6EX-26449-64797
3 vaccinations
14 coded responses
27 check-ins
14 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 074 / NJ
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-27
Dose 1 — Pfizer-BioNTech
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2021-04-19
Registered in v-safe
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2021-04-19
Dose 2 — Pfizer-BioNTech
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2021-04-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: GoodFree text: High blood sugarsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Blood glucose increased — Feeling: Fair · HeadacheFree text: Blood glocose elevation mid dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — day 7, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Survey response — day 14, dose 2MedDRA: Sepsis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: SepsisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-10
Survey response — day 21, dose 2MedDRA: Chills, Pneumonia — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Pneumonia, chills,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-17
Survey response — day 28, dose 2MedDRA: Chills, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chills again, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-06-14
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2021-07-19
Survey response — 3 months, dose 2MedDRA: Contusion, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Extensive bruising · Healthcare visit (other): Office visit with bloodworkMedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
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2021-10-18
Dose 3 — Pfizer-BioNTech
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2021-10-18
Survey response — 6 months, dose 2MedDRA: Contusion, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Continuing bruising & severe headachesMedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2021-10-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body achesAdult check-in
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2021-10-19
Call successfulCompleted over the phone
- 2021-10-20
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2021-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain, Throat irritation — Feeling: Fair · HeadacheFree text: slight irritated sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
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2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
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2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Contusion — Feeling: Fair · Headache, Muscle or body achesFree text: still bruising easily since APRILMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Survey response — day 7, dose 3MedDRA: Contusion — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: bruising continuesMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — day 14, dose 3MedDRA: Back pain, Musculoskeletal chest pain, Neck pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Neck. Ribs, low back pain more on rightMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
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2021-11-15
Survey response — day 28, dose 3MedDRA: Crying, Dehydration, Dizziness, Hypoglycaemia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dehydration, crying, dizziness, hypoglycemiaMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Survey response — day 35, dose 3MedDRA: Chills, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Fever, chills,MedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2021-11-23
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2021-11-29
Survey response — day 42, dose 3MedDRA: Adrenocortical insufficiency acute, Hypoglycaemia, Muscular weakness, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Weak muscles neck, r arm,r upper back, r lower back. FUO, ADDISONIAN Crisis, hypoglycemia.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-30
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2021-11-30
Call successfulDoes not wish to fill out VAERS report
- 2022-01-17
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-19 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 4
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): High blood sugars
Systemic reaction (other): Blood glocose elevation mid day
Release 8 — day 14, dose 2
Symptoms: Sepsis
Release 8 — day 21, dose 2
Symptoms: Pneumonia, chills,
Release 8 — day 28, dose 2
Symptoms: Chills again, nausea
Release 9 — 3 months, dose 2
Release 10 — 6 months, dose 2
Symptoms: Continuing bruising & severe headaches
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): slight irritated sore throat
Systemic reaction (other): still bruising easily since APRIL
Release 10 — day 7, dose 3
Systemic reaction (other): bruising continues
Release 10 — day 14, dose 3
Symptoms: Neck. Ribs, low back pain more on right
Release 10 — day 28, dose 3
Symptoms: Dehydration, crying, dizziness, hypoglycemia
Release 10 — day 35, dose 3
Symptoms: Fever, chills,
Release 10 — day 42, dose 3
Symptoms: Weak muscles neck, r arm,r upper back, r lower back. FUO, ADDISONIAN Crisis, hypoglycemia.
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 | Adrenocortical insufficiency acute | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Crying | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoglycaemia | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sepsis | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release