5JK-18094-69337
5 vaccinations
5 coded responses
29 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Pfizer-BioNTech
- 2021-01-23
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I have Sjögrens syndrome, but today I feel even more tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-02-06
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-05-13
Survey response — 3 months, dose 2MedDRA: Chillblains, Erythema, Hypoaesthesia, Office visit, Paraesthesia, SARS-CoV-2 test negative, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Red and purple toes, numbness/tingling. Chilblains diagnosis. Had negative Covid test recently. · Healthcare visit (other): Doctors officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
-
2021-11-12
Dose 3 — Pfizer-BioNTech
- 2022-02-11
- 2022-04-15
-
2022-05-13
Dose 4 — Pfizer-BioNTech
-
2022-09-16
Dose 5 — Pfizer-BioNTech
- 2022-10-15
-
2022-10-21
Survey response — day 35, dose 5MedDRA: Cough, Nasal congestion, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Congestion in nose, throat, and chest. Coughing. Going to get a covid PCR test later today. Then contact physician. So no more news to report.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Survey response — day 42, dose 5MedDRA: Asthma, Emergency care, Pre-existing disease, Viral infection — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Viral infection with asthma exacerbation. In hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-10-31
Call successfulNot applicable - Accidental Reporting
-
2022-10-31
Call successfulParticipant prefers to complete VAERS report online
-
2022-12-16
Survey response — 3 months, dose 5MedDRA: Joint swelling, Musculoskeletal stiffness, Paraesthesia, Peripheral swelling, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swelling feet legs ankles. Stiffness and tingling in lower legs. I have Sjgren's syndromeMedDRA releases: 2024-11 · check-in free text available
-
2022-12-16
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-20
-
2023-01-05
Callback requested for10:00AM ET
-
2023-01-09
Call successfulDoes not wish to fill out VAERS report
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
| 4 | 2022-05-13 | Pfizer-BioNTech | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I have Sjögrens syndrome, but today I feel even more tired.
Release 8 — 3 months, dose 2
Symptoms: Red and purple toes, numbness/tingling. Chilblains diagnosis. Had negative Covid test recently.
Healthcare visit (other): Doctors office
Release 12 — day 35, dose 5
Symptoms: Congestion in nose, throat, and chest. Coughing. Going to get a covid PCR test later today. Then contact physician. So no more news to report.
Release 12 — day 42, dose 5
Symptoms: Viral infection with asthma exacerbation. In hospital
Release 12 — 3 months, dose 5
Symptoms: Swelling feet legs ankles. Stiffness and tingling in lower legs. I have Sjgren's syndrome
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 | ✓ | ✓ | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Chillblains | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release