5N5-10014-72299
4 vaccinations
17 coded responses
43 check-ins
16 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 454 / OH
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-26
Dose 1 — Pfizer-BioNTech
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2021-01-27
Registered in v-safe
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Chest pain — Feeling: Fair · Site: PainFree text: Asthma chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Site: Pain · HeadacheFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Site: PainFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Chest pain, Inflammation — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Chest pain inflammation of chest wallMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — day 7, dose 1MedDRA: Inflammation, Office visit — Feeling: Good · Site: Pain · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Inflammation of chest wall · Healthcare visit (other): Doctor's officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-09
Survey response — day 14, dose 1MedDRA: Abdominal pain upper — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Stomach hurts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-23
Dose 2 — Pfizer-BioNTech
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2021-02-23
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: I just got it 3 hours ago. No symptoms yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain · HeadacheFree text: Back acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-09
- 2021-03-17
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-06-17
- 2021-08-24
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2021-09-28
Dose 3 — Pfizer-BioNTech
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2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-02
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lacrimation increased, Pre-existing disease, Respiratory tract congestion — Feeling: GoodFree text: Congested, watery eyes maybe allergiesMedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
- 2021-10-12
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2021-10-19
Survey response — day 21, dose 3MedDRA: Depression — Feeling: FairFree text: DepressionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
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2021-11-09
Survey response — day 42, dose 3MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache for 4 daysMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Survey response — 3 months, dose 3MedDRA: Abdominal discomfort, Dehydration, Diarrhoea, Head injury, Hospitalisation, Loss of consciousness, Viral infection, Vomiting — Feeling: Good · 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, HospitalizationFree text: A virus which caused diarrhea, dehydration, passing out hitting head and vomiting. Entered the hospital after the 5th day., A Sat. Stayed til Monday. Released. Still had upset stomach throughout week, ended up back in hospital after 9 episodes ofMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-29
- 2022-01-04
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2022-03-29
Survey response — 6 months, dose 3MedDRA: Gastritis, Impaired gastric emptying, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Gastritis and gastroparesis · Healthcare visit (other): OutpatientMedDRA 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
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2022-03-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-04-04
Dose 4 — Pfizer-BioNTech
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2022-04-15
Survey response — day 7, dose 4MedDRA: Malaise, Office visit, Pre-existing disease, Upper-airway cough syndrome — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I am at Urgent Care with post nasal drip probably due to allergies. Not in chest. Been sick for 9 days so far.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Report sent to call center — day 7, 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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2022-04-18
Survey response — day 14, dose 4MedDRA: Arthralgia, Bronchitis, Joint injury — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bronchitis, still have pain I injured knee.MedDRA releases: 2024-11 · check-in free text available
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2022-04-18
Report sent to call center — day 14, 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)
- 2022-04-20
- 2022-04-25
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2022-04-29
Call successfulCompleted over the phone
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2022-04-29
Call successfulCompleted over the phone
- 2022-05-02
- 2022-05-09
- 2022-05-16
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2022-07-04
Survey response — 3 months, dose 4MedDRA: Headache, Joint injury, Knee operation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: My knee gave out twice. Second time on stairs. Just had knee surgery on June 29. Also, have a headache every day for three weeks. On medication to try to break cycle.MedDRA releases: 2024-11 · check-in free text available
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2022-07-04
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-07-05
- 2022-07-05
- 2022-07-05
- 2022-07-05
- 2022-07-05
- 2022-07-05
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2022-07-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-03
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2023-04-04
Survey response — 12 months, dose 4MedDRA: Pre-existing disease — 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 consultationMedDRA releases: 2024-11
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2023-04-04
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-09-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-04 | Pfizer-BioNTech | No |
Call center
7 call center cases
6 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Asthma chest pain
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain
Systemic reaction (other): Chest pain
Systemic reaction (other): Chest pain inflammation of chest wall
Release 3 — day 7, dose 1
Systemic reaction (other): Inflammation of chest wall
Healthcare visit (other): Doctor's office
Release 3 — day 14, dose 1
Symptoms: Stomach hurts.
Release 4 — day 0, dose 2
Systemic reaction (other): I just got it 3 hours ago. No symptoms yet
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Back ache
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Congested, watery eyes maybe allergies
Release 10 — day 21, dose 3
Symptoms: Depression
Release 10 — day 42, dose 3
Symptoms: Headache for 4 days
Release 10 — 3 months, dose 3
Symptoms: A virus which caused diarrhea, dehydration, passing out hitting head and vomiting. Entered the hospital after the 5th day., A Sat. Stayed til Monday. Released. Still had upset stomach throughout week, ended up back in hospital after 9 episodes of cut off by CDC
Release 11 — 6 months, dose 3
Release 11 — day 7, dose 4
Systemic reaction (other): I am at Urgent Care with post nasal drip probably due to allergies. Not in chest. Been sick for 9 days so far.
Release 11 — day 14, dose 4
Symptoms: Bronchitis, still have pain I injured knee.
Release 12 — 3 months, dose 4
Symptoms: My knee gave out twice. Second time on stairs. Just had knee surgery on June 29. Also, have a headache every day for three weeks. On medication to try to break cycle.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Impaired gastric emptying | · | · | ✓ |
| SD | Joint injury | · | · | ✓ |
| SD | Knee operation | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release