4MC-29120-30802
5 vaccinations
12 coded responses
43 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 802 / CO
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-29
Registered in v-safe
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2021-01-29
Dose 1 — Pfizer-BioNTech
- 2021-01-29
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Rhinorrhoea — Feeling: Fair · Site: PainFree text: Runny nose, an ache from the injection site up my neck to below my jawline.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-04
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2021-02-05
Survey response — day 7, dose 1MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Joint pains · Be unable to workFree text: I have RA and I am having a flare up with level 10 pain level. Maybe because I dropped my Prednisone dose to 2.5MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
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2021-02-19
Dose 2 — Pfizer-BioNTech
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2021-02-26
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-03-05
Survey response — day 14, dose 2MedDRA: Blood glucose increased — Feeling: GoodFree text: High blood glucose levelsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
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2021-04-02
Survey response — day 42, dose 2MedDRA: Chills, Headache, SARS-CoV-2 test negative — Feeling: PoorFree text: Headache and an occasional chills. I did get a Covid test it was Negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-08-20
-
2021-09-27
Dose 3 — Pfizer-BioNTech
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-01
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2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-04
Health check-in — day 7, dose 3Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-04-28
Dose 4 — Pfizer-BioNTech
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2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Neck pain — Feeling: Fair · Headache, Joint pains · Be unable to work or attend schoolFree text: Severe neck ache since 4/23 and has continuedMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-05-04
- 2022-05-05
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2022-05-12
Survey response — day 14, dose 4MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My right arm ( the arm I had the booster) and fingertips have had numbness.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
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2022-06-02
Survey response — day 35, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I have CovidMedDRA releases: 2024-11 · check-in free text available
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2022-06-02
Report sent to call center — day 35, dose 4Be unable to work or attend school · Get 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)
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2022-06-03
Call successfulCompleted over the phone
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2022-06-09
Survey response — day 42, dose 4MedDRA: COVID-19, Cough, Fatigue — Feeling: PoorFree text: Just the healing process from having Covid. I have a cough and I'm exhausted.MedDRA releases: 2024-11 · check-in free text available
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2022-07-28
Survey response — 3 months, dose 4MedDRA: Alopecia, Immune system disorder — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hair loss, lower than normal immune systemMedDRA releases: 2024-11 · check-in free text available
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2022-07-28
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-07-29
Call successfulParticipant prefers to complete VAERS report online
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2022-09-20
Dose 5 — Pfizer-BioNTech
- 2022-10-10
- 2022-10-11
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2022-10-18
Survey response — day 28, dose 5MedDRA: Muscular weakness, Pain in extremity — Feeling: FairFree text: Right Arm of injection site is weak and achingMedDRA releases: 2024-11 · check-in free text available
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2022-11-01
Survey response — day 42, dose 5MedDRA: Pain — Feeling: FairFree text: Some body achesMedDRA releases: 2024-11 · check-in free text available
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2022-12-20
Survey response — 3 months, dose 5MedDRA: Alopecia — Feeling: FairFree text: I have been loosing a lot of my hair since early October.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Pfizer-BioNTech | |
| 2 | 2021-02-19 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Pfizer-BioNTech | No |
| 5 | 2022-09-20 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose, an ache from the injection site up my neck to below my jawline.
Release 3 — day 7, dose 1
Systemic reaction (other): I have RA and I am having a flare up with level 10 pain level. Maybe because I dropped my Prednisone dose to 2.5
Release 5 — day 14, dose 2
Symptoms: High blood glucose levels
Release 6 — day 42, dose 2
Symptoms: Headache and an occasional chills. I did get a Covid test it was Negative.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Severe neck ache since 4/23 and has continued
Release 11 — day 14, dose 4
Symptoms: My right arm ( the arm I had the booster) and fingertips have had numbness.
Release 11 — day 35, dose 4
Symptoms: I have Covid
Release 12 — day 42, dose 4
Symptoms: Just the healing process from having Covid. I have a cough and I'm exhausted.
Release 12 — 3 months, dose 4
Symptoms: Hair loss, lower than normal immune system
Release 12 — day 28, dose 5
Symptoms: Right Arm of injection site is weak and aching
Release 12 — day 42, dose 5
Symptoms: Some body aches
Release 12 — 3 months, dose 5
Symptoms: I have been loosing a lot of my hair since early October.
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 | Alopecia | · | · | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Immune system disorder | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release