4T2-12425-67817
5 vaccinations
13 coded responses
28 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 880 / NM
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-23
Dose 1 — Pfizer-BioNTech
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2021-01-31
Registered in v-safe
- 2021-01-31
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2021-02-06
Survey response — day 14, dose 1MedDRA: Fatigue, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue. I had to go back to bed two days in a row because I just couldnt stay awake. Slept 5 hours ine time and 3 hours the other. Prwvious week I was in bef all day one day, and half the day the next.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Dose 2 — Pfizer-BioNTech
- 2021-02-13
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2021-02-13
Survey response — day 0, dose 2MedDRA: Chest discomfort, Paraesthesia — Feeling: Good · HeadacheFree text: Tingling in both arms. A bit of heaviness in my chest.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tingling in my upper and then my lower arms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tingling in arms and legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-20
Survey response — day 7, dose 2MedDRA: Axillary pain, Chest pain — Feeling: GoodFree text: Chest pain, left side and armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
- 2021-03-13
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2021-03-20
Survey response — day 35, dose 2MedDRA: Fatigue, Headache, Nasopharyngitis, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue. Had to stay in bed two days. Also a bad headache one of those days, and I usually don't get headaches. However, I had green snot so might be a cold with sinus headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-05-15
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2021-08-14
Survey response — 6 months, dose 2MedDRA: Depression, Fatigue, Listless, Middle insomnia, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, depression, listlessness, mid-night waking, sore throat, congestion. Hard to tell if this is from depression, moving house, air quality, or all combined.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-02
Dose 3 — Pfizer-BioNTech
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: Cold Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-04-03
Survey response — 6 months, dose 3MedDRA: Breast cyst, Ear pain, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue, headache, earache. Breast cysts.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Dose 4 — Moderna
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2022-04-14
Survey response — day 7, dose 4MedDRA: Temporomandibular pain and dysfunction syndrome — Feeling: Good · Site: Pain · Abdominal painFree text: TMJ, not related to vaccine boosterMedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Survey response — day 14, dose 4MedDRA: Abdominal pain lower, Pain in jaw, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in both sides of my jaw. Lower right abdominal pain · Healthcare visit (other): Scheduled visit with dentist tomorrow, and visit with PCP next week.MedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-18
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2022-07-04
Survey response — 3 months, dose 4MedDRA: Fatigue, Sinusitis — Feeling: Good · 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: Sinus infection. Fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-07-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-09-07
Dose 5 — Moderna
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2023-04-04
Survey response — 12 months, dose 4MedDRA: Body temperature fluctuation, Fatigue, Inflammation, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-04
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2023-04-05
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-13 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Moderna | No |
| 5 | 2022-09-07 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 14, dose 1
Symptoms: Fatigue. I had to go back to bed two days in a row because I just couldnt stay awake. Slept 5 hours ine time and 3 hours the other. Prwvious week I was in bef all day one day, and half the day the next.
Release 4 — day 0, dose 2
Systemic reaction (other): Tingling in both arms. A bit of heaviness in my chest.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling in my upper and then my lower arms.
Systemic reaction (other): Tingling in arms and legs
Release 4 — day 7, dose 2
Systemic reaction (other): Chest pain, left side and armpit
Release 6 — day 35, dose 2
Symptoms: Fatigue. Had to stay in bed two days. Also a bad headache one of those days, and I usually don't get headaches. However, I had green snot so might be a cold with sinus headache.
Release 9 — 6 months, dose 2
Symptoms: Fatigue, depression, listlessness, mid-night waking, sore throat, congestion. Hard to tell if this is from depression, moving house, air quality, or all combined.
Release 11 — 12 months, dose 2
Symptoms: Cold Runny nose
Release 11 — 6 months, dose 3
Symptoms: Fatigue, headache, earache. Breast cysts.
Release 11 — day 7, dose 4
Systemic reaction (other): TMJ, not related to vaccine booster
Release 11 — day 14, dose 4
Symptoms: Pain in both sides of my jaw. Lower right abdominal pain
Healthcare visit (other): Scheduled visit with dentist tomorrow, and visit with PCP next week.
Release 12 — 3 months, dose 4
Symptoms: Sinus infection. 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain lower | · | · | ✓ |
| SD | Body temperature fluctuation | · | · | ✓ |
| SD | Breast cyst | · | · | ✓ |
| SD | Depression | ✓ | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Listless | ✓ | · | ✓ |
| SD | Middle insomnia | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Sputum discoloured | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Temporomandibular pain and dysfunction syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release