54X-13145-64213
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 496 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Pfizer-BioNTech
-
2021-01-21
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, DiarrheaAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, DiarrheaAdult check-in
- 2021-01-27
-
2021-02-03
Survey response — day 14, dose 1MedDRA: Medical counselling, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Had a rash/hives on extremities. I did call my doctor and was advised over the phone to use a cortisone cream. The rash was exacerbated Even more when I would take a shower. · Healthcare visit (other): Called and left message with my person physician. Received a phone call back from my doctors nurse advising me what the doctor thought I should do.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-10
Dose 2 — Pfizer-BioNTech
- 2021-02-10
-
2021-02-10
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Joint pains, Muscle or body achesAdult check-in
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: As day went on it became hard to concentrateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Musculoskeletal pain, Swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Pretty severe pain in right hip/buttocks area. Nothing I have done would warrant the symptoms I am experiencing. Feels swollen internally in that area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-27
- 2021-05-12
- 2021-06-22
-
2021-06-25
Call successfulDoes not wish to fill out VAERS report
- 2021-08-11
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-09-27
Survey response — 12 months, dose 3MedDRA: Office visit, Tooth infection — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Unrelated to my vaccine; I am experiencing a tooth infection. · Healthcare visit (other): Endodontist and Dentist appointmentsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Had a rash/hives on extremities. I did call my doctor and was advised over the phone to use a cortisone cream. The rash was exacerbated Even more when I would take a shower.
Healthcare visit (other): Called and left message with my person physician. Received a phone call back from my doctors nurse advising me what the doctor thought I should do.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): As day went on it became hard to concentrate
Systemic reaction (other): Pretty severe pain in right hip/buttocks area. Nothing I have done would warrant the symptoms I am experiencing. Feels swollen internally in that area.
Release 12 — 12 months, dose 3
Symptoms: Unrelated to my vaccine; I am experiencing a tooth infection.
Healthcare visit (other): Endodontist and Dentist appointments
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Tooth infection | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release