4Q8-12391-63968
2 vaccinations
8 coded responses
18 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 631 / MO
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-18
Dose 1 — Pfizer-BioNTech
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2020-12-19
Registered in v-safe
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-20
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore theoatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-20
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngitis streptococcal — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Probable coincidental viral/strep throat infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-21
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-22
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2020-12-27
- 2020-12-29
- 2020-12-29
- 2020-12-29
- 2020-12-29
- 2021-01-01
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2021-01-05
Dose 2 — Pfizer-BioNTech
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2021-01-05
Call successfulParticipant prefers to complete VAERS report online
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2021-01-05
Call successfulParticipant prefers to complete VAERS report online
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2021-01-05
Call successfulDoes not wish to fill out VAERS report
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2021-01-06
Call successfulParticipant prefers to complete VAERS report online
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2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Right (same side as shot) Axillary lymph node enlargement and significant tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: GoodFree text: Same axillary discomfort as yesterday, slightly bettrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: GoodFree text: Axillary pain almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-19
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-04-06
- 2021-07-06
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2022-01-07
Survey response — 12 months, dose 2MedDRA: Basal ganglia stroke, Facial paralysis, Hemiparesis, Speech disorder, Speech rehabilitation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Received flu vax 10/4/21, COVID booster 10/6/2021, and Shingles vax (2nd of 2) 10/14/2021. On 11/8/2021, I had a left basal ganglion stroke, with mild right side hemiparesis, facial droop and speech issues. Recovered with very mild residual effects · Healthcare visit (other): Speech tgerapyMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Report sent to call center — 12 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-10
- 2022-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech |
Call center
5 call center cases
4 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore theoat
Systemic reaction (other): Probable coincidental viral/strep throat infection
Systemic reaction (other): Sore throat
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Right (same side as shot) Axillary lymph node enlargement and significant tenderness
Systemic reaction (other): Same axillary discomfort as yesterday, slightly bettr
Systemic reaction (other): Axillary pain almost gone
Release 10 — 12 months, dose 2
Symptoms: Received flu vax 10/4/21, COVID booster 10/6/2021, and Shingles vax (2nd of 2) 10/14/2021. On 11/8/2021, I had a left basal ganglion stroke, with mild right side hemiparesis, facial droop and speech issues. Recovered with very mild residual effects cut off by CDC
Healthcare visit (other): Speech tgerapy
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 | Speech rehabilitation | · | · | ✓ |
| SD | Basal ganglia stroke | · | · | ✓ |
| SD | Facial paralysis | · | · | ✓ |
| SD | Hemiparesis | · | · | ✓ |
| SD | Speech disorder | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pharyngitis streptococcal | ✓ | ✓ | ✓ |
| SRO | Streptococcal infection | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release