5UE-21030-68591
5 vaccinations
10 coded responses
42 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 939 / CA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Pfizer-BioNTech
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2021-03-18
Survey response — day 0, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Fair · HeadacheFree text: I had headache before (and after) the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Site: PainFree text: Didnt sleep well last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Pfizer-BioNTech
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Eye pruritus, Pruritus — Feeling: Good · Fatigue or tirednessFree text: Since about two weeks after my first dose, and continuing after my 2nd, I have experienced itchy eyes and skin, all over (not at vaccine site), which I have experienced in the past when e.g. trying retinol based face products. I havent introduced any new products or foods so I think it might be the vaccine causing this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Skin still itchy all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 7, dose 2MedDRA: Eye pruritus, Pruritus — Feeling: GoodFree text: Still have all over itchy skin, itchy eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-05-20
Survey response — day 42, dose 2MedDRA: Dizziness, Nausea, Vertigo positional — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Not sure if its related, but the evening of 5/13/21 I began experiencing Benign paroxysmal positional vertigo. I have experienced symptoms off and on for the past week (nausea/dizziness).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-08
Survey response — 3 months, dose 2MedDRA: Hot flush — Feeling: GoodFree text: Starting a couple weeks after my 2nd shot, I abruptly began experiencing hot flashes, up to 10 or so per day. At first I thought they were due to menopause. Then, they abruptly stopped after about two months and I havent had a single one since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-07
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2021-11-16
Dose 3 — Moderna
- 2022-04-08
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2022-04-22
Dose 4 — Moderna
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2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shin/foot cramps (severe)MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-05-07
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2022-05-10
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
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2022-07-22
Survey response — 3 months, dose 4MedDRA: Headache, Mobility decreased, Tension headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Frequent tension headaches, reduced flexibility in my neck when turning my head to the left.MedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Dose 5 — Pfizer-BioNTech
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2022-10-14
Survey response — day 28, dose 5MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: Vertigo again, 3 days ago (25 days after my last booster)MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I had headache before (and after) the shot
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Didnt sleep well last night
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Since about two weeks after my first dose, and continuing after my 2nd, I have experienced itchy eyes and skin, all over (not at vaccine site), which I have experienced in the past when e.g. trying retinol based face products. I havent introduced any new products or foods so I think it might be the vaccine causing this.
Systemic reaction (other): Skin still itchy all over
Release 7 — day 7, dose 2
Systemic reaction (other): Still have all over itchy skin, itchy eyes
Release 8 — day 42, dose 2
Symptoms: Not sure if its related, but the evening of 5/13/21 I began experiencing Benign paroxysmal positional vertigo. I have experienced symptoms off and on for the past week (nausea/dizziness).
Release 9 — 3 months, dose 2
Symptoms: Starting a couple weeks after my 2nd shot, I abruptly began experiencing hot flashes, up to 10 or so per day. At first I thought they were due to menopause. Then, they abruptly stopped after about two months and I havent had a single one since.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Shin/foot cramps (severe)
Release 12 — 3 months, dose 4
Symptoms: Frequent tension headaches, reduced flexibility in my neck when turning my head to the left.
Release 12 — day 28, dose 5
Symptoms: Vertigo again, 3 days ago (25 days after my last booster)
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 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Tension headache | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Vertigo positional | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release