitMedDRA releases: 2024-11
-
2023-01-05
Report sent to call center — 3 months, dose 4Be 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)
-
2023-01-06
Call successfulNot applicable - Accidental Reporting
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech | |
| 3 | 2021-11-11 | Moderna | Flu |
| 4 | 2022-10-06 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-05 | Successful 2023-01-06 |
Not applicable - Accidental Reporting |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 7 — day 14, dose 1
Symptoms: I qas diagnisws with Graves Disease last year, and am undergoing treatment, where i am responding well to medication. Starting today I have felt like I have a lump in my throat all day near the base if my neck/thyroid area.
Release 7 — day 0, dose 2
Systemic reaction (other): Brain fog, likely due to fatigue
Release 7 — day 7, dose 2
Systemic reaction (other): Brain fog
Release 8 — day 14, dose 2
Symptoms: Recent blood test results revealed i have Vitamin D deficiency,
Release 12 — day 28, dose 4
Symptoms: Got a cold
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 | Basedow's disease | ✓ | ✓ | ✓ |
| SD | Blood test abnormal | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sensation of foreign body | ✓ | ✓ | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SD | Vitamin D deficiency | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release