56Y-71747-39626
5 vaccinations
11 coded responses
49 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 027 / MA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
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2021-03-06
Dose 1 — Pfizer-BioNTech
- 2021-03-06
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Headache, Joint painsAdult check-in
- 2021-03-08
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Good · Joint painsFree text: Nasal congestion with runningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
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2021-03-28
Dose 2 — Pfizer-BioNTech
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2021-03-28
Survey response — day 0, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Joint painsAdult check-in
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Joint pains, Fatigue or tirednessFree text: Runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-11
-
2021-04-18
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache frequencyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-06-27
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2021-08-29
Dose 3 — Pfizer-BioNTech
- 2021-09-26
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2021-10-03
Survey response — day 35, dose 3MedDRA: Office visit, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Not certain if relevant/related; shoulder tendinitis followed by frozen shoulder with intermittent pain traveling down to elbow with certain movements (unknowingly at the time of movement) n.b. Pain escalated after vaccination of same arm/shoul · Healthcare visit (other): In person care at physical location of PAMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
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)
- 2021-10-10
- 2021-11-19
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2021-11-28
Survey response — 3 months, dose 3MedDRA: Inflammation, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Not certain vaccines are related cause; inflammatory issues with shoulder; coincidentally same shoulder as Dose 1, 2 and 3 of Pfizer vaccine · Healthcare visit (other): In person physician visitsMedDRA releases: 2024-11 · check-in free text available
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2021-11-28
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)
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2021-11-30
Call successfulCompleted over the phone
- 2022-02-27
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-14
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2022-04-21
Survey response — day 21, dose 4MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DO NOT BELIEVE RELATED TO VACCINE from 03/31/2022. Have been experiencing extreme fatigue; currently awaiting lab results with appt. scheduled for May 13th with PCPMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
- 2022-10-01
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2022-10-19
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
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2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Fever · Headache, Joint pains, Fatigue or tirednessFree text: Intermittent Dry Cough and Runny NoseMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — days 1–6 daily, dose 5MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Joint painsFree text: Shortness of breath (intermittent)MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fever · Joint pains, Fatigue or tirednessAdult check-in
- 2022-10-26
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2022-11-02
Survey response — day 14, dose 5MedDRA: Dyspnoea, Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Severe fatigue and INTERMITTENT/OCCASIONAL shortness of breath · Healthcare visit (other): Pulmonologist prescribed tapered dosing of PrednisoneMedDRA releases: 2024-11 · check-in free text available
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2022-11-02
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-03
- 2022-11-10
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Pfizer-BioNTech | |
| 2 | 2021-03-28 | Pfizer-BioNTech | |
| 3 | 2021-08-29 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
| 5 | 2022-10-19 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Nasal congestion with running
Release 6 — day 0, dose 2
Systemic reaction (other): Sore throat
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Runny nose
Release 7 — day 21, dose 2
Symptoms: Headache frequency
Release 9 — day 35, dose 3
Symptoms: Not certain if relevant/related; shoulder tendinitis followed by frozen shoulder with intermittent pain traveling down to elbow with certain movements (unknowingly at the time of movement) n.b. Pain escalated after vaccination of same arm/shoul
Healthcare visit (other): In person care at physical location of PA
Release 10 — 3 months, dose 3
Symptoms: Not certain vaccines are related cause; inflammatory issues with shoulder; coincidentally same shoulder as Dose 1, 2 and 3 of Pfizer vaccine
Healthcare visit (other): In person physician visits
Release 11 — day 21, dose 4
Symptoms: DO NOT BELIEVE RELATED TO VACCINE from 03/31/2022. Have been experiencing extreme fatigue; currently awaiting lab results with appt. scheduled for May 13th with PCP
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Intermittent Dry Cough and Runny Nose
Systemic reaction (other): Shortness of breath (intermittent)
Release 12 — day 14, dose 5
Symptoms: Severe fatigue and INTERMITTENT/OCCASIONAL shortness of breath
Healthcare visit (other): Pulmonologist prescribed tapered dosing of Prednisone
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 | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release