6KM-30057-30794
5 vaccinations
24 coded responses
60 check-ins
24 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-01
Dose 1 — Pfizer-BioNTech
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2021-04-09
Registered in v-safe
- 2021-04-09
- 2021-04-15
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2021-04-22
Dose 2 — Pfizer-BioNTech
- 2021-04-22
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms, Neck pain — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Neck Pain, Toe cramps BOTH feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Toe cramps left footMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Feels like Hot Flash type temp but no temp on thermometerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Joint warmth — Feeling: Good · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: The temp is like in my joints, not in foreheadMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Good · Site: Pain · HeadacheFree text: Woke with hot flash like symptoms which havent had for years, but only getting since vaccine (NO Temp)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 21, dose 2MedDRA: Arthralgia, Feeling hot — Feeling: GoodFree text: Both knee joints seem to be hurting morethats one of the places felt hot after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
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2021-05-27
Survey response — day 35, dose 2MedDRA: Arthralgia, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Both knees getting more painful and hasnt gone away since got 2nd dose vaccine. Had Doctor phone Appt 5/17getting Labs & Knee Xrays which results will be reviewed at Appt on 9/8/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
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2021-07-22
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rashpossibly from medication HydroxychloroquineMedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-26
- 2021-07-30
- 2021-07-30
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2021-10-24
Survey response — 6 months, dose 2MedDRA: Office visit, Thrombophlebitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Thrombophlebitis · Healthcare visit (other): In person office visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-26
Call successfulParticipant prefers to complete VAERS report online
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2021-11-02
Dose 3 — Pfizer-BioNTech
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2021-11-02
Survey response — day 0, dose 3MedDRA: Muscular weakness — Feeling: Good · Site: PainFree text: Been ~4hrs since vaccine - whole vaccination arm just feels slightly weakMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Joint warmth, Pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Pain in left collarbone, Temperature was in joints, not foreheadMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body achesFree text: Muscle pain only on injection side shoulder/neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Hot flush, Muscle spasms — Feeling: Good · Site: Pain, SwellingFree text: Hot Flash, Cramps in feet last 3 days late PM/early AMMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
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2021-11-09
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Fair · Joint pains · Get care from a doctor or other healthcare professionalFree text: Rheumatologist In-person Appt tomorrowMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-10
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-16
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2021-11-25
Survey response — day 21, dose 3MedDRA: Arthralgia, Dry eye — Feeling: GoodFree text: Hands/arms joints pain, dry eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Survey response — day 28, dose 3MedDRA: Bone pain — Feeling: GoodFree text: Right hand bone pain around thumb & wrist area-will be checking on at Followup doc apptMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-16
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2022-02-01
Survey response — 3 months, dose 3MedDRA: Arthralgia, Arthritis, Eye disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hands and knees (joints hurt/inflamed) and eyes being checked after taking Hydroxychloroquinenot sure if issues related to vaccinations or not · Healthcare visit (other): In Person ApptsMedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-03
Call successfulNot applicable - Accidental Reporting
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2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-09
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2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-11
Survey response — days 1–6 daily, dose 4MedDRA: Neck pain — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Abdominal painFree text: Yesterday Had pain in neck area inbetween right ear and chinMedDRA releases: 2024-11 · check-in free text available
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2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-04-14
- 2022-04-15
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
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2022-05-22
Survey response — day 42, dose 4MedDRA: Osteoporosis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm diagnosed w/Osteoporosis · Healthcare visit (other): Have appt w/PCPMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-05-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-07-10
Survey response — 3 months, dose 4MedDRA: Office visit, Osteoporosis — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed with Osteoporosis · Healthcare visit (other): In person PCP VisitMedDRA releases: 2024-11 · check-in free text available
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2022-07-10
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-07-11
- 2022-10-08
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2022-11-11
Dose 5 — Pfizer-BioNTech
- 2022-11-11
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2022-11-12
Survey response — days 1–6 daily, dose 5MedDRA: Muscle spasms, Neuralgia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Random leg nerve pain, calf cramps both legsMedDRA releases: 2024-11 · check-in free text available
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2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesAdult check-in
- 2022-11-14
- 2022-11-15
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2022-11-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-11-17
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2022-11-19
Survey response — day 7, dose 5MedDRA: Skin tightness — Feeling: Good · Muscle or body achesFree text: Fri 11/18 weird tightness left forearm/hand-got day before tooMedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2022-12-02
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2022-12-09
Survey response — day 28, dose 5MedDRA: Visual impairment — Feeling: GoodFree text: Vision not clearMedDRA releases: 2024-11 · check-in free text available
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2022-12-17
Survey response — day 35, dose 5MedDRA: Fatigue, Headache, Lacrimation increased, Malaise, Productive cough, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: YESTERDAY started with cough/phlegm, then eyes watering, headache, nose started runny, fatigued tested COVID NEGATIVE. Today same symptoms plus temp 100.5. Will do COVID test tomorrowMedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
- 2023-02-11
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-11-02 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
| 5 | 2022-11-11 | Pfizer-BioNTech | No |
Call center
7 call center cases
6 successful · 1 unsuccessful
3 waits over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Neck Pain, Toe cramps BOTH feet
Systemic reaction (other): Toe cramps left foot
Systemic reaction (other): Feels like Hot Flash type temp but no temp on thermometer
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The temp is like in my joints, not in forehead
Systemic reaction (other): Woke with hot flash like symptoms which havent had for years, but only getting since vaccine (NO Temp)
Release 8 — day 21, dose 2
Symptoms: Both knee joints seem to be hurting morethats one of the places felt hot after vaccine
Release 8 — day 35, dose 2
Symptoms: Both knees getting more painful and hasnt gone away since got 2nd dose vaccine. Had Doctor phone Appt 5/17getting Labs & Knee Xrays which results will be reviewed at Appt on 9/8/21
Release 9 — 3 months, dose 2
Symptoms: Rashpossibly from medication Hydroxychloroquine
Release 10 — 6 months, dose 2
Release 10 — day 0, dose 3
Systemic reaction (other): Been ~4hrs since vaccine - whole vaccination arm just feels slightly weak
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in left collarbone, Temperature was in joints, not forehead
Systemic reaction (other): Muscle pain only on injection side shoulder/neck
Systemic reaction (other): Hot Flash, Cramps in feet last 3 days late PM/early AM
Release 10 — day 7, dose 3
Healthcare visit (other): Rheumatologist In-person Appt tomorrow
Release 10 — day 21, dose 3
Symptoms: Hands/arms joints pain, dry eyes
Release 10 — day 28, dose 3
Symptoms: Right hand bone pain around thumb & wrist area-will be checking on at Followup doc appt
Release 11 — 3 months, dose 3
Symptoms: Hands and knees (joints hurt/inflamed) and eyes being checked after taking Hydroxychloroquinenot sure if issues related to vaccinations or not
Healthcare visit (other): In Person Appts
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday Had pain in neck area inbetween right ear and chin
Release 11 — day 42, dose 4
Release 12 — 3 months, dose 4
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Random leg nerve pain, calf cramps both legs
Release 12 — day 7, dose 5
Systemic reaction (other): Fri 11/18 weird tightness left forearm/hand-got day before too
Release 12 — day 28, dose 5
Symptoms: Vision not clear
Release 12 — day 35, dose 5
Symptoms: YESTERDAY started with cough/phlegm, then eyes watering, headache, nose started runny, fatigued tested COVID NEGATIVE. Today same symptoms plus temp 100.5. Will do COVID test tomorrow
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Osteoporosis | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Thrombophlebitis | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Joint warmth | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Skin tightness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release