6KP-72851-62494
2 vaccinations
10 coded responses
21 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 585 / ND
- Registered
- 2021-09-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-09-04
Registered in v-safe
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2021-09-04
Dose 1 — Pfizer-BioNTech
- 2021-09-04
- 2021-09-05
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2021-09-06
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-11
- 2021-09-18
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2021-09-25
Dose 2 — Pfizer-BioNTech
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2021-09-25
Survey response — day 0, dose 2MedDRA: Feeling abnormal, Lip pruritus, Nasal pruritus, Self-medication — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I feel spacy and my nose and lips are a bit itchy. I took Benedryl.MedDRA releases: 2024-11 · check-in free text available
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2021-09-26
Survey response — days 1–6 daily, dose 2MedDRA: Lip pruritus, Nasal pruritus, Pruritus, Self-medication — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: My face, lips, nose and body are itchy so Ive taken Benedryl since thaw shot yesterday.MedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling, Pruritus, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Itchy ness. I am taking Allegra, Claritin and Pepcid · Healthcare visit (other): Telephone callMedDRA releases: 2024-11 · check-in free text available
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2021-09-27
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-09-28
Survey response — days 1–6 daily, dose 2MedDRA: Office visit, Pruritus — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Itchy and taking 3 diff anti-Histamines daily. · Healthcare visit (other): Regular clinicMedDRA releases: 2024-11 · check-in free text available
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2021-09-28
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-09-29
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication, Urticaria — Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Hives. Taking steroids from Dr and antihistaminesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
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2021-09-30
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: On Steroids for hivesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
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2021-10-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Urticaria — Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: On steroids still for hives. Bruising where shot was given on thigh.MedDRA releases: 2024-11 · check-in free text available
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2021-10-02
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-05
Callback requested for4:30PM CST
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2021-10-06
Call successfulCompleted over the phone
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2021-10-09
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Urticaria — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Steroids wore off after 5 days and I had more hives, chills and fatigue so back on steroids for an additional 5 days.MedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Report sent to call center — day 14, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-12
- 2021-10-16
- 2021-10-19
- 2021-10-26
- 2021-12-26
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2022-03-26
Survey response — 6 months, dose 2MedDRA: Ear infection, Influenza, Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: Influenza, ear infection, sinus infectionMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-04 | Pfizer-BioNTech | No |
| 2 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 9 — day 0, dose 2
Systemic reaction (other): I feel spacy and my nose and lips are a bit itchy. I took Benedryl.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): My face, lips, nose and body are itchy so Ive taken Benedryl since thaw shot yesterday.
Systemic reaction (other): Itchy ness. I am taking Allegra, Claritin and Pepcid
Healthcare visit (other): Telephone call
Systemic reaction (other): Itchy and taking 3 diff anti-Histamines daily.
Healthcare visit (other): Regular clinic
Systemic reaction (other): Hives. Taking steroids from Dr and antihistamines
Systemic reaction (other): On Steroids for hives
Systemic reaction (other): On steroids still for hives. Bruising where shot was given on thigh.
Release 10 — day 14, dose 2
Symptoms: Steroids wore off after 5 days and I had more hives, chills and fatigue so back on steroids for an additional 5 days.
Release 11 — 6 months, dose 2
Symptoms: Influenza, ear infection, sinus infection
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Lip pruritus | · | · | ✓ |
| SRO | Nasal pruritus | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Urticaria | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release