652-20099-40339
4 vaccinations
17 coded responses
51 check-ins
15 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 024 / MA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-11
Dose 1 — Pfizer-BioNTech
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2021-04-12
Registered in v-safe
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
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2021-04-25
Survey response — day 14, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Mild sore arm on and off throughout the week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Dose 2 — Pfizer-BioNTech
- 2021-05-02
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2021-05-02
Survey response — day 21, dose 1MedDRA: Diverticulitis, Unevaluable event — Feeling: Good · Be unable to work, 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 my first diverticulitis case. It started last Sunday night after I filled out the report. · Healthcare visit (other): CT ScanMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Report sent to call center — day 21, dose 1Be 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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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Diverticulitis — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Got my period today, it was expected but also probably explains the abdominal pain yesterday. I also forgot to write that have been on antibiotics for the diverticulitis since 4/28 tomorrow is last dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-30
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2021-06-06
Survey response — day 35, dose 2MedDRA: Fatigue, Headache — Feeling: GoodFree text: Intermittent headaches, some days tired but not consistentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-13
- 2021-08-03
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2021-11-01
Survey response — 6 months, dose 2MedDRA: Anxiety, Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fatigue and anxietyMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-11-03
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-05
Dose 3 — Pfizer-BioNTech
- 2021-11-05
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessFree text: Sweating no fever overnightMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion, Self-medication — Feeling: GoodFree text: I messed up submitting update yesterday- none for shot symptoms but throat started to hurt overnight (11-7-11/8)- and yesterday (11/8), hurts still today and some congestion- feels mostly better with allergy pill but didn't think to take one yesterdaMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: My check-in link came at 1149p and i couldn't fill out yesterday. Felt good but mild sore throat and headache. Mild Sore throat today too. My kids have RSV. Also i got period on 11/5 day of shot forgot to write that.MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — day 7, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Mild sore throat and coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-15
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2021-11-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-19
Survey response — day 14, dose 3MedDRA: Brain fog, Exposure to communicable disease, Malaise, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test negative, Sneezing — Feeling: FairFree text: Sneezing, congestion, foggy head,had sore throat before this week but still hurt but not as much past couple days. My kids were sick and i got what they got. I was tested for covid- was negative. (They were too but son had rsv)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
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2021-12-03
Survey response — day 28, dose 3MedDRA: Cough, Malaise, Medical counselling, Oropharyngeal pain, Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had been sick but then finally felt better on Thanksgiving (11/25). But got a little phlemy on weekend and then Monday had sore throat and congestion, i talked to dr wed, said wait to get tested but then started coughing thu- got tested-negative.MedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Survey response — day 35, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: FairFree text: I continue to yo-yo with my symptoms feeling better and then feeling worse again. Mostly tge cough and congestion.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
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2022-02-05
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — 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 consultationFree text: Had a bad cold few weeks ago but was tested multiple times and was negative.MedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Report sent to call center — 3 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)
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2022-02-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-06
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2022-10-06
Dose 4 — ModernaCo-administered: Flu
- 2022-10-06
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2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-10-08
- 2022-10-09
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2022-10-10
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: Fair · Site: Pain · Headache, DiarrheaFree text: Slight runny nose in the morning but pretty sure its allergiesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-12
- 2022-10-16
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2022-10-20
Survey response — day 14, dose 4MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Whole family has the flu- got flu and covid shot in 10/6 so mild (husband not as lucky) - kids were tested so i didn't need to after neg covid test. Sore throat, congestion, headache, fatigue, slight cough, sneezingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
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2023-01-07
Survey response — 3 months, dose 4MedDRA: Conjunctivitis, Dizziness, Fatigue, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-07
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-01-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-06
Survey response — 6 months, dose 4MedDRA: COVID-19, Ear pain, Office visit, Sinus disorder, Unevaluable event — 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 consultationMedDRA releases: 2024-11
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2023-04-06
Report sent to call center — 6 months, dose 4Be 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)
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2023-04-07
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Pfizer-BioNTech | |
| 2 | 2021-05-02 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-10-06 | Moderna | Flu |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — day 14, dose 1
Symptoms: Mild sore arm on and off throughout the week.
Release 8 — day 21, dose 1
Symptoms: I had my first diverticulitis case. It started last Sunday night after I filled out the report.
Healthcare visit (other): CT Scan
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Got my period today, it was expected but also probably explains the abdominal pain yesterday. I also forgot to write that have been on antibiotics for the diverticulitis since 4/28 tomorrow is last day
Release 8 — day 35, dose 2
Symptoms: Intermittent headaches, some days tired but not consistent
Release 10 — 6 months, dose 2
Symptoms: Fatigue and anxiety
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sweating no fever overnight
Systemic reaction (other): I messed up submitting update yesterday- none for shot symptoms but throat started to hurt overnight (11-7-11/8)- and yesterday (11/8), hurts still today and some congestion- feels mostly better with allergy pill but didn't think to take one yesterda cut off by CDC
Systemic reaction (other): My check-in link came at 1149p and i couldn't fill out yesterday. Felt good but mild sore throat and headache. Mild Sore throat today too. My kids have RSV. Also i got period on 11/5 day of shot forgot to write that.
Release 10 — day 7, dose 3
Systemic reaction (other): Mild sore throat and cough
Release 10 — day 14, dose 3
Symptoms: Sneezing, congestion, foggy head,had sore throat before this week but still hurt but not as much past couple days. My kids were sick and i got what they got. I was tested for covid- was negative. (They were too but son had rsv)
Release 10 — day 28, dose 3
Symptoms: I had been sick but then finally felt better on Thanksgiving (11/25). But got a little phlemy on weekend and then Monday had sore throat and congestion, i talked to dr wed, said wait to get tested but then started coughing thu- got tested-negative. cut off by CDC
Release 10 — day 35, dose 3
Symptoms: I continue to yo-yo with my symptoms feeling better and then feeling worse again. Mostly tge cough and congestion.
Release 11 — 3 months, dose 3
Symptoms: Had a bad cold few weeks ago but was tested multiple times and was negative.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Slight runny nose in the morning but pretty sure its allergies
Release 12 — day 14, dose 4
Symptoms: Whole family has the flu- got flu and covid shot in 10/6 so mild (husband not as lucky) - kids were tested so i didn't need to after neg covid test. Sore throat, congestion, headache, fatigue, slight cough, sneezing
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Diverticulitis | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release