5FC-22386-16518
4 vaccinations
14 coded responses
46 check-ins
13 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 226 / VA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-20
Dose 1 — Pfizer-BioNTech
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2021-01-21
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: Good · Site: PainFree text: Increased thirst Day 2 and 3MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Weight increased — Feeling: GoodFree text: 5lb weight gain in 5 days since vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Thirst, Weight increased — Feeling: GoodFree text: 5.5 lb weight gain since vaccine, increased thirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 7, dose 1MedDRA: Weight decreased — Feeling: GoodFree text: Lost 2.4 lbs of 5.5# gained in week since vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
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2021-02-10
Dose 2 — Pfizer-BioNTech
- 2021-02-10
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
- 2021-02-13
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Fluid retention — Feeling: GoodFree text: As with 1st vaccine, noted fluid retention. (4# in 4 days)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-26
- 2021-03-03
- 2021-03-10
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2021-03-17
Survey response — day 35, dose 2MedDRA: Atrial fibrillation, Hypertension, Weight increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 7 lb weight gain since vaccination, increased SOB, 1+ lower leg swelling. Have HTN, afib currently in NSR. Have called cardiology to consider echo. Possibly had COVID late Feb 2020.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-24
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2021-05-13
Survey response — 3 months, dose 2MedDRA: Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Prolonged qrs complex, but hx afib s/p ablation, last cardioversion Dec 5, 2020, on Flecainide. Nml echo. Flecainide decreased May 7, ecg scheduled May 14MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-11
Survey response — 6 months, dose 2MedDRA: SARS-CoV-2 test negative, Sinusitis, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sinus infection x 12 wks, negative covid test x1 during that period. · Healthcare visit (other): Sinus surgery plannedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
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2021-09-29
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body aches, DiarrheaAdult check-in
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-08
- 2021-10-13
- 2021-10-20
- 2021-10-27
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2021-11-05
Survey response — day 35, dose 3MedDRA: Cough, Decreased appetite, Fatigue, Laryngitis, Myalgia, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, muscle aches, cough, sore throat, laryngitis, loss of appetite. Neg home antigen test x2. No feverMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
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2021-12-29
Survey response — 3 months, dose 3MedDRA: Blood potassium decreased, Decreased appetite, Diarrhoea, Fatigue, Gastrointestinal viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: GI virus with 2 days diarrhea, fatigue, no appetite leading to potassium 2.8MedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-03
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2022-03-30
Survey response — 6 months, dose 3MedDRA: Adverse drug reaction, Blood magnesium decreased, Blood potassium decreased, Cardiomegaly, Ear discomfort, Echocardiogram abnormal, Excessive cerumen production, Illness, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: One upper respiratory illness, COVID negative. Now wirh blocked ears (ear wax plug). Low magnesium and potassium, probably related to change in diuretic, being orally replaced. Cardiomegaly on an abdominal CT, echo ok.MedDRA releases: 2024-11 · check-in free text available
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2022-03-30
Report sent to call center — 6 months, dose 3Get 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)
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2022-03-31
Call successfulDoes not wish to fill out VAERS report
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2022-03-31
Call successfulDoes not wish to fill out VAERS report
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2022-03-31
Call successfulCompleted over the phone
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2022-03-31
Call successfulCompleted over the phone
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2022-04-26
Dose 4 — Moderna
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2022-05-01
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Myalgia — Feeling: FairFree text: Fatigue and muscle aches for 36 hrs after vaccinationMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
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2022-05-03
Health check-in — day 7, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-10
- 2022-05-17
- 2022-05-26
- 2022-05-31
- 2022-06-07
- 2022-07-26
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2022-10-25
Survey response — 6 months, dose 4MedDRA: Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-28
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2022-10-28
Callback requested for12:30PM ET
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2023-03-31
Call successfulDoes not wish to fill out VAERS report
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2023-04-26
Survey response — 12 months, dose 4MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-26
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-04-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Pfizer-BioNTech | |
| 2 | 2021-02-10 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-26 | Moderna | No |
Call center
7 call center cases
7 successful
VAERS report filed, before or during a call: 2
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Increased thirst Day 2 and 3
Systemic reaction (other): 5lb weight gain in 5 days since vaccine
Systemic reaction (other): 5.5 lb weight gain since vaccine, increased thirst
Release 2 — day 7, dose 1
Systemic reaction (other): Lost 2.4 lbs of 5.5# gained in week since vaccination
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): As with 1st vaccine, noted fluid retention. (4# in 4 days)
Release 5 — day 35, dose 2
Symptoms: 7 lb weight gain since vaccination, increased SOB, 1+ lower leg swelling. Have HTN, afib currently in NSR. Have called cardiology to consider echo. Possibly had COVID late Feb 2020.
Release 8 — 3 months, dose 2
Symptoms: Prolonged qrs complex, but hx afib s/p ablation, last cardioversion Dec 5, 2020, on Flecainide. Nml echo. Flecainide decreased May 7, ecg scheduled May 14
Release 9 — 6 months, dose 2
Symptoms: Sinus infection x 12 wks, negative covid test x1 during that period.
Healthcare visit (other): Sinus surgery planned
Release 10 — day 35, dose 3
Symptoms: Fatigue, muscle aches, cough, sore throat, laryngitis, loss of appetite. Neg home antigen test x2. No fever
Release 10 — 3 months, dose 3
Symptoms: GI virus with 2 days diarrhea, fatigue, no appetite leading to potassium 2.8
Release 11 — 6 months, dose 3
Symptoms: One upper respiratory illness, COVID negative. Now wirh blocked ears (ear wax plug). Low magnesium and potassium, probably related to change in diuretic, being orally replaced. Cardiomegaly on an abdominal CT, echo ok.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Fatigue and muscle aches for 36 hrs after vaccination
Release 12 — 6 months, dose 4
Symptoms: Upper respiratory infection
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Blood magnesium decreased | · | · | ✓ |
| SD | Blood potassium decreased | · | · | ✓ |
| SD | Cardiomegaly | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Echocardiogram abnormal | · | · | ✓ |
| SD | Excessive cerumen production | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Weight increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Fluid retention | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Weight increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release