4E4-21219-26357
4 vaccinations
12 coded responses
46 check-ins
12 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 139 / NY
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-03
Registered in v-safe
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2021-04-03
Dose 1 — Pfizer-BioNTech
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2021-04-03
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: The reported ache is in the muscle that is the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: As reported yesterday, muscle ache is in the muscle where the vaccine was administered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pruritus — Feeling: Good · Muscle or body achesFree text: As in the previous two days, minor and waning soreness in the injection site muscle; also, unusual itch (but no visible rash) on right ankle, may be unrelated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is slight raised bubbles (like prickly heat) on my right and left palms, slightly itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 1MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Still some itching on right and left palms as reported a few days ago. Seems to be reducing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-24
Dose 2 — Pfizer-BioNTech
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2021-04-24
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Fair · Headache, Muscle or body achesFree text: Aches in upper arm where vaccine administeredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body achesFree text: All same as reported on 4/24/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Muscle ache is mild soreness at the injection site muscle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-17
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-23
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2021-12-11
Dose 3 — Pfizer-BioNTech
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2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-12-17
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
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2022-03-12
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Likely head cold in February.MedDRA releases: 2024-11 · check-in free text available
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2022-06-11
Survey response — 6 months, dose 3MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: Contracted COVID-19.MedDRA releases: 2024-11 · check-in free text available
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2022-06-11
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-06-13
Call successfulParticipant prefers to complete VAERS report online
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2022-09-28
Dose 4 — Pfizer-BioNTech
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2022-09-28
Survey response — day 0, dose 4MedDRA: Erythema, Skin warm — Feeling: Fair · Site: PainFree text: Both earlobes are red and feel warm. This occurred after the vaccination, probably 7 to 8 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-04
- 2022-10-05
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2022-10-12
Survey response — day 14, dose 4MedDRA: Ligament sprain, Tendonitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ankle sprain/tendon swelling, definitely unrelated to vaccination.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Pfizer-BioNTech | |
| 2 | 2021-04-24 | Pfizer-BioNTech | |
| 3 | 2021-12-11 | Pfizer-BioNTech | No |
| 4 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): The reported ache is in the muscle that is the injection site.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): As reported yesterday, muscle ache is in the muscle where the vaccine was administered.
Systemic reaction (other): As in the previous two days, minor and waning soreness in the injection site muscle; also, unusual itch (but no visible rash) on right ankle, may be unrelated.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Rash is slight raised bubbles (like prickly heat) on my right and left palms, slightly itchy.
Release 7 — day 7, dose 1
Systemic reaction (other): Still some itching on right and left palms as reported a few days ago. Seems to be reducing.
Release 7 — day 0, dose 2
Systemic reaction (other): Aches in upper arm where vaccine administered
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): All same as reported on 4/24/2021
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle ache is mild soreness at the injection site muscle.
Release 11 — 3 months, dose 3
Symptoms: Likely head cold in February.
Release 12 — 6 months, dose 3
Symptoms: Contracted COVID-19.
Release 12 — day 0, dose 4
Systemic reaction (other): Both earlobes are red and feel warm. This occurred after the vaccination, probably 7 to 8 hours.
Release 12 — day 14, dose 4
Symptoms: Ankle sprain/tendon swelling, definitely unrelated to vaccination.
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 | COVID-19 | · | · | ✓ |
| SD | Ligament sprain | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Tendonitis | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release