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6KC-15520-88217

2 vaccinations 8 coded responses 16 check-ins 8 free-text entries 4 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
342 / FL
Registered
2021-01-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-04
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-23
    Registered in v-safe
  3. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Ageusia, Anosmia, Arthralgia, Asthenia, Chills, Fatigue, Feeling abnormal, Hypoaesthesia oral, Pruritus, Pyrexia — 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 consultation
    Free text: Itchy all over, exhaustion, slightly numb tongue, weak, chills, some loss of taste & smell, low grade fever, aches all over, brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-23
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-25
    Dose 2 — Pfizer-BioNTech
  6. 2021-01-25
    Survey response — day 0, dose 2
    MedDRA: Ageusia, Anosmia, Fatigue, Hypoaesthesia oral — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Tongue numbness, lack of taste & smell, exhaustion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Free text: Had a very severe reaction to Pfizer vaccine #1
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness
    Free text: itchy all over body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vaccination site reaction — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Severe reaction to first shot (not this one so far). Would love to talk with someone to report.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-01
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  14. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-15
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-08
    Survey response — day 42, dose 2
    MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sinus infection, as I think my resistance is down.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-08
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-04-26
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-26
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-06-18
    Call successful
    Participant prefers to complete VAERS report online
  22. 2021-07-26
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2022-01-25
    Survey response — 12 months, dose 2
    MedDRA: Arthritis reactive, Arthritis viral — 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
    Free text: Reactive, post-infectious arthritis
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-01-25
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  25. 2022-01-27

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Pfizer-BioNTech
22021-01-25Pfizer-BioNTech

Call center

4 call center cases

3 successful · 1 unsuccessful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Itchy all over, exhaustion, slightly numb tongue, weak, chills, some loss of taste & smell, low grade fever, aches all over, brain fog

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): Tongue numbness, lack of taste & smell, exhaustion

Release 2 — days 1–6 daily, dose 2

2021-01-26

Systemic reaction (other): Had a very severe reaction to Pfizer vaccine #1

Release 3 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): itchy all over body

2021-01-30

Systemic reaction (other): Severe reaction to first shot (not this one so far). Would love to talk with someone to report.

Release 5 — day 42, dose 2

2021-03-08

Symptoms: Sinus infection, as I think my resistance is down.

Release 8 — 3 months, dose 2

2021-04-26

Symptoms: Fatigue

Release 11 — 12 months, dose 2

2022-01-25

Symptoms: Reactive, post-infectious arthritis

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
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDArthritis reactive · · ✓
SDArthritis viral · · ✓
SDAsthenia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHypoaesthesia oral ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROAgeusia ✓ ✓ ✓
SROAnosmia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROVaccination site reaction ✓ ✓ ✓

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