4LA-10562-33584
5 vaccinations
9 coded responses
38 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 123 / NY
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Registered in v-safe
-
2021-03-07
Dose 1 — Pfizer-BioNTech
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
-
2021-03-28
Dose 2 — Pfizer-BioNTech
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Office visit, Pain of skin, Paraesthesia — Feeling: Fair · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Two days after the vaccination I developed a left sided headache, sore scalp and tingling in my face, forehead and scalp. · Healthcare visit (other): PCP office visit with PAMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster, Office visit — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have shingles! Coincidence? · Healthcare visit (other): PA in my PCPs office.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Survey response — day 7, dose 2MedDRA: Herpes zoster — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I have shinglesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-18
- 2021-04-25
-
2021-05-02
Survey response — day 35, dose 2MedDRA: Herpes zoster — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had shingles for 4+ weeks and they are worsening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
-
2021-06-11
Call successfulCompleted over the phone
- 2021-06-27
- 2021-09-26
-
2021-10-09
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2022-03-28
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-24
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
-
2022-09-11
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-20
Survey response — day 7, dose 5MedDRA: Herpes zoster, Neuropathic pruritus — Feeling: Good · Site: PainFree text: Continuing post-herpetic itching from shingles contracted after second dose.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-10-02
-
2022-10-09
Survey response — day 28, dose 5MedDRA: Chest discomfort, Dyspnoea — Feeling: FairFree text: shortness of breath and chest discomfortMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Survey response — day 35, dose 5MedDRA: Myocardial infarction — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Heart attack on October 3, 2022.MedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Report sent to call center — day 35, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-10-17
- 2022-10-23
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2022-12-11
Survey response — 3 months, dose 5MedDRA: Myocardial infarction — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Heart attack on October 3, 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-11
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 · Hospitalization · 1 call case(s)
-
2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-13
Call successfulReported to VAERS during previous contact from GDIT
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Pfizer-BioNTech | |
| 2 | 2021-03-28 | Pfizer-BioNTech | |
| 3 | 2021-10-09 | Pfizer-BioNTech | Flu |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
| 5 | 2022-09-11 | Pfizer-BioNTech | Flu |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 3
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Two days after the vaccination I developed a left sided headache, sore scalp and tingling in my face, forehead and scalp.
Healthcare visit (other): PCP office visit with PA
Systemic reaction (other): I have shingles! Coincidence?
Healthcare visit (other): PA in my PCPs office.
Systemic reaction (other): shingles
Release 6 — day 7, dose 2
Systemic reaction (other): I have shingles
Release 8 — day 35, dose 2
Symptoms: I have had shingles for 4+ weeks and they are worsening.
Release 12 — day 7, dose 5
Systemic reaction (other): Continuing post-herpetic itching from shingles contracted after second dose.
Release 12 — day 28, dose 5
Symptoms: shortness of breath and chest discomfort
Release 12 — day 35, dose 5
Symptoms: Heart attack on October 3, 2022.
Release 12 — 3 months, dose 5
Symptoms: Heart attack on October 3, 2022.
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 | Chest discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Myocardial infarction | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Neuropathic pruritus | · | · | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release