5C5-30657-67313
5 vaccinations
12 coded responses
63 check-ins
12 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 330 / FL
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Pfizer-BioNTech
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
-
2021-02-02
Dose 2 — Pfizer-BioNTech
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-09
Survey response — day 7, dose 2MedDRA: Pain in jaw — Feeling: Fair · DiarrheaFree text: Left jaw acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-23
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Serious fatigue for 2-3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-06
-
2021-08-03
Survey response — 6 months, dose 2MedDRA: Gastrooesophageal reflux disease, Medical counselling, Reflux laryngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Acid reflux cause serum burn to my vocal chords. Per gastroenterologist this may take months to resolve.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-03
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-28
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain, Medical counselling — Feeling: Fair · Site: Pain, Redness, Itching · Muscle or body achesFree text: On the night of the injection and then for 24 hours I had a tight chest and one very sharp chest pain. This was not normal for mr so I did call the cardiologist.MedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Herpes zoster — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have a shingles rash that started late last night, 10/3/21. · Healthcare visit (other): Waiting on office call back for appointment regarding shingles.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-05
Survey response — day 7, dose 3MedDRA: Herpes zoster — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a shingles outbreak.MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-07
- 2021-10-12
-
2021-10-12
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
-
2021-12-28
Survey response — 3 months, dose 3MedDRA: Occipital neuralgia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Occipital Neuralgia · Healthcare visit (other): Appointment cancelled due to physician personal family emergencyMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-04
Call successfulOther
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2022-03-29
Survey response — 6 months, dose 3MedDRA: Herpes zoster, Parathyroid disorder, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Issues with parathyroid, scan scheduled tomorrow. Small shingles outbreak. Synthroid adjusted. · Healthcare visit (other): Scheduled face to face appointmentMedDRA releases: 2024-11 · check-in free text available
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2022-03-29
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-30
-
2022-04-01
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-05-18
Dose 4 — Pfizer-BioNTech
- 2022-05-18
- 2022-05-19
-
2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Headache, Muscle or body achesAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-06-01
- 2022-06-08
-
2022-06-15
Survey response — day 28, dose 4MedDRA: Dyspnoea exertional, Emergency care, Heart rate increased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Several days of increased pulse upon rest and walking. When ambulatory easily out of breath. Seems to be resolving. · Healthcare visit (other): I have an ER follow up appointment with my cardiologist.MedDRA releases: 2024-11 · check-in free text available
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2022-06-15
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-06-16
Call successfulCompleted over the phone
- 2022-06-22
- 2022-06-29
-
2022-08-17
Survey response — 3 months, dose 4MedDRA: Dizziness — Feeling: FairFree text: Feeling lightheaded today.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Dose 5 — Pfizer-BioNTech
-
2022-11-10
Survey response — days 1–6 daily, dose 5MedDRA: Headache, Pain — Feeling: Good · HeadacheFree text: I was not contacted as was usual after my booster. When I did not receive a text I researched V-Safe and how to reach out 3 days after the booster. From 11/07/22 -11/09/22 I experienced a very strong headache (not migraine) and body aches.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-21
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2022-11-30
Survey response — day 21, dose 5MedDRA: Femur fracture, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Unrelated to vaccine, I broke my femur and had surgery 2 days ago. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-11-30
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-12-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2023-02-06
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-02-02 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-05-18 | Pfizer-BioNTech | No |
| 5 | 2022-11-07 | Pfizer-BioNTech | No |
Call center
7 call center cases
7 successful
VAERS report filed, before or during a call: 2
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Left jaw ache
Release 4 — day 21, dose 2
Symptoms: Serious fatigue for 2-3 days.
Release 9 — 6 months, dose 2
Symptoms: Acid reflux cause serum burn to my vocal chords. Per gastroenterologist this may take months to resolve.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): On the night of the injection and then for 24 hours I had a tight chest and one very sharp chest pain. This was not normal for mr so I did call the cardiologist.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have a shingles rash that started late last night, 10/3/21.
Healthcare visit (other): Waiting on office call back for appointment regarding shingles.
Release 10 — day 7, dose 3
Systemic reaction (other): I have a shingles outbreak.
Release 10 — 3 months, dose 3
Symptoms: Occipital Neuralgia
Healthcare visit (other): Appointment cancelled due to physician personal family emergency
Release 11 — 6 months, dose 3
Symptoms: Issues with parathyroid, scan scheduled tomorrow. Small shingles outbreak. Synthroid adjusted.
Healthcare visit (other): Scheduled face to face appointment
Release 12 — day 28, dose 4
Symptoms: Several days of increased pulse upon rest and walking. When ambulatory easily out of breath. Seems to be resolving.
Healthcare visit (other): I have an ER follow up appointment with my cardiologist.
Release 12 — 3 months, dose 4
Symptoms: Feeling lightheaded today.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I was not contacted as was usual after my booster. When I did not receive a text I researched V-Safe and how to reach out 3 days after the booster. From 11/07/22 -11/09/22 I experienced a very strong headache (not migraine) and body aches.
Release 12 — day 21, dose 5
Symptoms: Unrelated to vaccine, I broke my femur and had surgery 2 days ago.
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 | Emergency care | · | · | ✓ |
| HCVO | Herpes zoster | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Femur fracture | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Occipital neuralgia | · | · | ✓ |
| SD | Parathyroid disorder | · | · | ✓ |
| SD | Reflux laryngitis | ✓ | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Herpes zoster | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release