63G-18279-63998
5 vaccinations
3 coded responses
24 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-04-24
Registered in v-safe
-
2021-04-24
Health check-in — day 7, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 28, dose 2MedDRA: Headache, Rash — Feeling: FairFree text: My rash is a bit worse. Also, I continue to have headaches from time to time, and the headache last Thursday was particularly painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
-
2021-07-13
Survey response — 3 months, dose 2MedDRA: Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I can't remember exactly when my last check-in was. In late May I was diagnosed with excema. It's not 100% gone, but it's significantly improved now. I still use the Triamcinolone cream and Cera Ve moisturizing cream.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-21
-
2021-07-22
Call successfulCompleted over the phone
- 2021-10-12
-
2021-12-09
Dose 3 — Moderna
-
2022-04-14
Survey response — 12 months, dose 2MedDRA: Cholecystectomy, Surgery — 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, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had to have my gallbladder removed yesterday. · Healthcare visit (other): outpatient surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Report sent to call center — 12 months, dose 2Be 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 · 1 call case(s)
- 2022-04-19
-
2022-05-18
Call successfulReported to VAERS during previous contact from GDIT
-
2022-06-17
Dose 4 — Moderna
-
2022-10-20
Dose 5 — Moderna
-
2022-10-20
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-10-24
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-10-27
- 2022-11-03
- 2022-11-11
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-12-09 | Moderna | No |
| 4 | 2022-06-17 | Moderna | No |
| 5 | 2022-10-20 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 8 — day 28, dose 2
Symptoms: My rash is a bit worse. Also, I continue to have headaches from time to time, and the headache last Thursday was particularly painful.
Release 9 — 3 months, dose 2
Symptoms: I can't remember exactly when my last check-in was. In late May I was diagnosed with excema. It's not 100% gone, but it's significantly improved now. I still use the Triamcinolone cream and Cera Ve moisturizing cream.
Release 11 — 12 months, dose 2
Symptoms: I had to have my gallbladder removed yesterday.
Healthcare visit (other): outpatient surgery
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 | Surgery | · | · | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Eczema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release