4KV-11322-10344
5 vaccinations
14 coded responses
57 check-ins
13 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 018 / MA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Pfizer-BioNTech
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 2 — Pfizer-BioNTech
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: Sinuses filled up last night. It was like a Fossett being turned on in my head but I had drank a lot of electrolyte during the day so I did not get a headache or dehydratedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion, Sinus congestion — Feeling: Good · Site: Pain · Fever · NauseaFree text: Continued full sinuses - head congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-22
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 2MedDRA: Headache, Self-medication — Feeling: GoodFree text: Headache - took acetaminophenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-21
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-10-08
Dose 3 — Pfizer-BioNTech
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Dehydration, Reaction to previous exposure to any vaccine — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: Like last time - dehydrationMedDRA releases: 2024-11 · check-in free text available
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Dehydration, Dizziness — Feeling: GoodFree text: Dehydrated - less and less dizzy than yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Dehydration — Feeling: GoodFree text: dehydrationMedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-13
-
2021-10-14
Survey response — days 1–6 daily, dose 3MedDRA: Dehydration — Feeling: Fair · HeadacheFree text: DehydrationMedDRA releases: 2024-11 · check-in free text available
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
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2021-11-19
Survey response — day 42, dose 3MedDRA: Oral pruritus, Pre-existing disease, Rhinorrhoea, Sneezing — Feeling: GoodFree text: Seasonal allergy - nose drip, itchy mouth, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
-
2022-03-31
Dose 4 — Moderna
-
2022-04-01
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-04-02
- 2022-04-03
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tirednessFree text: SinusMedDRA releases: 2024-11 · check-in free text available
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
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2022-06-30
Survey response — 3 months, dose 4MedDRA: Arthropod bite, Facial paralysis, Office visit — 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: Apr 20 found engorged tick on myself, given 7 days doxycycline by urgent care June 1 Woke up to half my face paralyzed, 10 days steroid, 3 weeks doxycycline by drs office As of today 99% improved face.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-30
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-01
-
2022-07-01
Call successfulDoes not wish to fill out VAERS report
-
2022-09-29
Dose 5 — Pfizer-BioNTech
- 2022-09-29
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-03
- 2022-10-04
-
2022-10-05
Survey response — days 1–6 daily, dose 5MedDRA: Hot flush — Feeling: GoodFree text: Hot flashesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
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2022-12-31
Survey response — 3 months, dose 5MedDRA: Cellulitis, Hypoaesthesia, Rash, Scratch — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: 1. Cellulitis from some kind of scratch on my back 2. Rash after being given bactrim, keflex, and Will be tested for allergy to keflex in Spring. 3. Having numbness occasionally top of thighs - paresthesia?MedDRA releases: 2024-11 · check-in free text available
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2022-12-31
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2023-01-03
Call successfulParticipant prefers to complete VAERS report online
-
2023-03-30
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-03-31
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Pfizer-BioNTech | |
| 2 | 2021-03-16 | Pfizer-BioNTech | |
| 3 | 2021-10-08 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-29 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sinuses filled up last night. It was like a Fossett being turned on in my head but I had drank a lot of electrolyte during the day so I did not get a headache or dehydrated
Systemic reaction (other): Continued full sinuses - head congestion
Release 6 — day 14, dose 2
Symptoms: Headache - took acetaminophen
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Like last time - dehydration
Systemic reaction (other): Dehydrated - less and less dizzy than yesterday
Systemic reaction (other): dehydration
Systemic reaction (other): Dehydration
Release 10 — day 42, dose 3
Symptoms: Seasonal allergy - nose drip, itchy mouth, sneezing
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness
Systemic reaction (other): Sinus
Release 12 — 3 months, dose 4
Symptoms: Apr 20 found engorged tick on myself, given 7 days doxycycline by urgent care June 1 Woke up to half my face paralyzed, 10 days steroid, 3 weeks doxycycline by drs office As of today 99% improved face.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Hot flashes
Release 12 — 3 months, dose 5
Symptoms: 1. Cellulitis from some kind of scratch on my back 2. Rash after being given bactrim, keflex, and Will be tested for allergy to keflex in Spring. 3. Having numbness occasionally top of thighs - paresthesia?
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 | Arthropod bite | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Facial paralysis | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oral pruritus | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Scratch | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Dehydration | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release