6J5-18564-71476
3 vaccinations
5 coded responses
33 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-21
Registered in v-safe
-
2021-03-21
Dose 1 — Pfizer-BioNTech
- 2021-03-21
- 2021-03-22
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-28
- 2021-04-04
-
2021-04-11
Dose 2 — Pfizer-BioNTech
- 2021-04-11
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-25
- 2021-05-03
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2021-05-16
Survey response — day 35, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had a cold for about 5 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — day 42, dose 2MedDRA: Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I just had some worsening of my chronic pain condition.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-11
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-11
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Discomfort, Office visit, Pain, Pre-existing disease — Feeling: Fair · 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: Symptoms: Respiratory discomfort. Pain. Complications due to my CRPS & degenerative disc disease dx(s). · Healthcare visit (other): In person visits with PCP and other specialists.MedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-15
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2021-10-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-10-17
- 2021-10-18
- 2021-10-20
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
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2022-01-10
Survey response — 3 months, dose 3MedDRA: Adverse reaction, Medical device implantation, Office visit, Surgery — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Medication pump installed. Several major orthopedic concerned; possibly both require surgical intervention. · Healthcare visit (other): Outpatient Surgery, MRIs, & in-person office visitsMedDRA releases: 2024-11 · check-in free text available
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2022-01-10
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-01-18
Call successfulParticipant prefers to complete VAERS report online
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2022-04-13
Survey response — 6 months, dose 3MedDRA: Adverse reaction — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Orthopedic complicationsMedDRA releases: 2024-11 · check-in free text available
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2022-04-13
Report sent to call center — 6 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-04-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Pfizer-BioNTech | |
| 2 | 2021-04-11 | Pfizer-BioNTech | |
| 3 | 2021-10-11 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
Free text
Release 8 — day 35, dose 2
Symptoms: I have had a cold for about 5 days.
Release 8 — day 42, dose 2
Symptoms: I just had some worsening of my chronic pain condition.
Release 10 — 6 months, dose 2
Symptoms: Respiratory discomfort. Pain. Complications due to my CRPS & degenerative disc disease dx(s).
Healthcare visit (other): In person visits with PCP and other specialists.
Release 10 — 3 months, dose 3
Symptoms: Medication pump installed. Several major orthopedic concerned; possibly both require surgical intervention.
Healthcare visit (other): Outpatient Surgery, MRIs, & in-person office visits
Release 11 — 6 months, dose 3
Symptoms: Orthopedic complications
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 | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Medical device implantation | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release