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5LH-30339-19640

5 vaccinations 11 coded responses 66 check-ins 11 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
967 / HI
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Disturbance in attention, Dizziness, Eye irritation, Feeling abnormal, Photophobia — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: Yesterday for about 4 hours my eyes were very sensitive to light and were burning, even though I was inside. I was also dizzy and my mental concentration was completely derailed. It was the strangest feeling. I took a nap and it was all gone after four hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Dose 2 — Pfizer-BioNTech
  13. 2021-04-01
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Nasal congestion, Oropharyngeal pain — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: im getting slightly dizzy. My sinuses are getting stuffy and my throat is starting to hurt.I just had my second vaccine roughly 3 hours ago.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Nasal congestion, Throat irritation — Feeling: Poor · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Sensitive throat, nasal stuffiness, dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-08
    Survey response — day 7, dose 2
    MedDRA: Sinus disorder — Feeling: Good
    Free text: Sinus stuffiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-05
    Dose 3 — Pfizer-BioNTech
  29. 2021-10-05
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  31. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-11-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-26
    Dose 4 — Moderna
  45. 2022-04-26
    Health check-in — day 0, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches
    Adult check-in
  47. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  48. 2022-04-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  49. 2022-04-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-05-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  51. 2022-05-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  52. 2022-05-03
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-05-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-05-17
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  55. 2022-05-26
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  56. 2022-06-02
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  57. 2022-07-26
    Survey response — 3 months, dose 4
    MedDRA: COVID-19, Chest pain — 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 consultation, Emergency room or emergency department visit
    Free text: COVID for 10 days. Needed Paxlovid due to chest pains and other symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-07-26
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  59. 2022-07-27
  60. 2022-07-27
    Call successful
    Participant prefers to complete VAERS report online
  61. 2022-10-17
    Dose 5 — Moderna
  62. 2022-10-18
    Survey response — days 1–6 daily, dose 5
    MedDRA: Medical counselling, Office visit, Oropharyngeal pain, Productive cough — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): Very Sore throat and phlegm · Healthcare visit (other): Dr visit after the telephone appointment
    MedDRA releases: 2024-11 · check-in free text available
  63. 2022-10-18
    Report sent to call center — days 1–6 daily, dose 5
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  64. 2022-10-19
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  65. 2022-10-19
  66. 2022-10-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  67. 2022-10-20
    Survey response — days 1–6 daily, dose 5
    MedDRA: Oropharyngeal pain, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat and sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  68. 2022-10-21
    Survey response — days 1–6 daily, dose 5
    MedDRA: Sinus congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bad sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  69. 2022-10-22
    Survey response — days 1–6 daily, dose 5
    MedDRA: Cough, Sinus congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bad sinus congestion and cough
    MedDRA releases: 2024-11 · check-in free text available
  70. 2022-10-23
    Survey response — days 1–6 daily, dose 5
    MedDRA: Anosmia, Cough, Sinus congestion — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Loss of smell, Cough, bad sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  71. 2022-10-24
    Survey response — day 7, dose 5
    MedDRA: Cough, Sinus congestion — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Worsening Cough, Bad sinus congestion
    MedDRA releases: 2024-11 · check-in free text available
  72. 2022-10-31
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  73. 2022-11-07
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  74. 2022-11-14
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  75. 2022-11-21
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  76. 2022-11-28
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  77. 2023-01-16
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  78. 2023-04-17
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Pfizer-BioNTech
22021-04-01Pfizer-BioNTech
32021-10-05Pfizer-BioNTech No
42022-04-26Moderna No
52022-10-17Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Yesterday for about 4 hours my eyes were very sensitive to light and were burning, even though I was inside. I was also dizzy and my mental concentration was completely derailed. It was the strangest feeling. I took a nap and it was all gone after four hours.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): im getting slightly dizzy. My sinuses are getting stuffy and my throat is starting to hurt.I just had my second vaccine roughly 3 hours ago.

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): Sensitive throat, nasal stuffiness, dizziness

Release 7 — day 7, dose 2

2021-04-08

Systemic reaction (other): Sinus stuffiness

Release 12 — 3 months, dose 4

2022-07-26

Symptoms: COVID for 10 days. Needed Paxlovid due to chest pains and other symptoms.

Release 12 — days 1–6 daily, dose 5

2022-10-18

Systemic reaction (other): Very Sore throat and phlegm
Healthcare visit (other): Dr visit after the telephone appointment

2022-10-20

Systemic reaction (other): Sore throat and sinus congestion

2022-10-21

Systemic reaction (other): Bad sinus congestion

2022-10-22

Systemic reaction (other): Bad sinus congestion and cough

2022-10-23

Systemic reaction (other): Loss of smell, Cough, bad sinus congestion

Release 12 — day 7, dose 5

2022-10-24

Systemic reaction (other): Worsening Cough, Bad sinus congestion

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling · · ✓
HCVOOffice visit · · ✓
SDChest pain · · ✓
SDCOVID-19 · · ✓
SROAnosmia · · ✓
SROCough · · ✓
SRODisturbance in attention ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEye irritation ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROProductive cough · · ✓
SROSinus congestion · · ✓
SROSinus disorder ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release