6RN-32205-09869
3 vaccinations
7 coded responses
33 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Registered in v-safe
-
2021-02-17
Dose 1 — Pfizer-BioNTech
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: GoodFree text: Headache yesterday mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-11
Dose 2 — Pfizer-BioNTech
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2021-03-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Mobility decreased, Pain in extremity, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: I forgot to reply yesterday the day after my shot and had no issues. I felt great. No symptoms whatsoever. On the other hand, my husband who also received his second dose yesterday at the same time (Pfizer) but is not reporting, had a typical response of flu like symptoms such as a terrible headache that would not go away, low grade fever of 99.2, fatigue and body and muscle aches. I truly believe that it comes down to blood type and how people react (apart from allergies to ingredients). I am O+ and feel terrific. Other than the day of my injection that caused my arm to be pretty sore to the point where lifting it up beyond my shoulder was difficult. Similar to any IM injection. My husband is B+ and was knocked to the ground yesterday with his reaction. We have a friend who is AB- and has had Covid twice in less than 2 months apart. My 25 year old son is B+ as well, had the injection after recovering from Covid and had the same symptoms that my husband had. Not that any of this matters but my friends that have had their injections with O+ blood have had minimal to no reactions. Personally, I think blood type should be looked into as to how it correlates to reactions. It might be helpful to add the question what blood type someone is, if they know, while gathering statistics. This isnt just a coincidence. Feel free to call me if youd like. (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
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2021-03-25
Survey response — day 14, dose 2MedDRA: Injection site muscle weakness, Injection site pain — Feeling: FairFree text: Left arm (injection site) on day 10 and 11 became noticeably sore to the touch and weak in its abilities to use regularly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-08
Survey response — day 28, dose 2MedDRA: Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Overall just body soreness almost like what I imagine arthritis would feel like.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-06-10
- 2021-09-09
-
2021-10-06
Dose 3 — Pfizer-BioNTechCo-administered: Flu
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2021-10-08
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Edema that moved to elbow area.MedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Some edema in the right anticubital fossa that appears to have pooled near the ulnar collateral ligament complex along w/edema of the bicep tendon on same side . Flu shot given on left - no issues other than expected soreness.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-10
- 2021-10-12
- 2021-10-13
- 2021-10-21
- 2021-10-27
- 2021-11-03
- 2021-11-11
- 2021-11-17
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2022-01-05
Survey response — 3 months, dose 3MedDRA: Cough, Ear pain, Headache, Nausea, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Vomiting — Feeling: Poor · 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 consultationFree text: Cough, sore throat, earache, nausea, vomiting, headache, runny nose, congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-01-05
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 · 1 call case(s)
- 2022-01-07
- 2022-01-12
- 2022-04-07
- 2022-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-05 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Headache yesterday mild
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to reply yesterday the day after my shot and had no issues. I felt great. No symptoms whatsoever. On the other hand, my husband who also received his second dose yesterday at the same time (Pfizer) but is not reporting, had a typical response of flu like symptoms such as a terrible headache that would not go away, low grade fever of 99.2, fatigue and body and muscle aches. I truly believe that it comes down to blood type and how people react (apart from allergies to ingredients). I am O+ and feel terrific. Other than the day of my injection that caused my arm to be pretty sore to the point where lifting it up beyond my shoulder was difficult. Similar to any IM injection. My husband is B+ and was knocked to the ground yesterday with his reaction. We have a friend who is AB- and has had Covid twice in less than 2 months apart. My 25 year old son is B+ as well, had the injection after recovering from Covid and had the same symptoms that my husband had. Not that any of this matters but my friends that have had their injections with O+ blood have had minimal to no reactions. Personally, I think blood type should be looked into as to how it correlates to reactions. It might be helpful to add the question what blood type someone is, if they know, while gathering statistics. This isnt just a coincidence. Feel free to call me if youd like. (b)(6)
redacted (b)(6)
Release 6 — day 14, dose 2
Symptoms: Left arm (injection site) on day 10 and 11 became noticeably sore to the touch and weak in its abilities to use regularly.
Release 7 — day 28, dose 2
Symptoms: Overall just body soreness almost like what I imagine arthritis would feel like.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Edema that moved to elbow area.
Systemic reaction (other): Some edema in the right anticubital fossa that appears to have pooled near the ulnar collateral ligament complex along w/edema of the bicep tendon on same side . Flu shot given on left - no issues other than expected soreness.
Release 10 — 3 months, dose 3
Symptoms: Cough, sore throat, earache, nausea, vomiting, headache, runny nose, congestion.
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 | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site muscle weakness | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release