5XN-92136-53615
4 vaccinations
10 coded responses
43 check-ins
9 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 314 / GA
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Registered in v-safe
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2020-12-18
Dose 1 — Pfizer-BioNTech
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2020-12-18
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: GoodFree text: Symptoms are mild, noticed but not a problem. Metallic, Cotten taste in mouth, very slight on lips lasted 30 minsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Mild Soreness at injection site no different than what I experience with flu shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2021-01-01
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2021-01-06
Dose 2 — Pfizer-BioNTech
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2021-01-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-07
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-08
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2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: GoodFree text: Dry mouth: mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Dizziness, Office visit, Vertigo — Feeling: Poor · Headache, Muscle or body aches, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Dizzy, vertigo lower back pain left side, injection given in left arm · Healthcare visit (other): Primary care physicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-12
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Health check-in — day 7, dose 2Feeling: Fair · Headache · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-01-13
Report sent to call center — day 7, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-22
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2021-02-28
Call successfulDoes not wish to fill out VAERS report
- 2021-04-07
- 2021-07-07
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2021-09-09
Dose 3 — Pfizer-BioNTech
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2021-09-28
Survey response — day 14, dose 3MedDRA: Arthralgia, Body temperature increased, Chills, Myalgia, Pain in extremity — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Post day 2 of 3rd vaccine, I developed chills, muscle aches, pain in bottoms of feet , hip joints, and a low grade fever of 100.4 which lasted until evening of 9/12.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
- 2021-10-07
- 2021-10-16
- 2021-10-21
- 2021-12-09
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2022-03-10
Survey response — 6 months, dose 3MedDRA: COVID-19, Hysterectomy — Feeling: Fair · 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 consultation, HospitalizationFree text: I had covid mid January Recently had a hysterectomy Then a DIEP procedure.MedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 6 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 · Hospitalization · 1 call case(s)
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2022-03-14
Call successfulCompleted over the phone
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2022-09-09
Survey response — 12 months, dose 3MedDRA: Breast reconstruction, Cellulitis, Gastrointestinal viral infection, Mastectomy — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: GI Virus Bilateral mastectomy DIEP procedure CellulitisMedDRA releases: 2024-11 · check-in free text available
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2022-09-09
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 · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
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2022-09-12
Call successfulCompleted over the phone
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2022-10-04
Dose 4 — Pfizer-BioNTech
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2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
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2022-11-08
Survey response — day 35, dose 4MedDRA: Presyncope — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Bear syncopeMedDRA releases: 2024-11 · check-in free text available
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2022-11-08
Report sent to call center — day 35, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-11-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-15
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2023-01-03
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Sinusitis — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-06 | Pfizer-BioNTech | |
| 3 | 2021-09-09 | Pfizer-BioNTech | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
7 call center cases
7 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Symptoms are mild, noticed but not a problem. Metallic, Cotten taste in mouth, very slight on lips lasted 30 mins
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mild Soreness at injection site no different than what I experience with flu shot
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth: mild
Systemic reaction (other): Dizzy, vertigo lower back pain left side, injection given in left arm
Healthcare visit (other): Primary care physician
Systemic reaction (other): Vertigo
Release 9 — day 14, dose 3
Symptoms: Post day 2 of 3rd vaccine, I developed chills, muscle aches, pain in bottoms of feet , hip joints, and a low grade fever of 100.4 which lasted until evening of 9/12.
Release 11 — 6 months, dose 3
Symptoms: I had covid mid January Recently had a hysterectomy Then a DIEP procedure.
Release 12 — 12 months, dose 3
Symptoms: GI Virus Bilateral mastectomy DIEP procedure Cellulitis
Release 12 — day 35, dose 4
Symptoms: Bear syncope
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 | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ○ | ○ |
| SD | Arthralgia | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Breast reconstruction | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Mastectomy | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ○ | ○ | ○ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release