4JA-22679-44531
3 vaccinations
8 coded responses
25 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 020 / MA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Pfizer-BioNTech
-
2021-03-25
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Pfizer-BioNTech
-
2021-04-15
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · HeadacheFree text: Have had some dizzy spellsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Dysgeusia, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I have had some dizziness and a metal taste in my mouth. I have common variable immune deficiency (CVID), IgA and subclass IgG deficiencies and asthma.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Fatigue or tirednessFree text: Cant remember if I mentioned in yesterdays update that I had a metallic taste in my mouth that started right after I got my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: GoodFree text: Have had the metallic taste in my mouth on and off since my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-04-29
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Incredible fatigue. I never nap during the day and I find myself needing to lie down late afternoon. The fatigue started after my first shot and got worse after second one. Its not keeping from normal things just a major change for me since the vaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
-
2021-09-08
Dose 3 — Pfizer-BioNTech
- 2021-10-14
- 2021-10-15
-
2021-10-20
Survey response — day 42, dose 3MedDRA: Abdominal distension, Brain fog, Dizziness, Fatigue, Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Headaches and dizziness and bloated stomach. Have been very tired and foggy brain for the past week and a half. · Healthcare visit (other): In-person visit with doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-27
Call successfulCompleted over the phone
-
2021-12-10
Survey response — 3 months, dose 3MedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper respiratory infection.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-13
Call successfulCompleted over the phone
-
2022-03-09
Survey response — 6 months, dose 3MedDRA: COVID-19, Hospitalisation, Oxygen saturation decreased, Respiratory disorder — 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 · HospitalizationFree text: Hospitalized with COVID. Breathing problems for almost two months. Oxygen resting 96-98. Oxygen moving would drop to 83-86.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-09
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 prHospitalization · 1 call case(s)
-
2022-03-11
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-09-08 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Have had some dizzy spells
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have had some dizziness and a metal taste in my mouth. I have common variable immune deficiency (CVID), IgA and subclass IgG deficiencies and asthma.
Systemic reaction (other): Cant remember if I mentioned in yesterdays update that I had a metallic taste in my mouth that started right after I got my second shot.
Systemic reaction (other): Have had the metallic taste in my mouth on and off since my second shot.
Release 8 — day 14, dose 2
Symptoms: Incredible fatigue. I never nap during the day and I find myself needing to lie down late afternoon. The fatigue started after my first shot and got worse after second one. Its not keeping from normal things just a major change for me since the va
Release 10 — day 42, dose 3
Symptoms: Headaches and dizziness and bloated stomach. Have been very tired and foggy brain for the past week and a half.
Healthcare visit (other): In-person visit with doctor.
Release 10 — 3 months, dose 3
Symptoms: Upper respiratory infection.
Release 11 — 6 months, dose 3
Symptoms: Hospitalized with COVID. Breathing problems for almost two months. Oxygen resting 96-98. Oxygen moving would drop to 83-86.
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 | Abdominal distension | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release