5WN-95373-47844
2 vaccinations
19 coded responses
21 check-ins
19 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 080 / NJ
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Pfizer-BioNTech
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2021-03-08
Registered in v-safe
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Back pain, Pre-existing disease — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pain is where old injuries and surgeries; midback, shoulder and knee replacement sitesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-03-10
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Increased pain around prosthetic device in kneeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pain, Pre-existing disease — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Pain continues..Fibromyalgia has worsenedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 14, dose 1MedDRA: Arthralgia, Back pain, Injection site pain, Medical counselling, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Increased pain in arm where shot was given over 10 days ago. Increased back; muscle and joint pain. · Healthcare visit (other): Prescribed a strong painkillerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Dose 2 — Pfizer-BioNTech
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2021-03-26
Survey response — day 0, dose 2MedDRA: Rhinorrhoea — Feeling: Good · NauseaFree text: Severe runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Pleurisy, Rhinorrhoea — Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain when breathing in, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Autoimmune disorder, Immunisation reaction — Feeling: Poor · Fever · Headache, Nausea, Vomiting, Diarrhea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Have Autoimmune condition, had a bad response to both vaccinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Hurts to take a breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Painful respiration — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Hurts to breathe inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Blood test, Chest X-ray, Hyperventilation, Office visit — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain when breathing in, left side of lung · Healthcare visit (other): Dr office/ chest xray and blood work orderedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — days 1–6 daily, 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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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Difficulty breathing and chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 7, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Elevated D-Dimer (Hashimotos levels worsening)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 14, dose 2MedDRA: Arthralgia, Dyspnoea, Emergency care — 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: Shortness of breath, + D-Dimer test, severe joint pain · Healthcare visit (other): ER twice. 104° and + D-DimerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 14, 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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2021-04-16
Survey response — day 21, dose 2MedDRA: Arthralgia, C-reactive protein increased, Fibrin D dimer increased, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Joint/Muscle pain, D-Dimer, CReactive Protein and various tests are very high. R/U pulmonary embolismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-25
Survey response — day 28, dose 2MedDRA: Fatigue, Hypersomnia — Feeling: Poor · Be unable to workFree text: Severe fatigue non stop sleeping 14 hrs +MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — day 35, dose 2MedDRA: Amino acid level increased, Arthralgia, C-reactive protein increased, Fibrin D dimer increased, Medical counselling, Myalgia, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Severe muscle and joint pain. Elevated D-Dimer, CReactive protein, Fibrinogin. Over 15 elevated essentional amino acides. Pain subsided for awhile and now it has returned. Under the care of 3 doctors.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 42, dose 2MedDRA: Arthralgia, Inflammatory marker increased, Myalgia, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Increased muscle and joint pain. All inflammatory markers increased. + striational antibody test. Severe painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-25
Survey response — 3 months, dose 2MedDRA: Arthralgia, Blood fibrinogen increased, C-reactive protein increased, Dyspnoea, Fibrin D dimer increased, Myalgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Joint/muscle pain, sob, breathing problems. +DDimer, Creactive, Fibrinogin elevated Striational Antibody. All new. Seeing Specialists. · Healthcare visit (other): SpecialistsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
- 2021-06-29
- 2021-06-30
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2021-06-30
Call successfulCompleted over the phone
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2021-09-28
Survey response — 6 months, dose 2MedDRA: Atelectasis, Chest X-ray abnormal, Diaphragmatic disorder, Productive cough, Pyrexia, Shoulder arthroplasty, Sputum discoloured — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Surgery on 9/23 left shoulder replacement. Since surgery: fever 99.8 to 101 everyday. Chest xray + for Atelectasis and diaphragm issues. Deep, productuve cough..green/yellow sputumMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech |
Call center
8 call center cases
8 successful
VAERS report filed, before or during a call: 8
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Pain is where old injuries and surgeries; midback, shoulder and knee replacement sites
Systemic reaction (other): Increased pain around prosthetic device in knee
Release 5 — day 7, dose 1
Systemic reaction (other): Pain continues..Fibromyalgia has worsened
Release 5 — day 14, dose 1
Symptoms: Increased pain in arm where shot was given over 10 days ago. Increased back; muscle and joint pain.
Healthcare visit (other): Prescribed a strong painkiller
Release 6 — day 0, dose 2
Systemic reaction (other): Severe runny nose
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Pain when breathing in, runny nose
Healthcare visit (other): Have Autoimmune condition, had a bad response to both vaccines
Systemic reaction (other): Hurts to take a breath
Systemic reaction (other): Hurts to breathe in
Systemic reaction (other): Pain when breathing in, left side of lung
Healthcare visit (other): Dr office/ chest xray and blood work ordered
Systemic reaction (other): Difficulty breathing and chest pain
Release 6 — day 7, dose 2
Systemic reaction (other): Elevated D-Dimer (Hashimotos levels worsening)
Release 7 — day 14, dose 2
Symptoms: Shortness of breath, + D-Dimer test, severe joint pain
Healthcare visit (other): ER twice. 104° and + D-Dimer
Release 7 — day 21, dose 2
Symptoms: Joint/Muscle pain, D-Dimer, CReactive Protein and various tests are very high. R/U pulmonary embolism
Release 7 — day 28, dose 2
Symptoms: Severe fatigue non stop sleeping 14 hrs +
Release 8 — day 35, dose 2
Symptoms: Severe muscle and joint pain. Elevated D-Dimer, CReactive protein, Fibrinogin. Over 15 elevated essentional amino acides. Pain subsided for awhile and now it has returned. Under the care of 3 doctors.
Release 8 — day 42, dose 2
Symptoms: Increased muscle and joint pain. All inflammatory markers increased. + striational antibody test. Severe pain
Release 9 — 3 months, dose 2
Symptoms: Joint/muscle pain, sob, breathing problems. +DDimer, Creactive, Fibrinogin elevated Striational Antibody. All new. Seeing Specialists.
Healthcare visit (other): Specialists
Release 9 — 6 months, dose 2
Symptoms: Surgery on 9/23 left shoulder replacement. Since surgery: fever 99.8 to 101 everyday. Chest xray + for Atelectasis and diaphragm issues. Deep, productuve cough..green/yellow sputum
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 | Autoimmune disorder | ✓ | ✓ | ✓ |
| HCVO | Blood test | ✓ | ✓ | ✓ |
| HCVO | Chest X-ray | ✓ | ✓ | ✓ |
| HCVO | Emergency care | ✓ | ✓ | ✓ |
| HCVO | Immunisation reaction | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Amino acid level increased | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Atelectasis | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Blood fibrinogen increased | ✓ | ✓ | ✓ |
| SD | C-reactive protein increased | ✓ | ✓ | ✓ |
| SD | Chest X-ray abnormal | · | · | ✓ |
| SD | Diaphragmatic disorder | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Fibrin D dimer increased | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Inflammatory marker increased | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Shoulder arthroplasty | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hyperventilation | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Pleurisy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release