4WM-95158-19140
3 vaccinations
4 coded responses
30 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Pfizer-BioNTech
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-20
- 2021-02-21
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-10
Dose 2 — Pfizer-BioNTech
- 2021-03-10
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-06-10
-
2021-09-11
Survey response — 6 months, dose 2MedDRA: Abnormal weight gain, Autoimmune thyroiditis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Unexplained Weight gain beginning within few days after second vaccine with no change in exercise or diet. Unable to stop weight gain. Diagnosed with Hashimoto's disease. · Healthcare visit (other): On site visit, blood test and physical exam with my internistMedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-17
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-31
-
2021-12-17
Survey response — 3 months, dose 3MedDRA: Autoimmune thyroiditis, Office visit, Pityriasis lichenoides et varioliformis acuta, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Developed Hashimoto's thyroid Otis after 2nd vaccine and Pleva after booster. · Healthcare visit (other): Office visit with internist and dermatologistMedDRA releases: 2024-11 · check-in free text available
-
2021-12-17
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-20
Call successfulParticipant prefers to complete VAERS report online
-
2022-03-18
Survey response — 6 months, dose 3MedDRA: Pityriasis lichenoides et varioliformis acuta — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PLEVA developed after booster shotMedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
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)
- 2022-03-21
-
2022-09-19
Survey response — 12 months, dose 3MedDRA: Autoimmune thyroiditis, Pityriasis lichenoides et varioliformis acuta, Thyroid disorder — Feeling: GoodFree text: I continue to experience a price of PLEVA caused by my immune system's reaction to the booster. My thyroid has never recovered from Hashimoto's which I developed after taking the vaccineMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Pfizer-BioNTech | |
| 2 | 2021-03-10 | Pfizer-BioNTech | |
| 3 | 2021-09-17 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 9 — 6 months, dose 2
Symptoms: Unexplained Weight gain beginning within few days after second vaccine with no change in exercise or diet. Unable to stop weight gain. Diagnosed with Hashimoto's disease.
Healthcare visit (other): On site visit, blood test and physical exam with my internist
Release 10 — 3 months, dose 3
Symptoms: Developed Hashimoto's thyroid Otis after 2nd vaccine and Pleva after booster.
Healthcare visit (other): Office visit with internist and dermatologist
Release 11 — 6 months, dose 3
Symptoms: PLEVA developed after booster shot
Release 12 — 12 months, dose 3
Symptoms: I continue to experience a price of PLEVA caused by my immune system's reaction to the booster. My thyroid has never recovered from Hashimoto's which I developed after taking the vaccine
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 | · | · | ✓ |
| SD | Abnormal weight gain | · | · | ✓ |
| SD | Autoimmune thyroiditis | · | · | ✓ |
| SD | Pityriasis lichenoides et varioliformis acuta | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release