4TR-51065-08267
3 vaccinations
7 coded responses
22 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Janssen/Johnson & Johnson
-
2021-03-14
Registered in v-safe
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: Redness · Muscle or body achesFree text: Pain specifically in my armpit by the arm that received the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain in armpit by arm that received shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Pain in armpit near arm that received injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-22
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-26
- 2021-06-12
- 2021-09-11
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2021-10-21
Dose 2 — Pfizer-BioNTech
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2022-03-13
Survey response — 12 months, dose 1MedDRA: Emergency care, Heart rate increased, Palpitations — Feeling: Good · Be unable to do your normal daily activitiesFree text: Heart palpitations in Sept and Dec. Each episode lasted a day or so with resting heart rate at around 130 bpm. I went to the emergency rroom for the first episode. No cause of palpitations was determined.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-19
-
2022-10-28
Survey response — day 14, dose 3MedDRA: Emergency care, Palpitations — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Friday Oct 24 went to emergency room for heart palpitationsMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Report sent to call center — day 14, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-02
Survey response — day 21, dose 3MedDRA: Heart rate abnormal, Medical counselling, Palpitations — 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 · Telehealth, virtual health, or email health consultationFree text: Another episode of heart palpitations, i reached out to my Dr for guidance. My heart rate has become variable and unpredictable.MedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Report sent to call center — day 21, 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 · 1 call case(s)
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2022-11-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-18
- 2023-01-13
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2023-04-12
Survey response — 6 months, dose 3MedDRA: Hypertension — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-12
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-21 | Pfizer-BioNTech | No |
| 3 | 2022-10-12 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain specifically in my armpit by the arm that received the injection
Systemic reaction (other): Pain in armpit by arm that received shot
Systemic reaction (other): Pain in armpit near arm that received injection
Release 11 — 12 months, dose 1
Symptoms: Heart palpitations in Sept and Dec. Each episode lasted a day or so with resting heart rate at around 130 bpm. I went to the emergency rroom for the first episode. No cause of palpitations was determined.
Release 12 — day 14, dose 3
Symptoms: Friday Oct 24 went to emergency room for heart palpitations
Release 12 — day 21, dose 3
Symptoms: Another episode of heart palpitations, i reached out to my Dr for guidance. My heart rate has become variable and unpredictable.
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 | Emergency care | · | · | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release