67G-13745-20855
4 vaccinations
19 coded responses
39 check-ins
19 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 972 / OR
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-03
Registered in v-safe
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2021-02-03
Dose 1 — Pfizer-BioNTech
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2021-02-03
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: A little lightheaded when changing position lay to stand. Unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
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2021-02-17
Survey response — day 14, dose 1MedDRA: Fatigue, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue and general aches, about 4 days ago for 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Dose 2 — Pfizer-BioNTech
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: No appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dizziness, Feeling abnormal — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel a little lightheaded and not quite sharp. Also poor appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
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2021-03-20
Survey response — day 28, dose 2MedDRA: Cough — Feeling: GoodFree text: So weird- I'm sure nothing to do with vaccine, but *all* night tickling non-productive cough. First time ever. Not sick at all. Coughed all night! Only thing new is I flew to (b)(6), yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-04-03
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2021-05-22
Survey response — 3 months, dose 2MedDRA: Brain fog, Cough, Feeling abnormal, Lethargy — Feeling: Good · Be unable to do your normal daily activitiesFree text: Mild Brain fog, lethargy, feeling a bit off.Also mild tickle cough first time ever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-21
Survey response — 6 months, dose 2MedDRA: Arthralgia, Joint lock, Pain in extremity — Feeling: GoodFree text: Distal joint of thumb hurts and locks up and feet joints hurt. Never had such a thing occur.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-21
Dose 3 — Pfizer-BioNTechCo-administered: Flu:Shingles
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2022-02-20
Survey response — 12 months, dose 2MedDRA: Brain fog, Cough, Fatigue, Unevaluable event — Feeling: GoodFree text: Coughing and chest tiredness brain fog that is not asthma. Also got a Pfizer booster and shingles vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Dose 4 — Moderna
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2022-04-20
Survey response — days 1–6 daily, dose 4MedDRA: Restless legs syndrome, Vaccine positive rechallenge — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Super restless legs when trying to sleep 12 hours after shot- exactly as with other covid vaccinationsMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: No appetiteMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Mental fatigue — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Not listed by foggy headed like mental lethargy, since day after vaccination. Every time.MedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: GoodFree text: Mildly Foggy thinking not improved by anything continues since boosterMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Mental disorder, Unevaluable event — Feeling: GoodFree text: Mild mental forgiveness not attributable to anything else. Don't think I had COVID, either.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — day 7, dose 4MedDRA: Feeling abnormal, Mental disorder — Feeling: GoodFree text: Mentally spaced out about 25% from baseline. No other contributing variables, except maybe old age (?!) I'm 58.MedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — day 14, dose 4MedDRA: Cataract, Pre-existing disease, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Not sure if I reported this in last check in, but since full, annual optometry check up including comprehensive ocular lens assessment October 2021 (very mild cataract left eye, no Intervention needed), cataract now needs surgery ASAP. · Healthcare visit (other): Same day vision change appt with optometristMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-06
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2022-05-06
Call successfulCompleted over the phone
- 2022-05-10
- 2022-05-18
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2022-05-26
Survey response — day 35, dose 4MedDRA: Corrective lens user, Visual acuity reduced — Feeling: Good · 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: Left eye visual acuity even less than initially reported, here. Scheduled for opthomalogy appointment for ASAP lens replacement. Unable to correct with new RX glasses or contacts. I'm 58. Only ? Cause/variable is vaccine. I doubt it, merely reportingMedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-27
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2022-06-02
Survey response — day 42, dose 4MedDRA: Corrective lens user, Office visit, Visual acuity reduced — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Left eye visual acuity worse than last check in. No longer corrected by new contact lens prescription. · Healthcare visit (other): Saw doctor of optometry for visual refraction checks.MedDRA releases: 2024-11 · check-in free text available
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2022-06-02
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-06-03
Call successfulCompleted over the phone
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2022-06-03
Call successfulCompleted over the phone
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2022-07-19
Survey response — 3 months, dose 4MedDRA: Asthma, Headache, Night sweats, Oropharyngeal pain, Pain, Pre-existing disease, Pyrexia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Asthma exacerbation, fever, head-ache, night sweats, sore throat, body aches. · Healthcare visit (other): I was traveling in ScotlandMedDRA releases: 2024-11 · check-in free text available
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2022-07-19
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)
- 2022-07-20
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2022-07-20
Callback requested for05:45PM ET
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2022-07-20
Call successfulCompleted over the phone
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2022-10-18
Survey response — 6 months, dose 4MedDRA: Cataract operation — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I needed bilateral introcular lens surgeries for sudden severe cataracts. · Healthcare visit (other): Outpatient cataract surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-19
Call successfulReported to VAERS during previous contact from GDIT
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-10-21 | Pfizer-BioNTech | Flu:Shingles |
| 4 | 2022-04-19 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 5
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): A little lightheaded when changing position lay to stand. Unusual.
Release 4 — day 14, dose 1
Symptoms: Fatigue and general aches, about 4 days ago for 2 days
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): No appetite
Systemic reaction (other): Feel a little lightheaded and not quite sharp. Also poor appetite.
Release 6 — day 28, dose 2
Symptoms: So weird- I'm sure nothing to do with vaccine, but *all* night tickling non-productive cough. First time ever. Not sick at all. Coughed all night! Only thing new is I flew to (b)(6), yesterday.
redacted (b)(6)
Release 8 — 3 months, dose 2
Symptoms: Mild Brain fog, lethargy, feeling a bit off.Also mild tickle cough first time ever.
Release 9 — 6 months, dose 2
Symptoms: Distal joint of thumb hurts and locks up and feet joints hurt. Never had such a thing occur.
Release 11 — 12 months, dose 2
Symptoms: Coughing and chest tiredness brain fog that is not asthma. Also got a Pfizer booster and shingles vaccine.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Super restless legs when trying to sleep 12 hours after shot- exactly as with other covid vaccinations
Systemic reaction (other): No appetite
Systemic reaction (other): Not listed by foggy headed like mental lethargy, since day after vaccination. Every time.
Systemic reaction (other): Mildly Foggy thinking not improved by anything continues since booster
Systemic reaction (other): Mild mental forgiveness not attributable to anything else. Don't think I had COVID, either.
Release 11 — day 7, dose 4
Systemic reaction (other): Mentally spaced out about 25% from baseline. No other contributing variables, except maybe old age (?!) I'm 58.
Release 11 — day 14, dose 4
Symptoms: Not sure if I reported this in last check in, but since full, annual optometry check up including comprehensive ocular lens assessment October 2021 (very mild cataract left eye, no Intervention needed), cataract now needs surgery ASAP.
Healthcare visit (other): Same day vision change appt with optometrist
Release 11 — day 35, dose 4
Symptoms: Left eye visual acuity even less than initially reported, here. Scheduled for opthomalogy appointment for ASAP lens replacement. Unable to correct with new RX glasses or contacts. I'm 58. Only ? Cause/variable is vaccine. I doubt it, merely reporting cut off by CDC
Release 11 — day 42, dose 4
Symptoms: Left eye visual acuity worse than last check in. No longer corrected by new contact lens prescription.
Healthcare visit (other): Saw doctor of optometry for visual refraction checks.
Release 12 — 3 months, dose 4
Symptoms: Asthma exacerbation, fever, head-ache, night sweats, sore throat, body aches.
Healthcare visit (other): I was traveling in Scotland
Release 12 — 6 months, dose 4
Symptoms: I needed bilateral introcular lens surgeries for sudden severe cataracts.
Healthcare visit (other): Outpatient cataract surgery
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 | Cataract operation | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| HCVO | Visual impairment | · | · | ✓ |
| SD | Arthralgia | ✓ | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cataract | · | · | ✓ |
| SD | Cataract operation | · | · | ✓ |
| SD | Corrective lens user | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Joint lock | ✓ | · | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Visual acuity reduced | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Mental disorder | · | · | ✓ |
| SRO | Mental fatigue | · | · | ✓ |
| SRO | Restless legs syndrome | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release