4DZ-16426-82338
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 125 / NY
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-03
Dose 1 — Pfizer-BioNTech
-
2021-04-24
Registered in v-safe
-
2021-04-24
Dose 2 — Pfizer-BioNTech
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
-
2021-05-15
Survey response — day 21, dose 2MedDRA: Nasal congestion, Nausea, Oropharyngeal pain — Feeling: FairFree text: Sore throat, stuffy nose, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-30
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2021-06-06
Survey response — day 42, dose 2MedDRA: Bacterial vulvovaginitis, Breast pain, Ultrasound scan, Unevaluable event, Vaginal infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Breast pain. Though not the side of the vaccine. And Vaginal bacterial infection. · Healthcare visit (other): UltrasoundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-25
Survey response — 3 months, dose 2MedDRA: Blood glucose increased, Glucose tolerance impaired, Office visit, Postmenopausal haemorrhage, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Vaginal bleeding and spotting post menopausal. Separately, regular Blood tests reveal high sugar, pre-diabetes. Neither of those things had ever before happened. · Healthcare visit (other): Follow up with specialistsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-29
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2022-05-01
Survey response — 12 months, dose 2MedDRA: COVID-19, Chest pain, Emergency care, Nasopharyngitis, Office visit, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Symptoms: I got Covid in Jan 2022, less than two weeks after my booster. It was mostly just a cold but I also had very sharp chest pains and pains on my arms that sent me to the ER. I had to follow up with a cardiologist one month later. The pains cleared up · Healthcare visit (other): I had to go to a cardiologist for tests twice once I tested negativeMedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
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2022-05-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech |
Call center
3 call center cases
3 successful
Free text
Release 8 — day 21, dose 2
Symptoms: Sore throat, stuffy nose, nausea
Release 8 — day 42, dose 2
Symptoms: Breast pain. Though not the side of the vaccine. And Vaginal bacterial infection.
Healthcare visit (other): Ultrasound
Release 9 — 3 months, dose 2
Symptoms: Vaginal bleeding and spotting post menopausal. Separately, regular Blood tests reveal high sugar, pre-diabetes. Neither of those things had ever before happened.
Healthcare visit (other): Follow up with specialists
Release 11 — 12 months, dose 2
Symptoms: I got Covid in Jan 2022, less than two weeks after my booster. It was mostly just a cold but I also had very sharp chest pains and pains on my arms that sent me to the ER. I had to follow up with a cardiologist one month later. The pains cleared up cut off by CDC
Healthcare visit (other): I had to go to a cardiologist for tests twice once I tested negative
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Ultrasound scan | ✓ | ✓ | ○ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Bacterial vulvovaginitis | · | · | ✓ |
| SD | Blood glucose increased | ✓ | · | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Glucose tolerance impaired | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | · | ✓ |
| SD | Vaginal haemorrhage | ✓ | · | ✓ |
| SD | Vaginal infection | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release