66X-22803-39299
3 vaccinations
8 coded responses
26 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 191 / PA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Pfizer-BioNTech
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-12
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2021-01-19
Dose 2 — Pfizer-BioNTech
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2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, SwellingFree text: Left axillary lymphadenopathy 4 cm (same side as vaccine administration), painful but not redMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: 4 cm axillary lymph node (same side as vaccinated armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymph node pain — Feeling: GoodFree text: Lymph node in L axilla - pain is improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-02
- 2021-02-09
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2021-02-16
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Good · Be unable to workFree text: Headache that peaked 2/12 and resolved ultimately with sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
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2021-04-20
Survey response — 3 months, dose 2MedDRA: Arthralgia, Condition aggravated, Pre-existing disease — Feeling: Fair · 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 consultationFree text: Ulcerative colitis flare with joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-20
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2021-12-15
Dose 3 — Moderna
- 2022-01-19
- 2022-01-19
- 2022-01-26
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2022-03-18
Survey response — 3 months, dose 3MedDRA: Deep vein thrombosis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Deep vein thrombosis, right lower leg · Healthcare visit (other): UltrasoundMedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-03-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-15
Survey response — 6 months, dose 3MedDRA: Anticoagulant therapy, Deep vein thrombosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Deep vein thrombosis right lower leg. Thanks can't see when my last v-safe check in was completed so not sure if I reported this already. Completed 3 mos anticoagulation.MedDRA releases: 2024-11 · check-in free text available
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2022-06-15
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)
- 2022-06-16
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2022-06-16
Callback requested for05:00PM ET
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2022-06-16
Call successfulCompleted over the phone
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2022-12-18
Survey response — 12 months, dose 3MedDRA: COVID-19, Condition aggravated, 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 · Outpatient clinic or urgent care clinic visitFree text: Ulcerative colitis flare requiring steroids, and mild COVID-19MedDRA releases: 2024-11 · check-in free text available
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2022-12-18
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-12-20
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-19 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Moderna | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 2
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Left axillary lymphadenopathy 4 cm (same side as vaccine administration), painful but not red
Systemic reaction (other): 4 cm axillary lymph node (same side as vaccinated arm
Systemic reaction (other): Lymph node in L axilla - pain is improving
Release 4 — day 28, dose 2
Symptoms: Headache that peaked 2/12 and resolved ultimately with sleep
Release 7 — 3 months, dose 2
Symptoms: Ulcerative colitis flare with joint pain
Release 11 — 3 months, dose 3
Release 12 — 6 months, dose 3
Symptoms: Deep vein thrombosis right lower leg. Thanks can't see when my last v-safe check in was completed so not sure if I reported this already. Completed 3 mos anticoagulation.
Release 12 — 12 months, dose 3
Symptoms: Ulcerative colitis flare requiring steroids, and mild COVID-19
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 | Unevaluable event | · | · | ✓ |
| SD | Anticoagulant therapy | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Deep vein thrombosis | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release