6D2-57512-39325
3 vaccinations
6 coded responses
33 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 537 / WI
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Pfizer-BioNTech
-
2021-03-26
Registered in v-safe
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: I have no history of arthritis but just realized I have had earth Radick symptoms often on Starting a couple days after my first vaccine. Not sure if its related or not but thought it was worth mentioningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Pfizer-BioNTech
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Poor quality sleep — Feeling: Good · Fatigue or tirednessFree text: I did not sleep soundly last night so I Im feeling suddenly tired at 5:00 PM after a long day of work. Prior to this I have not been fatiguedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: GoodFree text: Slight pain in my upper to mid back muscles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-15
-
2021-10-05
Dose 3 — Pfizer-BioNTech
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-10
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
-
2022-01-04
Survey response — 3 months, dose 3MedDRA: Chills, Headache, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Poor · Be unable to work or attend school, 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: Sinus, sore throat, headache, bodyaches, ChillsMedDRA releases: 2024-11 · check-in free text available
-
2022-01-04
Report sent to call center — 3 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-05
Survey response — 6 months, dose 3MedDRA: Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have continuing tinnitus in both ears · Healthcare visit (other): I have seen my general practitioner and am on a waiting list to get into ENT and audiologyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-05
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-12
-
2022-04-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): None
Systemic reaction (other): I have no history of arthritis but just realized I have had earth Radick symptoms often on Starting a couple days after my first vaccine. Not sure if its related or not but thought it was worth mentioning
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I did not sleep soundly last night so I Im feeling suddenly tired at 5:00 PM after a long day of work. Prior to this I have not been fatigued
Systemic reaction (other): Slight pain in my upper to mid back muscles.
Release 10 — 3 months, dose 3
Symptoms: Sinus, sore throat, headache, bodyaches, Chills
Release 11 — 6 months, dose 3
Symptoms: I have continuing tinnitus in both ears
Healthcare visit (other): I have seen my general practitioner and am on a waiting list to get into ENT and audiology
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 | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release