54R-26527-40702
3 vaccinations
17 coded responses
29 check-ins
16 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-01-22
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Daydreaming, Disturbance in attention, Feeling abnormal, Memory impairment — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessFree text: Absent mindedness, forgetfulness, difficulty concentrating, mind in a fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-02-12
-
2021-02-14
Dose 2 — Pfizer-BioNTech
-
2021-02-26
Survey response — day 7, dose 2MedDRA: Decreased appetite — Feeling: FairFree text: Complete Lack of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-07
- 2021-03-14
-
2021-03-21
Survey response — day 35, dose 2MedDRA: Rash — Feeling: GoodFree text: RashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-08-15
-
2022-01-12
Dose 3 — Moderna
-
2022-01-13
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care, Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: In the ER for high heart rate 138 bpmMedDRA releases: 2024-11 · check-in free text available
-
2022-01-13
Report sent to call center — days 1–6 daily, 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)
-
2022-01-14
Survey response — days 1–6 daily, dose 3MedDRA: Dysphagia, Tonsillar hypertrophy — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: My tonsils are swollen and it is hard to swallow food/drinkMedDRA releases: 2024-11 · check-in free text available
- 2022-01-14
-
2022-01-14
Call successfulCompleted over the phone
-
2022-01-15
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Oral herpes, Palpitations, Swelling, Tonsillar inflammation — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Upper lip and nose coldsores developing. Random heart palpitations and chest discomfort, swelling and inflammation of tonsilsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-16
Survey response — days 1–6 daily, dose 3MedDRA: Oral herpes — Feeling: Fair · Site: Itching · Headache, Rash, not including the immediate area around the injection siteFree text: Cold sore developed in my nose, taking valacyclovir to get rid of itMedDRA releases: 2024-11 · check-in free text available
-
2022-01-17
Survey response — days 1–6 daily, dose 3MedDRA: Eye pruritus, Lacrimation increased, Oral herpes, Pruritus, Skin tightness, Tonsillar inflammation — Feeling: Fair · Chills, Rash, not including the immediate area around the injection siteFree text: Itchiness, tight skin, cold sore in the nose, left eye watering and itchy, tonsils swollen and inflamedMedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Survey response — days 1–6 daily, dose 3MedDRA: Cheilitis, Lip erythema, Rash — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Rash on my body, left side of the abdomen, redness and rash of the lipMedDRA releases: 2024-11 · check-in free text available
-
2022-01-19
Survey response — day 7, dose 3MedDRA: Cough, Dyspnoea, Heart rate increased, Oropharyngeal pain, SARS-CoV-2 test negative, Wheezing — Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Throat pain, dry wheezing cough, covid negative, difficulty breathing, heart rate increasedMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Survey response — day 14, dose 3MedDRA: Eye pain, Eye swelling, Hypersensitivity, Lip pain, Lip swelling, Pre-existing disease, Skin tightness, Urticaria — Feeling: Poor · 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: My allergies have gotten worse- my skin is tight, I have hives, eyes and lips swollen and painful , and my cardiac issues persist. Will start on steroids today and will see cardiologist and also allergistMedDRA releases: 2024-11 · check-in free text available
-
2022-01-27
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-31
-
2022-02-02
Survey response — day 21, dose 3MedDRA: Cheilitis, Tonsillar hypertrophy, Tonsillar inflammation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Rash on lips still there, tonsils still inflamed/swollen · Healthcare visit (other): Reached out to cardiology and allergy for appointments soonMedDRA releases: 2024-11 · check-in free text available
-
2022-02-02
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-04
Call successfulReported to VAERS during previous contact from GDIT
-
2022-02-04
Call successfulReported to VAERS during previous contact from GDIT
-
2022-02-09
Survey response — day 28, dose 3MedDRA: Office visit, Palpitations, Postural orthostatic tachycardia syndrome, Rash — Feeling: Poor · 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: Symptoms: I was diagnosed with Postural Orthostatic Tachycardia Syndrome and also was on steroids for 10 days. Now that steroids wore off, the rashes are coming back. My heart is racing, 130+ bpm if I stand up. · Healthcare visit (other): Went to allergist, also referred to neurologistMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-19
Survey response — day 35, dose 3MedDRA: Oral herpes, Oropharyngeal pain, Throat lesion, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Coldsores all over my mouth and a lesion/growth in my throat are painful · Healthcare visit (other): Needed to take medication- valacyclovirMedDRA releases: 2024-11 · check-in free text available
-
2022-02-19
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-21
-
2022-02-21
Callback requested for05:00PM ET
-
2022-02-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-02-22
Call successfulReported to VAERS during previous contact from GDIT
-
2022-02-24
Survey response — day 42, dose 3MedDRA: Oral herpes, Pharyngeal mass, Postural orthostatic tachycardia syndrome, Tachycardia, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Diagnosed with Tachycardia and POTS, suffering from coldsores, lump on the throat got bigger. · Healthcare visit (other): Echo and stress testMedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-24
-
2022-04-13
Survey response — 3 months, dose 3MedDRA: Lymphadenectomy, Lymphadenopathy, Surgery — 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 professionalFree text: Symptoms: Growth of lymph tissue in throat that had to be surgically removed. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-04-13
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 pr1 call case(s)
-
2022-04-14
Call successfulNot applicable - Accidental Reporting
-
2022-04-14
Call successfulNot applicable - Accidental Reporting
- 2022-07-13
-
2023-01-12
Survey response — 12 months, dose 3MedDRA: Endometrial disorder, Surgery, Uterine polyp — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-12
Report sent to call center — 12 months, dose 3Get 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)
-
2023-01-13
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-14 | Pfizer-BioNTech | |
| 3 | 2022-01-12 | Moderna | No |
Call center
8 call center cases
8 successful
VAERS report filed, before or during a call: 4
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Absent mindedness, forgetfulness, difficulty concentrating, mind in a fog
Release 4 — day 7, dose 2
Systemic reaction (other): Complete Lack of appetite
Release 6 — day 35, dose 2
Symptoms: Rash
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): In the ER for high heart rate 138 bpm
Systemic reaction (other): My tonsils are swollen and it is hard to swallow food/drink
Systemic reaction (other): Upper lip and nose coldsores developing. Random heart palpitations and chest discomfort, swelling and inflammation of tonsils
Systemic reaction (other): Cold sore developed in my nose, taking valacyclovir to get rid of it
Systemic reaction (other): Itchiness, tight skin, cold sore in the nose, left eye watering and itchy, tonsils swollen and inflamed
Systemic reaction (other): Rash on my body, left side of the abdomen, redness and rash of the lip
Release 10 — day 7, dose 3
Systemic reaction (other): Throat pain, dry wheezing cough, covid negative, difficulty breathing, heart rate increased
Release 11 — day 14, dose 3
Symptoms: My allergies have gotten worse- my skin is tight, I have hives, eyes and lips swollen and painful , and my cardiac issues persist. Will start on steroids today and will see cardiologist and also allergist
Release 11 — day 21, dose 3
Symptoms: Rash on lips still there, tonsils still inflamed/swollen
Healthcare visit (other): Reached out to cardiology and allergy for appointments soon
Release 11 — day 28, dose 3
Symptoms: I was diagnosed with Postural Orthostatic Tachycardia Syndrome and also was on steroids for 10 days. Now that steroids wore off, the rashes are coming back. My heart is racing, 130+ bpm if I stand up.
Healthcare visit (other): Went to allergist, also referred to neurologist
Release 11 — day 35, dose 3
Symptoms: Coldsores all over my mouth and a lesion/growth in my throat are painful
Healthcare visit (other): Needed to take medication- valacyclovir
Release 11 — day 42, dose 3
Symptoms: Diagnosed with Tachycardia and POTS, suffering from coldsores, lump on the throat got bigger.
Healthcare visit (other): Echo and stress test
Release 11 — 3 months, dose 3
Symptoms: Growth of lymph tissue in throat that had to be surgically removed.
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cheilitis | · | · | ✓ |
| SD | Endometrial disorder | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Lip pain | · | · | ✓ |
| SD | Lip swelling | · | · | ✓ |
| SD | Lymphadenectomy | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pharyngeal mass | · | · | ✓ |
| SD | Postural orthostatic tachycardia syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin tightness | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SD | Throat lesion | · | · | ✓ |
| SD | Tonsillar hypertrophy | · | · | ✓ |
| SD | Tonsillar inflammation | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Uterine polyp | · | · | ✓ |
| SRO | Cheilitis | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Daydreaming | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dysphagia | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Eye pruritus | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Lip erythema | · | · | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Oral herpes | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Skin tightness | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tonsillar hypertrophy | · | · | ✓ |
| SRO | Tonsillar inflammation | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release