4W8-32912-07583
5 vaccinations
17 coded responses
60 check-ins
17 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Pfizer-BioNTech
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: The arm pain was yesterday and is mostly gone nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Perfect all goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Injected limb mobility decreased — Feeling: GoodFree text: My first shot I I couldnt move my arm and couldnt get out of bed 2nd shot no reactionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Like I never had a shot All goodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None no symptoms so farMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Ear swelling, Peripheral swelling, Swelling — Feeling: Good · Muscle or body achesFree text: First time my lower legs feel swollen and my left ear lobe and side of neck is swollen for a few hours. Thats itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-08
Survey response — day 14, dose 2MedDRA: Confusional state, Dysgeusia, Headache — Feeling: GoodFree text: I am not feeling myself but I am functioning. When I drink my bottled water it has strong a strong metal taste. Slightly confused at times which is not like me. Small Headaches other than that no other symptoms. But very happy I had a vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 42, dose 2MedDRA: Office visit, Pre-existing disease, Swelling, Thirst — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Going to dr not sure if my meds are strong enough had swelling and thirst issues. I had heart issues already. Must say happy Im vaccinated thank you!! · Healthcare visit (other): Drs officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-26
-
2021-09-23
Survey response — 6 months, dose 2MedDRA: Ovarian cyst, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ovarian cyst has gotten larger · Healthcare visit (other): Discussion of surgeryMedDRA releases: 2024-11 · check-in free text available
-
2021-09-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-27
-
2021-09-27
Call successfulDoes not wish to fill out VAERS report
-
2021-09-30
Dose 3 — Pfizer-BioNTech
- 2021-10-03
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Everything ok thank youMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-14
- 2021-10-21
- 2021-10-28
- 2021-11-06
- 2021-11-11
-
2021-12-30
Survey response — 3 months, dose 3MedDRA: Adverse reaction, Pre-existing disease — Feeling: GoodFree text: I was previously diagnosed with blood disorder MGUS a few months before covid. To answer any questions it's hard to tell if it has anything to do with vaccine or not. All I know is I am glad I have had my shots even though I have different reactions.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-31
-
2022-04-10
Dose 4 — Moderna
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: The first 3days after shot my arm was swollen at injection gradually got red and very itchy. All good nowMedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-08
-
2022-05-15
Survey response — day 35, dose 4MedDRA: Agitation, Anxiety, Insomnia, Pre-existing disease — Feeling: GoodFree text: I take thyroid medication for hypothyroidism. I found by end of my third and beginning of my fourth week I was super agitated, difficulty falling a sleep and anxious. I lowered my meds I am betterMedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
- 2022-07-12
-
2022-10-03
Dose 5 — Moderna
-
2022-10-03
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2022-10-05
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-08
-
2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-10
- 2022-10-17
-
2022-10-24
Survey response — day 21, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: I had to lower my thyroid Meds. I was too hyperMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-07
-
2022-11-15
Survey response — day 42, dose 5MedDRA: Protein urine present — Feeling: GoodFree text: Protein higher in urineMedDRA releases: 2024-11 · check-in free text available
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | No |
| 4 | 2022-04-10 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): The arm pain was yesterday and is mostly gone now
Systemic reaction (other): Perfect all good
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My first shot I I couldnt move my arm and couldnt get out of bed 2nd shot no reaction
Systemic reaction (other): Like I never had a shot All good
Systemic reaction (other): No symptoms
Systemic reaction (other): None no symptoms so far
Systemic reaction (other): First time my lower legs feel swollen and my left ear lobe and side of neck is swollen for a few hours. Thats it
Release 7 — day 14, dose 2
Symptoms: I am not feeling myself but I am functioning. When I drink my bottled water it has strong a strong metal taste. Slightly confused at times which is not like me. Small Headaches other than that no other symptoms. But very happy I had a vaccine.
Release 8 — day 42, dose 2
Symptoms: Going to dr not sure if my meds are strong enough had swelling and thirst issues. I had heart issues already. Must say happy Im vaccinated thank you!!
Healthcare visit (other): Drs office
Release 9 — 6 months, dose 2
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Everything ok thank you
Release 10 — 3 months, dose 3
Symptoms: I was previously diagnosed with blood disorder MGUS a few months before covid. To answer any questions it's hard to tell if it has anything to do with vaccine or not. All I know is I am glad I have had my shots even though I have different reactions. cut off by CDC
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The first 3days after shot my arm was swollen at injection gradually got red and very itchy. All good now
Release 11 — day 35, dose 4
Symptoms: I take thyroid medication for hypothyroidism. I found by end of my third and beginning of my fourth week I was super agitated, difficulty falling a sleep and anxious. I lowered my meds I am better
Release 12 — day 0, dose 5
Release 12 — day 21, dose 5
Symptoms: I had to lower my thyroid Meds. I was too hyper
Release 12 — day 42, dose 5
Symptoms: Protein higher in urine
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 | Adverse reaction | · | · | ✓ |
| SD | Agitation | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Protein urine present | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Thirst | ✓ | ✓ | ✓ |
| SRO | Ear swelling | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release