56Z-17391-04511
2 vaccinations
10 coded responses
16 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 302 / GA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-08
Dose 1 — Pfizer-BioNTech
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2021-01-26
Registered in v-safe
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2021-01-26
Dose 2 — Pfizer-BioNTech
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2021-01-26
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Injection site is tender but not painful / symptoms mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling, Musculoskeletal discomfort, Tenderness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to workFree text: The area(injection site) thats swollen is about the size of a small egg. My armpit is tender and the back of my shoulder across achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: Yes my injection site is red hard swollen and hot to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: SwellingFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-04-27
Survey response — 3 months, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The dizziness is getting worse as far as how many times I have an episode but the new symptom is fatigue.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-01-26
Survey response — 12 months, dose 2MedDRA: Cough, Malaise, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I was sick with fever runny nose horrible cough and tested positive for CovidMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get 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)
- 2022-01-31
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2022-02-01
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): Injection site is tender but not painful / symptoms mild
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): The area(injection site) thats swollen is about the size of a small egg. My armpit is tender and the back of my shoulder across aches
Systemic reaction (other): Yes my injection site is red hard swollen and hot to touch
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Release 3 — day 7, dose 2
Systemic reaction (other): Dizziness
Release 8 — 3 months, dose 2
Symptoms: Dizziness
Release 9 — 6 months, dose 2
Symptoms: The dizziness is getting worse as far as how many times I have an episode but the new symptom is fatigue.
Release 11 — 12 months, dose 2
Symptoms: I was sick with fever runny nose horrible cough and tested positive for Covid
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 | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release