63H-20915-60933
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 021 / MA
- Registered
- 2021-04-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
BT8-28973-14792
Child or adolescent in my care · Male · 2022-06-26
Timeline
-
2021-04-25
Dose 1 — Pfizer-BioNTech
-
2021-04-29
Registered in v-safe
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
-
2021-05-09
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: GoodFree text: I had an itchy rash about the size of quarter at the injection site for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Dose 2 — Pfizer-BioNTech
-
2021-05-18
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Felt clumsy, dropped food in the kitchen and a utensil when I was getting something to eatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-25
- 2021-06-01
-
2021-06-08
Survey response — day 21, dose 2MedDRA: Breast pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Breast pain on right side (not the side of the vaccination). Does not seem to be a lymph node location, had exam last Friday and mammogram/ ultrasound today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
- 2021-06-22
- 2021-06-29
-
2021-08-17
Survey response — 3 months, dose 2MedDRA: Breast cyst, Migraine, Pre-existing disease — 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 visitFree text: Migraine headache, I get infrequently (0-2 per year) and this was the worst in about a decade. I have also had benign cyclical breast cysts (in early June and July 21). Not sure if vaccination can impact estrogen levels - that is my migraine triggerMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Report sent to call center — 3 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 pr1 call case(s)
-
2021-08-19
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-25 | Pfizer-BioNTech | |
| 2 | 2021-05-18 | Pfizer-BioNTech |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 14, dose 1
Symptoms: I had an itchy rash about the size of quarter at the injection site for 2 days
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Felt clumsy, dropped food in the kitchen and a utensil when I was getting something to eat
Release 8 — day 21, dose 2
Symptoms: Breast pain on right side (not the side of the vaccination). Does not seem to be a lymph node location, had exam last Friday and mammogram/ ultrasound today.
Release 9 — 3 months, dose 2
Symptoms: Migraine headache, I get infrequently (0-2 per year) and this was the worst in about a decade. I have also had benign cyclical breast cysts (in early June and July 21). Not sure if vaccination can impact estrogen levels - that is my migraine trigger cut off by CDC
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 | Breast cyst | ✓ | · | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release