5V4-29154-49896
3 vaccinations
9 coded responses
25 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Pfizer-BioNTech
-
2021-01-30
Registered in v-safe
- 2021-01-30
- 2021-02-04
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2021-02-11
Survey response — day 21, dose 1MedDRA: Diarrhoea, Ear pain, Head discomfort, Nausea, Neck pain, Sinus pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pain in my sinuss on my face, felt like brain didnt fit in my head Snd was pressing; pain behind my ears and back of neck where My neck meets head; nausea and diarrhea. This is reducing the last two days and I am more comfortable nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 28, dose 1MedDRA: Arthralgia, Axillary pain, Back pain, Ear pain, Headache, Lymphadenopathy, Neck pain — Feeling: FairFree text: Continued headaches and neck (swollen glands head Snd neck ) - thank you Was it normal that when I got the first shot I could feel almost immediately a soreness move from my shoulder to my back , move up my neck and under my right ear?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Dose 2 — Pfizer-BioNTech
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-09
Survey response — day 14, dose 2MedDRA: Abdominal pain, Fatigue — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain in abdomen, fatigue for 5 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
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2021-03-23
Survey response — day 28, dose 2MedDRA: Abdominal distension, Abdominal pain — Feeling: GoodFree text: Abdomen bloating and some painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
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2021-05-25
Survey response — 3 months, dose 2MedDRA: Fatigue, Gastrointestinal disorder, Impaired work ability, Pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a period of time three weeks ago exhausted for over a week - was able to do my federal govt work via phone 9-5 but had to take several days of absence too and had to spend rest of my time on coach even on wed. Included digestion issues & painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Breast tenderness, Erythema, Fatigue, Flank pain, Gastrointestinal disorder, Office visit, Tenderness, Urinary tract infection, Weight increased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Digestive issues, uti , breast and underarm tenderness. Underarm redness, tiredness , weight gain , side pain · Healthcare visit (other): Dr exam and annual examMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
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)
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2021-09-03
Call successfulCompleted over the phone
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2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
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2021-10-30
Survey response — day 35, dose 3MedDRA: Self-medication, Swollen tongue, Tongue erythema — Feeling: FairFree text: My tongue has redness and swelling on one side . I am taking Benadryl for it. Started yesterday evening .MedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
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2021-12-25
Survey response — 3 months, dose 3MedDRA: Gastrointestinal disorder, Gastrooesophageal reflux disease — Feeling: FairFree text: Reflux- digestion issuesMedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Survey response — 12 months, dose 3MedDRA: Epistaxis, Fatigue, Headache, Sinus pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Exhaustion, Headaches , sinus pain, small blood clots in sputum after nasal rinse, crusted blood in nose. Dr is planning scan of my head.MedDRA releases: 2024-11 · check-in free text available
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2022-09-28
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-09-29
- 2022-10-07
- 2022-10-14
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2022-10-14
Callback requested for4:00PM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 4 — day 21, dose 1
Symptoms: Pain in my sinuss on my face, felt like brain didnt fit in my head Snd was pressing; pain behind my ears and back of neck where My neck meets head; nausea and diarrhea. This is reducing the last two days and I am more comfortable now
Release 4 — day 28, dose 1
Symptoms: Continued headaches and neck (swollen glands head Snd neck ) - thank you Was it normal that when I got the first shot I could feel almost immediately a soreness move from my shoulder to my back , move up my neck and under my right ear?
Release 5 — day 14, dose 2
Symptoms: Pain in abdomen, fatigue for 5 days
Release 6 — day 28, dose 2
Symptoms: Abdomen bloating and some pain
Release 8 — 3 months, dose 2
Symptoms: I had a period of time three weeks ago exhausted for over a week - was able to do my federal govt work via phone 9-5 but had to take several days of absence too and had to spend rest of my time on coach even on wed. Included digestion issues & pain cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Digestive issues, uti , breast and underarm tenderness. Underarm redness, tiredness , weight gain , side pain
Healthcare visit (other): Dr exam and annual exam
Release 10 — day 35, dose 3
Symptoms: My tongue has redness and swelling on one side . I am taking Benadryl for it. Started yesterday evening .
Release 10 — 3 months, dose 3
Symptoms: Reflux- digestion issues
Release 12 — 12 months, dose 3
Symptoms: Exhaustion, Headaches , sinus pain, small blood clots in sputum after nasal rinse, crusted blood in nose. Dr is planning scan of my head.
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 distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Breast tenderness | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Erythema | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Swollen tongue | · | · | ✓ |
| SD | Tenderness | ✓ | · | ✓ |
| SD | Tongue erythema | · | · | ✓ |
| SD | Urinary tract infection | ✓ | · | ✓ |
| SD | Weight increased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release