68L-11358-56478
5 vaccinations
13 coded responses
50 check-ins
13 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 497 / MI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-11
Registered in v-safe
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2021-03-11
Dose 1 — Pfizer-BioNTech
- 2021-03-11
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
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2021-03-18
Survey response — day 7, dose 1MedDRA: Musculoskeletal chest pain — Feeling: Good · Muscle or body achesFree text: Ache under left rib area, maybe unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-04-01
Dose 2 — Pfizer-BioNTech
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 2MedDRA: Body temperature increased, Decreased appetite, Fatigue, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: 4/10 101° temp, fatigue, no appetite · Healthcare visit (other): Negative: Covid test, chest X-ray and urinalysisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-22
Survey response — day 21, dose 2MedDRA: Culture urine positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Positive urine culture-kidney infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — day 28, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 2nd antibiotic for uti. Probably not related, but unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2021-10-01
Dose 3 — Pfizer-BioNTech
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Hyperchlorhydria, Pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Yesterday, Day 2, I had fatigue, achy and acidic stomach.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-04
- 2021-10-05
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2021-10-07
Survey response — days 1–6 daily, dose 3MedDRA: Blister, Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Blister/bumps in several individual places. Back, cheek, shin, upper arm. Over 2-3 days. Didn't think much about first one or two.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
- 2021-10-15
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2021-10-22
Survey response — day 21, dose 3MedDRA: Abdominal pain, Musculoskeletal chest pain, Pain, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Dull pain mid left abdomen to back at bottom of ribs · Healthcare visit (other): X-rayMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-25
Call successfulParticipant prefers to complete VAERS report online
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2021-10-25
Call successfulParticipant prefers to complete VAERS report online
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2021-10-25
Call successfulParticipant prefers to complete VAERS report online
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2021-10-25
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-29
- 2021-11-07
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2021-11-12
Survey response — day 42, dose 3MedDRA: Atrial fibrillation — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: AfibMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2021-11-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-31
- 2022-04-01
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2022-04-21
Dose 4 — Pfizer-BioNTech
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
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2022-07-21
Survey response — 3 months, dose 4MedDRA: Fatigue, Secretion discharge, Throat irritation — Feeling: GoodFree text: fatigue, scratchy throat, nasal mucousMedDRA releases: 2024-11 · check-in free text available
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2022-09-14
Dose 5 — Pfizer-BioNTech
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2022-09-19
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Headache, Nausea, Pain, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tirednessFree text: Day 5. On Day 2-4 had headache, aches , and nausea and fatigue. Negative COVID tests on Day 2 and 4MedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: Throat irritation — Feeling: Good · Site: Swelling · Headache, Abdominal painFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2022-09-23
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2022-09-28
Survey response — day 14, dose 5MedDRA: Musculoskeletal discomfort — Feeling: FairFree text: Joint and back discomfort, probably unrelatedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
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2022-12-14
Survey response — 3 months, dose 5MedDRA: Hypertension, Hypotension, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Low blood pressure- adjusting high BP medicationsMedDRA releases: 2024-11 · check-in free text available
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2022-12-14
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
| 5 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
6 call center cases
6 successful
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Ache under left rib area, maybe unrelated
Release 7 — day 14, dose 2
Symptoms: 4/10 101° temp, fatigue, no appetite
Healthcare visit (other): Negative: Covid test, chest X-ray and urinalysis
Release 7 — day 21, dose 2
Symptoms: Positive urine culture-kidney infection
Release 8 — day 28, dose 2
Symptoms: 2nd antibiotic for uti. Probably not related, but unusual for me.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday, Day 2, I had fatigue, achy and acidic stomach.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Blister/bumps in several individual places. Back, cheek, shin, upper arm. Over 2-3 days. Didn't think much about first one or two.
Release 10 — day 21, dose 3
Symptoms: Dull pain mid left abdomen to back at bottom of ribs
Healthcare visit (other): X-ray
Release 10 — day 42, dose 3
Symptoms: Afib
Release 12 — 3 months, dose 4
Symptoms: fatigue, scratchy throat, nasal mucous
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Day 5. On Day 2-4 had headache, aches , and nausea and fatigue. Negative COVID tests on Day 2 and 4
Systemic reaction (other): Scratchy throat
Release 12 — day 14, dose 5
Symptoms: Joint and back discomfort, probably unrelated
Release 12 — 3 months, dose 5
Symptoms: Low blood pressure- adjusting high BP medications
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 | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Culture urine positive | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Musculoskeletal discomfort | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Urinary tract infection | ✓ | ✓ | ✓ |
| SRO | Blister | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperchlorhydria | · | · | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release