4F2-35215-91578
3 vaccinations
5 coded responses
12 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 937 / CA
- Registered
- 2021-12-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
-
2021-04-10
Dose 2 — Pfizer-BioNTech
-
2021-12-04
Dose 3 — Pfizer-BioNTech
-
2021-12-06
Registered in v-safe
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Eyelid ptosis, Paranasal sinus discomfort — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sinus pressure, droopy eyesMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Headache — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Dizziness from the headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Office visit — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness · 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: Systemic reaction (other): Dizziness · Healthcare visit (other): Also an in person visit with my primary care doctorMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Report sent to call center — days 1–6 daily, 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)
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-11
Health check-in — day 7, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-13
-
2021-12-18
Survey response — day 14, dose 3MedDRA: Fatigue, Headache, Migraine, Office visit — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My daily headaches have become full blown migraines and I'm experiencing extreme exhaustion. I have seen the doctor three times and am being referred for an MRI, chest X-ray and to see a Cardiologist. · Healthcare visit (other): In person doctor visitsMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-12-22
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-25
-
2022-01-03
Survey response — day 28, dose 3MedDRA: Headache, Self-medication — Feeling: FairFree text: My headaches have returned. Not as bad as a migraine, but I need to take ibuprofen to alleviate it.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-01-15
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | No |
| 2 | 2021-04-10 | Pfizer-BioNTech | No |
| 3 | 2021-12-04 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinus pressure, droopy eyes
Systemic reaction (other): Dizziness from the headache
Systemic reaction (other): Dizziness
Healthcare visit (other): Also an in person visit with my primary care doctor
Release 10 — day 14, dose 3
Symptoms: My daily headaches have become full blown migraines and I'm experiencing extreme exhaustion. I have seen the doctor three times and am being referred for an MRI, chest X-ray and to see a Cardiologist.
Healthcare visit (other): In person doctor visits
Release 10 — day 28, dose 3
Symptoms: My headaches have returned. Not as bad as a migraine, but I need to take ibuprofen to alleviate it.
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 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Eyelid ptosis | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release