4Q5-30287-18175
6 vaccinations
13 coded responses
67 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 551 / MN
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-24
Registered in v-safe
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2021-03-24
Dose 1 — Pfizer-BioNTech
- 2021-03-24
- 2021-03-25
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 1MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion, coughing, sneezing. Assumed to be unrelated to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-15
Dose 2 — Pfizer-BioNTech
- 2021-04-15
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Moderate pain at site of FIRST injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Mild pain at first vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain at first injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Fatigue or tirednessFree text: Pain at first injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-05-20
Survey response — day 35, dose 2MedDRA: Arthralgia, Blood glucose increased, Chills, Fatigue, Myalgia, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Increasing pain in tricep/shoulder of first vaccination arm. Increased fatigue. Occasional nausea. Occasional chills. Increased blood glucose levels.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Localised infection, Pyrexia — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Infection in toe that has now resulted in fever and systemic symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-15
Report sent to call center — 3 months, dose 2Be 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)
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2021-07-23
Call successfulDoes not wish to fill out VAERS report
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2021-09-01
Dose 3 — Pfizer-BioNTech
- 2021-10-14
- 2021-10-14
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2021-12-01
Survey response — 3 months, dose 3MedDRA: Blood glucose increased, Brain fog, Cough, Fatigue, Headache, Respiratory tract congestion — 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 professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Cough, headache, congestion, exhaustion, brain fog, elevated blood glucoseMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Report sent to call center — 3 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-02
- 2022-03-02
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2022-03-22
Dose 4 — Moderna
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2022-03-22
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
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2022-03-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2022-03-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2022-03-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-03-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2022-03-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-03-28
- 2022-03-29
- 2022-04-05
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2022-04-12
Survey response — day 21, dose 4MedDRA: Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Survey response — day 28, dose 4MedDRA: Cough, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, sore throat, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-03
- 2022-06-21
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2022-09-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-09-14
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
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2022-10-18
Survey response — day 35, dose 5MedDRA: Cough, Fatigue, Headache, Sneezing — Feeling: Poor · Be unable to work or attend schoolFree text: Sneezing, coughing, headache, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-12-13
- 2023-03-14
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2023-04-20
Dose 6 — Pfizer-BioNTechCo-administered: Pneumonia
- 2023-04-22
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2023-04-23
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2023-04-24
- 2023-04-25
- 2023-04-26
- 2023-04-27
- 2023-05-04
- 2023-05-11
- 2023-05-18
- 2023-05-25
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-09-01 | Pfizer-BioNTech | No |
| 4 | 2022-03-22 | Moderna | No |
| 5 | 2022-09-13 | Pfizer-BioNTech | Flu |
| 6 | 2023-04-20 | Pfizer-BioNTech | Pneumonia |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 7 — day 14, dose 1
Symptoms: Congestion, coughing, sneezing. Assumed to be unrelated to vaccination.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Moderate pain at site of FIRST injection.
Systemic reaction (other): Mild pain at first vaccination site
Systemic reaction (other): Pain at first injection site
Systemic reaction (other): Pain at first injection site
Release 8 — day 35, dose 2
Symptoms: Increasing pain in tricep/shoulder of first vaccination arm. Increased fatigue. Occasional nausea. Occasional chills. Increased blood glucose levels.
Release 9 — 3 months, dose 2
Symptoms: Infection in toe that has now resulted in fever and systemic symptoms
Release 10 — 3 months, dose 3
Symptoms: Cough, headache, congestion, exhaustion, brain fog, elevated blood glucose
Release 11 — day 21, dose 4
Symptoms: Sore throat, fatigue
Release 11 — day 28, dose 4
Symptoms: Fatigue, sore throat, cough
Release 12 — day 35, dose 5
Symptoms: Sneezing, coughing, headache, fatigue
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Localised infection | ✓ | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release