5TA-17571-64956
4 vaccinations
4 coded responses
45 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 372 / TN
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Dose 1 — Pfizer-BioNTech
-
2021-02-25
Registered in v-safe
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Pfizer-BioNTech
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-09-26
Dose 3 — Pfizer-BioNTech
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-07
-
2021-12-26
Survey response — 3 months, dose 3MedDRA: Influenza, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Influenza A diagnosed on 12:12/2021. I received my high dose vaccine 9/15/21. · Healthcare visit (other): Tamiflu bid x 5 days.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-26
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-27
-
2022-04-11
Dose 4 — Pfizer-BioNTech
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
-
2022-04-25
Survey response — day 14, dose 4MedDRA: Ear infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I was diagnosed with an infection in my left ear only. On Cortisporin optic drops qid x 10 days. Feeling much better. Very high pollen count in my area.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
-
2022-04-26
Call successfulDoes not wish to fill out VAERS report
-
2022-05-02
Survey response — day 21, dose 4MedDRA: Ear pain, Middle ear effusion, Self-medication, Tympanic membrane disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have left ear pain , a retracted ear drum , and fluid behind my ear. Taking Prednisone 40 mg x 5 days, Flonase 2 squirts each nostril bid. Astelin 2 squirts each nostril bid, Xyzal hs, and 8 hr Tylenol q 8 hrs. Afrin bid prn.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-03
Call successfulParticipant prefers to complete VAERS report online
-
2022-05-09
Survey response — day 28, dose 4MedDRA: Ear infection, Office visit, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus and ear infection on left side. Saw allergist and Sinus ENT today. On Prednisone and Bactrim DSMedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-10
- 2022-05-16
- 2022-05-23
- 2022-07-11
- 2022-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Pfizer-BioNTech | |
| 2 | 2021-03-17 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-11 | Pfizer-BioNTech | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 10 — 3 months, dose 3
Symptoms: Influenza A diagnosed on 12:12/2021. I received my high dose vaccine 9/15/21.
Healthcare visit (other): Tamiflu bid x 5 days.
Release 11 — day 14, dose 4
Symptoms: I was diagnosed with an infection in my left ear only. On Cortisporin optic drops qid x 10 days. Feeling much better. Very high pollen count in my area.
Release 11 — day 21, dose 4
Symptoms: I have left ear pain , a retracted ear drum , and fluid behind my ear. Taking Prednisone 40 mg x 5 days, Flonase 2 squirts each nostril bid. Astelin 2 squirts each nostril bid, Xyzal hs, and 8 hr Tylenol q 8 hrs. Afrin bid prn.
Release 11 — day 28, dose 4
Symptoms: Sinus and ear infection on left side. Saw allergist and Sinus ENT today. On Prednisone and Bactrim DS
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 | Unevaluable event | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Middle ear effusion | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Tympanic membrane disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release