5QJ-51084-77923
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Pfizer-BioNTech
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Allergic dripping nose started about 45 minutes after vaccine and had periodically all day. Took antihistamine 14 hours after shot and that is gone today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Erythema — Feeling: GoodFree text: Redness/rash on arm and hand. Lasted 2-3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizziness last night and this morning. A feeling of being pulled to the left.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-08-26
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
- 2021-10-06
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Red spots that come and go on palm of handsthey itch.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus, Self-medication — Feeling: GoodFree text: Took Benadryl yesterday for itching and red spots on hands and arms. Symptoms are gone today.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-19
-
2021-10-26
Survey response — day 21, dose 3MedDRA: Myalgia — Feeling: FairFree text: Muscle aches in upper bodyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Survey response — day 28, dose 3MedDRA: Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Strong pain in upper arm muscles and neck. This is not normal for me, I have had no injury nor problem such as this before the booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2022-01-04
-
2022-04-05
Survey response — 6 months, dose 3MedDRA: Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe muscle pains · Healthcare visit (other): General PractitionerMedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-11
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Allergic dripping nose started about 45 minutes after vaccine and had periodically all day. Took antihistamine 14 hours after shot and that is gone today.
Release 5 — day 14, dose 2
Symptoms: Redness/rash on arm and hand. Lasted 2-3 days.
Release 7 — day 42, dose 2
Symptoms: Dizziness last night and this morning. A feeling of being pulled to the left.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Red spots that come and go on palm of handsthey itch.
Systemic reaction (other): Took Benadryl yesterday for itching and red spots on hands and arms. Symptoms are gone today.
Release 10 — day 21, dose 3
Symptoms: Muscle aches in upper body
Release 10 — day 28, dose 3
Symptoms: Strong pain in upper arm muscles and neck. This is not normal for me, I have had no injury nor problem such as this before the booster.
Release 11 — 6 months, dose 3
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release