54Z-26786-79704
3 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Pfizer-BioNTech
- 2020-12-28
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Cheilitis, Glossitis, Lip swelling, Swollen tongue, Tongue discomfort — Feeling: Good · Site: Pain, RednessFree text: Noticed an increase in my “burning tongue†syndrome that I developed after starting Arimidex 4 years ago. Tongue and lips felt slightly swollen and irritated last night and this morning. Better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-18
Dose 2 — Pfizer-BioNTech
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — day 21, dose 2MedDRA: Chills, Pain, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had R side pain and swelling w/ chills 1/20/21 two days after vac. Thought it was side effects or adhesions. Have R side mastectomy. Pain continued. Saw breast doc 2/2/21. Dx w/ shingles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-19
- 2021-07-19
-
2021-07-20
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-03
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-01
- 2021-10-15
-
2021-12-03
Survey response — 3 months, dose 3MedDRA: COVID-19, Headache, Nasal congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend schoolFree text: Tested positive for Covid on October 29. I was asymptomatic except for a headache and a stuffy nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-06
- 2022-09-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-09-03 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Noticed an increase in my “burning tongue†syndrome that I developed after starting Arimidex 4 years ago. Tongue and lips felt slightly swollen and irritated last night and this morning. Better now.
Release 3 — day 21, dose 2
Symptoms: Had R side pain and swelling w/ chills 1/20/21 two days after vac. Thought it was side effects or adhesions. Have R side mastectomy. Pain continued. Saw breast doc 2/2/21. Dx w/ shingles.
Release 10 — 3 months, dose 3
Symptoms: Tested positive for Covid on October 29. I was asymptomatic except for a headache and a stuffy nose.
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 |
|---|---|---|---|---|
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Glossitis | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release