65K-28923-23428
3 vaccinations
10 coded responses
36 check-ins
10 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 940 / CA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-26
Registered in v-safe
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2021-01-26
Dose 1 — Pfizer-BioNTech
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
- 2021-01-29
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-31
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-02
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2021-02-09
Survey response — day 14, dose 1MedDRA: Feeling hot, Headache, Hypoaesthesia, Malaise, Rhinorrhoea, SARS-CoV-2 test, SARS-CoV-2 test negative, Sinus pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Today Day 14. Day 9= Covid test for headaches, runny nose, sinus pain, warm. Test neg. 5d of runny nose & h/a. Day 10 & 11 lighter headache, still not feel well. Day 12 felt great, but new lower L leg numb over shin. Sched for neuro visit tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-17
Survey response — day 21, dose 1MedDRA: Herpes zoster, Hypoaesthesia, Medical counselling, SARS-CoV-2 test — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I was virtually seen by allergist who thinks I have new onset non-rash shingles, started Day 12 after vaccine. On 3000mg Valacyclovir a day x 7 days. Left lower leg numb over tibia. Less numb now, Dr (b)(6) allergist put in possible adv reaction · Healthcare visit (other): Dr sent me for Covid nasal pcr test. Done 2/13/21. Still awaiting results as of 2/17/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-23
Survey response — day 28, dose 1MedDRA: Herpes zoster, Office visit, Paraesthesia, Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued tingling of hands. Now right hand also. Left lower leg numbness resolved. Eval by neurologist in person today. New UTI symptoms x1 week. Urine culture today. Finished high dose Valtrex for supposed non rash shingles 6 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
- 2021-03-09
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2021-05-02
Survey response — 3 months, dose 1MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative — Feeling: FairFree text: 4/27 expos @unmask event. 4/28Sore throat, headache, fatigue. Covid test at work neg 4/28. 5/2 still have Sx. Will do another test. Only had 1 vaccine 1/26/21. Supposed nonRash shingles after vaccine #1 per Dr. Had +Sars-Cov Ab 3wks post vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Dose 2 — Pfizer-BioNTech
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-06-07
- 2021-06-12
- 2021-06-29
- 2021-07-05
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2021-07-16
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-08-23
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2021-11-22
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Discomfort, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bone discomfort. Worsening osteopenia now likely due to 5 mos of prednisone in Oct 2019-Mar 2020, after 2 MMRs and had Myocarditis & Pericarditis in Oct 2019. All this 1 yr prior to Pfizer vaccine. Will schedule Covid booster of 3rd Pfizer next wk.MedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
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2021-12-04
Dose 3 — Pfizer-BioNTech
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2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains · Be unable to work or attend schoolAdult check-in
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2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort — Feeling: Fair · Headache, Joint painsFree text: Slight chest discomfort. I'm keeping eye on it. Will call Dr if worsens or prolongedMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Slight chest pressure with activity · Healthcare visit (other): Have prior history of myopericarditis. Getting labs today. Possible related to some life stress tooMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Milder chest pressure vs earlier in week · Healthcare visit (other): Labs and ekg today, but symptoms lighter vs Tues, Wed, ThursMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-10
- 2021-12-13
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2021-12-13
Callback requested for01:30PM ET
- 2021-12-14
- 2021-12-19
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2021-12-20
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-25
- 2022-01-01
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2022-01-10
Survey response — day 35, dose 3MedDRA: Condition aggravated, Grief reaction, Pre-existing disease — Feeling: Fair · Be unable to work or attend schoolFree text: My mother died 2d ago, unrelated to covid, in Florida ICU x3wks, and I cared for her daily.I have been having more pvcs during this time. I do get pvcs with stress, but have had more consistently since PFE Booster of Dec 4. 2021. Likely grief nowMedDRA releases: 2024-11 · check-in free text available
- 2022-01-17
- 2022-03-07
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2022-06-04
Survey response — 6 months, dose 3MedDRA: Exposure to SARS-CoV-2, Headache, Liver function test decreased, Pericarditis, SARS-CoV-2 test negative, Self-medication — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Acute (dry) recurrent pericarditis Apr 14 2022. On high dose aspirin and colchicine until LFTs elevated. Awaiting cardiologist plan. Exposed to Covid 3 times this week: 3d,4d, and 5 days ago. I'm rapid antigen neg so far. Severe headache x24 hrs nowMedDRA releases: 2024-11 · check-in free text available
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2022-06-04
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2022-06-06
- 2022-06-06
- 2022-06-06
- 2022-06-06
- 2022-06-06
- 2022-06-06
- 2022-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Pfizer-BioNTech | |
| 2 | 2021-05-22 | Pfizer-BioNTech | |
| 3 | 2021-12-04 | Pfizer-BioNTech | No |
Call center
7 call center cases
5 successful · 2 unsuccessful
VAERS report filed, before or during a call: 3
3 waits over 3 months for a first call
Free text
Release 3 — day 14, dose 1
Symptoms: Today Day 14. Day 9= Covid test for headaches, runny nose, sinus pain, warm. Test neg. 5d of runny nose & h/a. Day 10 & 11 lighter headache, still not feel well. Day 12 felt great, but new lower L leg numb over shin. Sched for neuro visit tomorrow cut off by CDC
Release 4 — day 21, dose 1
Symptoms: I was virtually seen by allergist who thinks I have new onset non-rash shingles, started Day 12 after vaccine. On 3000mg Valacyclovir a day x 7 days. Left lower leg numb over tibia. Less numb now, Dr (b)(6) allergist put in possible adv reaction
Healthcare visit (other): Dr sent me for Covid nasal pcr test. Done 2/13/21. Still awaiting results as of 2/17/2021
redacted (b)(6)
Release 4 — day 28, dose 1
Symptoms: Continued tingling of hands. Now right hand also. Left lower leg numbness resolved. Eval by neurologist in person today. New UTI symptoms x1 week. Urine culture today. Finished high dose Valtrex for supposed non rash shingles 6 days ago.
Release 8 — 3 months, dose 1
Symptoms: 4/27 expos @unmask event. 4/28Sore throat, headache, fatigue. Covid test at work neg 4/28. 5/2 still have Sx. Will do another test. Only had 1 vaccine 1/26/21. Supposed nonRash shingles after vaccine #1 per Dr. Had +Sars-Cov Ab 3wks post vaccine. cut off by CDC
Release 10 — 6 months, dose 2
Symptoms: Bone discomfort. Worsening osteopenia now likely due to 5 mos of prednisone in Oct 2019-Mar 2020, after 2 MMRs and had Myocarditis & Pericarditis in Oct 2019. All this 1 yr prior to Pfizer vaccine. Will schedule Covid booster of 3rd Pfizer next wk. cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight chest discomfort. I'm keeping eye on it. Will call Dr if worsens or prolonged
Systemic reaction (other): Slight chest pressure with activity
Healthcare visit (other): Have prior history of myopericarditis. Getting labs today. Possible related to some life stress too
Systemic reaction (other): Milder chest pressure vs earlier in week
Healthcare visit (other): Labs and ekg today, but symptoms lighter vs Tues, Wed, Thurs
Release 10 — day 35, dose 3
Symptoms: My mother died 2d ago, unrelated to covid, in Florida ICU x3wks, and I cared for her daily.I have been having more pvcs during this time. I do get pvcs with stress, but have had more consistently since PFE Booster of Dec 4. 2021. Likely grief now cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Acute (dry) recurrent pericarditis Apr 14 2022. On high dose aspirin and colchicine until LFTs elevated. Awaiting cardiologist plan. Exposed to Covid 3 times this week: 3d,4d, and 5 days ago. I'm rapid antigen neg so far. Severe headache x24 hrs now 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 |
|---|---|---|---|---|
| HCVO | Pre-existing disease | · | · | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | ○ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Grief reaction | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Liver function test decreased | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pericarditis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 antibody test positive | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release