4VE-18039-03293
4 vaccinations
6 coded responses
40 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 530 / WI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Increased heart rate woke me up continuously between midnight and 4 AM. That's the reason I'm tired today. All seems to be back to normal now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-04-28
- 2021-05-05
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Joint swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Ankle swelling, high blood pressure. Don't think it's vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
- 2021-09-24
-
2021-10-15
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Enlarged lymph node under armMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2022-01-16
Survey response — 3 months, dose 3MedDRA: Ageusia, Anosmia, COVID-19, Chest discomfort, Cough, Dyspnoea, Fatigue, Pulmonary pain — Feeling: Good · 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, Emergency room or emergency department visitFree text: I had covid at Christmas - lung pain, chest tightness, fatigue, slight dry cough, shortness of breath, loss of taste/smellMedDRA releases: 2024-11 · check-in free text available
-
2022-01-16
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 · Emergency room or emergency department visit · 1 call case(s)
-
2022-01-17
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-01-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-15
Survey response — 6 months, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Enlarged lymph node in groinMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-22
-
2022-06-02
Dose 4 — Pfizer-BioNTechCo-administered: Shingles
- 2022-06-30
- 2022-07-07
- 2022-07-15
-
2022-09-01
Survey response — 3 months, dose 4MedDRA: Lyme disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Not related to the covid vaccine. Developed Lyme's disease.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-01
Report sent to call center — 3 months, dose 4Get 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)
-
2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-03
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | Flu |
| 4 | 2022-06-02 | Pfizer-BioNTech | Shingles |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-25 | Successful 2022-01-17 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-01-16 | Successful 2022-01-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-04-15 | Successful 2022-09-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-01 | Successful 2022-09-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Increased heart rate woke me up continuously between midnight and 4 AM. That's the reason I'm tired today. All seems to be back to normal now.
Release 9 — 3 months, dose 2
Symptoms: Ankle swelling, high blood pressure. Don't think it's vaccine related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Enlarged lymph node under arm
Release 10 — 3 months, dose 3
Symptoms: I had covid at Christmas - lung pain, chest tightness, fatigue, slight dry cough, shortness of breath, loss of taste/smell
Release 11 — 6 months, dose 3
Symptoms: Enlarged lymph node in groin
Release 12 — 3 months, dose 4
Symptoms: Not related to the covid vaccine. Developed Lyme's disease.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Lyme disease | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release