5QP-99009-70736
5 vaccinations
8 coded responses
29 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 993 / WA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Pfizer-BioNTech
-
2021-01-24
Registered in v-safe
-
2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia — Feeling: Fair · Joint pains, Abdominal pain · Be unable to do your normal daily activitiesFree text: Just generally weak fir awhileMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: I want to sleep mostlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Pfizer-BioNTech
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Throat a little soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — day 7, dose 2MedDRA: Increased viscosity of upper respiratory secretion — Feeling: FairFree text: Throat feels like it has mucus in itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
-
2021-08-10
Survey response — 6 months, dose 2MedDRA: Bladder disorder, Renal disorder, Stent placement, Surgery — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Blockage in left kidney / bladder area and stent inserted which served to relieve it .. stent was removed 6 weeks later · Healthcare visit (other): SurgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-10
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)
- 2021-10-08
-
2021-10-10
Dose 3 — Pfizer-BioNTech
- 2021-10-14
-
2022-02-09
Survey response — 12 months, dose 2MedDRA: Cellulitis, Dehydration, Disorientation, Emergency care, Injury, Loss of consciousness — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I have cellulitis and have had passing out spells which also caused some injury and two trips to the ER . · Healthcare visit (other): Since I was I'll & dehydrated & disoriented I needed to go to the ER.MedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-10
- 2022-02-17
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2022-04-02
Dose 4 — Pfizer-BioNTech
- 2022-04-19
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
-
2022-10-01
Survey response — 6 months, dose 4MedDRA: Dizziness, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I seem to be lightheaded or dizzy more often but do have afib which may account for itMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Dose 5 — Pfizer-BioNTech
- 2023-04-02
-
2023-04-11
Survey response — 6 months, dose 5MedDRA: Bladder disorder, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-11
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-12
-
2023-04-14
Callback requested for04:00PM ET
-
2023-04-14
Call successfulDoes not wish to fill out VAERS report
-
2023-04-14
Call successfulDoes not wish to fill out VAERS report
-
2023-04-14
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Pfizer-BioNTech | |
| 2 | 2021-02-09 | Pfizer-BioNTech | |
| 3 | 2021-10-10 | Pfizer-BioNTech | No |
| 4 | 2022-04-02 | Pfizer-BioNTech | No |
| 5 | 2022-10-11 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just generally weak fir awhile
Systemic reaction (other): I want to sleep mostly
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Throat a little sore
Release 4 — day 7, dose 2
Systemic reaction (other): Throat feels like it has mucus in it
Release 9 — 6 months, dose 2
Symptoms: Blockage in left kidney / bladder area and stent inserted which served to relieve it .. stent was removed 6 weeks later
Healthcare visit (other): Surgery
Release 11 — 12 months, dose 2
Symptoms: I have cellulitis and have had passing out spells which also caused some injury and two trips to the ER .
Healthcare visit (other): Since I was I'll & dehydrated & disoriented I needed to go to the ER.
Release 12 — 6 months, dose 4
Symptoms: I seem to be lightheaded or dizzy more often but do have afib which may account for it
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 | Dehydration | · | · | ✓ |
| HCVO | Disorientation | · | · | ✓ |
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Surgery | ✓ | · | ✓ |
| SD | Bladder disorder | ✓ | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Injury | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Renal disorder | ✓ | · | ✓ |
| SD | Stent placement | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Increased viscosity of upper respiratory secretion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release