4VH-65233-12642
2 vaccinations
3 coded responses
3 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 913 / CA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Pfizer-BioNTech
-
2021-04-06
Dose 2 — Pfizer-BioNTech
-
2021-04-13
Registered in v-safe
-
2021-04-20
Survey response — day 14, dose 2MedDRA: Bone pain, Chills, Fatigue, Lethargy, Migraine, Nausea, Pain in extremity, Pruritus, Pyrexia, Reaction to previous exposure to any vaccine, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: 1st covid shot I experienced chills and felt latargic, and tiredness and migraines for three days2nd covid shot that evening for four days I felt chills ,feve,r bones aching, arm hurting, itching on top of foot, vomiting and nausea and migraines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 21, dose 2MedDRA: Cough, Medical counselling, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have sore throat and cough and experience heart issues. · Healthcare visit (other): Will make appointment for sore throat and cough but I have consulted a cardiologist for battery of test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Ear infection, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Right ear infection and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-04-13
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 2
Symptoms: 1st covid shot I experienced chills and felt latargic, and tiredness and migraines for three days2nd covid shot that evening for four days I felt chills ,feve,r bones aching, arm hurting, itching on top of foot, vomiting and nausea and migraines.
Release 8 — day 21, dose 2
Symptoms: I have sore throat and cough and experience heart issues.
Healthcare visit (other): Will make appointment for sore throat and cough but I have consulted a cardiologist for battery of test.
Release 8 — day 28, dose 2
Symptoms: Right ear infection and sore throat
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 | Cough | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release