6KF-92296-89067
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 633 / MO
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
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2021-02-03
Dose 1 — Pfizer-BioNTech
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2021-02-03
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Confusional state — Feeling: Good · Site: Pain · HeadacheFree text: I am concerned the second doze Will be worse Yesterday I had confusion and anxiety and could not understand why. Is that a normal response?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Migraine — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-10
- 2021-02-17
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2021-02-24
Dose 2 — Pfizer-BioNTech
- 2021-02-24
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · None · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tirednessAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fever · Fatigue or tirednessAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive, Stomatitis, Unevaluable event — Feeling: Poor · 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: 6 weeks of sores in mouth, running nose and sinus and sore throat and tested positive for covid 19MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-01
Call successfulDoes not wish to fill out VAERS report
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2021-09-29
Dose 3 — Pfizer-BioNTech
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2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Injection site bruising — Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: Shoulder painful, bruise where shot injected, no redness or swelling near injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-02
- 2021-10-03
- 2021-10-04
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2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Hypertension — Feeling: PoorFree text: High blood pressure my husband and i both had booster and now both have very high blood pressure readings is there any reports of thisMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I am concerned the second doze Will be worse Yesterday I had confusion and anxiety and could not understand why. Is that a normal response?
Systemic reaction (other): Migraine
Release 9 — 6 months, dose 2
Symptoms: 6 weeks of sores in mouth, running nose and sinus and sore throat and tested positive for covid 19
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Shoulder painful, bruise where shot injected, no redness or swelling near injection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): High blood pressure my husband and i both had booster and now both have very high blood pressure readings is there any reports of this
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 |
|---|---|---|---|---|
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SD | Stomatitis | ✓ | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Hypertension | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release