6G6-13414-76137
3 vaccinations
7 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 465 / IN
- Registered
- 2021-09-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XYU-27365-97905
Child or adolescent in my care · Female · 2022-06-23
P73-65583-64503
Child or adolescent in my care · Male · 2022-06-23
Timeline
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2021-09-11
Dose 1 — Pfizer-BioNTech
-
2021-09-30
Registered in v-safe
- 2021-09-30
-
2021-10-02
Dose 2 — Pfizer-BioNTech
-
2021-10-03
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Neck pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Slight striking pain up neck into head a few timesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-05
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort, Pain, Pain in extremity — Feeling: Good · Joint painsFree text: Ive had a wierd feeling in my right leg all day. Ive felt some shooting pain in it too.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Pain in extremity — Feeling: Good · Muscle or body achesFree text: Numbness in right foot. Pain going down my right leg.MedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-09
Health check-in — day 7, dose 2Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-16
- 2021-10-23
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2021-10-30
Survey response — day 28, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: Leg painsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
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2022-01-04
Survey response — 3 months, dose 2MedDRA: Chills, Feeling cold, Headache, Hyperhidrosis, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Since 12-31-21 I have had a range of covid symptoms. I have had cold chills, sweats, low grade fever off & on. Also chest congestion today pretty bad. Sore throat yesterday and today and a light headache. · Healthcare visit (other): Covid test scheduled 01/05/22 at Walgreens pharmacyMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-01-10
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-04
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2022-06-17
Dose 3 — Pfizer-BioNTech
- 2022-06-23
- 2022-06-24
- 2022-07-02
- 2022-07-10
- 2022-07-15
- 2022-07-22
- 2022-07-29
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2022-09-18
Survey response — 3 months, dose 3MedDRA: Breast cancer — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I've been diagnosed with breast cancerMedDRA releases: 2024-11 · check-in free text available
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2023-06-18
Survey response — 12 months, dose 3MedDRA: Breast cancer, Invasive lobular breast carcinoma — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-11 | Pfizer-BioNTech | No |
| 2 | 2021-10-02 | Pfizer-BioNTech | No |
| 3 | 2022-06-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Slight striking pain up neck into head a few times
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Ive had a wierd feeling in my right leg all day. Ive felt some shooting pain in it too.
Systemic reaction (other): Numbness in right foot. Pain going down my right leg.
Release 10 — day 28, dose 2
Symptoms: Leg pains
Release 10 — 3 months, dose 2
Symptoms: Since 12-31-21 I have had a range of covid symptoms. I have had cold chills, sweats, low grade fever off & on. Also chest congestion today pretty bad. Sore throat yesterday and today and a light headache.
Healthcare visit (other): Covid test scheduled 01/05/22 at Walgreens pharmacy
Release 12 — 3 months, dose 3
Symptoms: I've been diagnosed with breast cancer
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 | Unevaluable event | · | · | ✓ |
| SD | Breast cancer | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Invasive lobular breast carcinoma | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Limb discomfort | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release