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6ER-12409-06638

2 vaccinations 5 coded responses 26 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
221 / VA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Registered in v-safe
  2. 2021-03-13
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-13
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  9. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills
    Adult check-in
  10. 2021-03-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-10
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dermatitis contact — Feeling: Good
    Free text: I currently have an english ivy/poison ivy dermatitis so cannot confidently report any rash or no rash reaction to the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-04-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Memory impairment — Feeling: Good
    Free text: Some memory/recall issues that I have not had before the second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-08
    Survey response — day 28, dose 2
    MedDRA: Brain fog, Chills, Feeling hot, Memory impairment, Pyrexia — Feeling: Good
    Free text: Memory and recall issues. Body temperature regulation seems different with Chills and then feeling hot and feverish periods mainly at night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-10
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-09
    Survey response — 6 months, dose 2
    MedDRA: Diverticulitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: I had acute sigmoid diverticulitis even though my colonoscopy six years ago was great. Probably no link to the vaccine but just reporting a new condition.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-09
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
  30. 2021-10-12
    Call successful
    Does not wish to fill out VAERS report
  31. 2022-04-10
    Survey response — 12 months, dose 2
    MedDRA: Hypothyroidism — Feeling: Good
    Free text: Thyroid function decreased a little.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Pfizer-BioNTech
22021-04-10Pfizer-BioNTech

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): I currently have an english ivy/poison ivy dermatitis so cannot confidently report any rash or no rash reaction to the vaccine

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Some memory/recall issues that I have not had before the second vaccine.

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Memory and recall issues. Body temperature regulation seems different with Chills and then feeling hot and feverish periods mainly at night

Release 10 — 6 months, dose 2

2021-10-09

Symptoms: I had acute sigmoid diverticulitis even though my colonoscopy six years ago was great. Probably no link to the vaccine but just reporting a new condition.

Release 11 — 12 months, dose 2

2022-04-10

Symptoms: Thyroid function decreased a little.

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

FieldPreferred term2021-092023-042024-11
SDBrain fog ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDiverticulitis · · ✓
SDFeeling hot ✓ ✓ ✓
SDHypothyroidism · · ✓
SDMemory impairment ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SRODermatitis contact ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release