6H3-11512-32226
4 vaccinations
15 coded responses
45 check-ins
15 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-06
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
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2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Eye socket achyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal painAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-31
- 2021-04-07
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2021-04-14
Survey response — day 21, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: I should have reported it earlier but wasnt sure it was related until recently. There was abdominal upset after the shot. That feeling persisted off and on for a while. It has lessened now - but thought it should be reported for the record.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-06
- 2021-06-23
- 2021-09-22
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2021-09-27
Dose 3 — Pfizer-BioNTech
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2021-09-30
Survey response — days 1–6 daily, dose 3MedDRA: Swelling — Feeling: Fair · Site: Pain · Joint pains, Abdominal painFree text: Swollen at the left side of my neckMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Swelling — Feeling: Fair · Site: SwellingFree text: Swelling left side of neck, and slight dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Skin warm, Swelling — Feeling: GoodFree text: Left neck/ shoulder area red, warm to the touch, and swollen.MedDRA releases: 2024-11 · check-in free text available
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2021-10-04
Survey response — day 7, dose 3MedDRA: Injection site warmth, Swelling — Feeling: Good · Abdominal painFree text: Swollen neck on left side, area still warm.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-11
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2021-10-18
Survey response — day 21, dose 3MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very tired!!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
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2021-11-01
Survey response — day 35, dose 3MedDRA: Abdominal discomfort, Arthralgia — Feeling: FairFree text: Stomach upset & achy joints again. Seems to be intermittent.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-12-28
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2022-05-01
Dose 4 — Moderna
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2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal discomfort, Oropharyngeal pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Soar through, sensitive stomachMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain upper, Headache — Feeling: FairFree text: Stomach ache, minor headacheMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Initial insomnia, Oropharyngeal pain — Feeling: Fair · Fever · Fatigue or tirednessFree text: Soar throat, trouble getting to sleep last two nights.MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal discomfort, Initial insomnia — Feeling: FairFree text: Difficulty going to sleep, some stomach upset, not nauseaMedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Survey response — day 7, dose 4MedDRA: Crying, Emotional distress — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Surprisingly Emotional / crying spontaneouslyMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-24
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2022-05-31
Survey response — day 28, dose 4MedDRA: Abdominal discomfort, Abdominal pain, Postmenopausal haemorrhage — Feeling: FairFree text: Abdominal discomfort / cramp a couple days ago. Then, today, 5/30, Vaginal bleeding. I'm post menopausalMedDRA releases: 2024-11 · check-in free text available
- 2022-06-05
- 2022-06-14
- 2022-07-31
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2022-10-31
Survey response — 6 months, dose 4MedDRA: Gastrointestinal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Digestive issues. · Healthcare visit (other): Office Dr. VisitMedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-01
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2022-11-02
Call successfulParticipant prefers to complete VAERS report online
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-05-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Eye socket achy
Release 7 — day 21, dose 2
Symptoms: I should have reported it earlier but wasnt sure it was related until recently. There was abdominal upset after the shot. That feeling persisted off and on for a while. It has lessened now - but thought it should be reported for the record.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen at the left side of my neck
Systemic reaction (other): Swelling left side of neck, and slight dizziness
Systemic reaction (other): Left neck/ shoulder area red, warm to the touch, and swollen.
Release 9 — day 7, dose 3
Systemic reaction (other): Swollen neck on left side, area still warm.
Release 10 — day 21, dose 3
Symptoms: Very tired!!
Release 10 — day 35, dose 3
Symptoms: Stomach upset & achy joints again. Seems to be intermittent.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Soar through, sensitive stomach
Systemic reaction (other): Stomach ache, minor headache
Systemic reaction (other): Soar throat, trouble getting to sleep last two nights.
Systemic reaction (other): Difficulty going to sleep, some stomach upset, not nausea
Release 11 — day 7, dose 4
Systemic reaction (other): Surprisingly Emotional / crying spontaneously
Release 11 — day 28, dose 4
Symptoms: Abdominal discomfort / cramp a couple days ago. Then, today, 5/30, Vaginal bleeding. I'm post menopausal
Release 12 — 6 months, dose 4
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Crying | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Emotional distress | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Initial insomnia | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release