66D-22356-80076
3 vaccinations
10 coded responses
28 check-ins
10 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 076 / NJ
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
R8G-78823-84650
Child or adolescent in my care · Female · 2021-11-21
Timeline
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-29
Registered in v-safe
- 2020-12-29
-
2021-01-04
Survey response — day 14, dose 1MedDRA: Arthralgia, Back pain — Feeling: GoodFree text: I have some joint aches in one wrist, one finger joint and my right lower back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Dose 2 — Pfizer-BioNTech
-
2021-01-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-11
Report sent to call center — day 0, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-25
Survey response — day 14, dose 2MedDRA: Vaginal infection — Feeling: GoodFree text: Vaginitis (yeast infection)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-08
Survey response — day 28, dose 2MedDRA: Seborrhoeic dermatitis — Feeling: GoodFree text: Patch of what appears to be seborrheic dermatitis on my forehead near my hairline. Ive never had this before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-23
Survey response — day 42, dose 2MedDRA: Alopecia — Feeling: GoodFree text: Hair loss/ thinningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-07-13
Survey response — 6 months, dose 2MedDRA: Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased episodes of paroxysmal supraventricular tachycardia. I will be seeing a cardiologist on August 16, 2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-15
-
2021-09-24
Dose 3 — Pfizer-BioNTech
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Vertigo — Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness, DiarrheaFree text: Vertigo episode on 9/27 (3 days after vaccination)MedDRA releases: 2024-11 · check-in free text available
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Chills, Joint painsAdult check-in
- 2021-10-01
-
2021-10-08
Survey response — day 14, dose 3MedDRA: Chills, Decreased appetite, Muscle spasms, Palpitations — Feeling: GoodFree text: Occasional palpitations, muscle spasms in feet, occasional chills (no temperature) with decreased appetite. I had these symptoms 10/1-10/7. Feeling improved today.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Survey response — day 21, dose 3MedDRA: Atrial tachycardia, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have paroxysmal atrial tachycardia and have been experiencing more frequent heart palpitations. I have scheduled an appointment to see the cardiac electrophysiologist on November 17, 2021.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-20
Call successfulCompleted over the phone
- 2021-10-24
- 2021-10-31
- 2021-11-07
-
2021-12-24
Survey response — 3 months, dose 3MedDRA: Supraventricular tachycardia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Superventricular tachycardia episodes have increased in intensity and durationMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-12-27
Call successfulCompleted over the phone
-
2022-03-25
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased frequency of AVNRT SVT episodes. Scheduled an electrophysiology study/ cardiac ablation on May 26, 2022.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-29
Call successfulReported to VAERS during previous contact from GDIT
- 2022-09-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | No |
Call center
6 call center cases
4 successful · 2 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 4
Free text
Release 1 — day 14, dose 1
Symptoms: I have some joint aches in one wrist, one finger joint and my right lower back.
Release 2 — day 14, dose 2
Symptoms: Vaginitis (yeast infection)
Release 3 — day 28, dose 2
Symptoms: Patch of what appears to be seborrheic dermatitis on my forehead near my hairline. Ive never had this before.
Release 4 — day 42, dose 2
Symptoms: Hair loss/ thinning
Release 9 — 6 months, dose 2
Symptoms: Increased episodes of paroxysmal supraventricular tachycardia. I will be seeing a cardiologist on August 16, 2021
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Vertigo episode on 9/27 (3 days after vaccination)
Release 10 — day 14, dose 3
Symptoms: Occasional palpitations, muscle spasms in feet, occasional chills (no temperature) with decreased appetite. I had these symptoms 10/1-10/7. Feeling improved today.
Release 10 — day 21, dose 3
Symptoms: I have paroxysmal atrial tachycardia and have been experiencing more frequent heart palpitations. I have scheduled an appointment to see the cardiac electrophysiologist on November 17, 2021.
Release 10 — 3 months, dose 3
Symptoms: Superventricular tachycardia episodes have increased in intensity and duration
Release 11 — 6 months, dose 3
Symptoms: Increased frequency of AVNRT SVT episodes. Scheduled an electrophysiology study/ cardiac ablation on May 26, 2022.
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Atrial tachycardia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Seborrhoeic dermatitis | ✓ | ✓ | ✓ |
| SD | Supraventricular tachycardia | ✓ | ✓ | ✓ |
| SD | Vaginal infection | ✓ | ✓ | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release