6S4-17788-26366
4 vaccinations
19 coded responses
45 check-ins
16 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 113 / NY
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-24
Dose 1 — Pfizer-BioNTech
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2021-03-26
Registered in v-safe
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · DiarrheaFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain — Feeling: Fair · Fatigue or tiredness, DiarrheaFree text: Abdominal pain on day I received the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash is just above the elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site pain, Rash pruritic — Feeling: FairFree text: Soreness in the injection site muscle became noticeable 2 days ago. Still feeling fatigue. The rash is no longer itchy and seems to be healingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-21
Dose 2 — Pfizer-BioNTech
- 2021-04-21
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Breathing is harder - moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-06
- 2021-05-13
- 2021-05-21
- 2021-05-26
- 2021-06-02
- 2021-07-23
- 2021-10-21
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2021-12-30
Dose 3 — Pfizer-BioNTech
- 2021-12-30
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2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Paraesthesia — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Intermittent tingling of middle 3 toes on side of the injection.MedDRA releases: 2024-11 · check-in free text available
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2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Good · Site: Itching · Headache, NauseaFree text: Nausea is transientMedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-06
- 2022-01-13
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2022-01-22
Survey response — day 21, dose 3MedDRA: Agitation, Constipation, Diarrhoea, Gastrointestinal disorder — Feeling: GoodFree text: GI disturbance: Loose stools alternating with constipation. Agitation.MedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Survey response — day 28, dose 3MedDRA: Dyspnoea — Feeling: FairFree text: More effort to breathMedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Survey response — day 35, dose 3MedDRA: Dyspnoea — Feeling: GoodFree text: Still more effort to breathe but not as severe as last week.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-13
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2022-04-05
Survey response — 3 months, dose 3MedDRA: Blood test abnormal — Feeling: GoodFree text: Changes in my blood test. Exact details not available at the momentsMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Survey response — 6 months, dose 3MedDRA: Decreased appetite, Diarrhoea, Headache, Medical counselling, Pyrexia, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair · 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: Symptoms: Diarrhea, headache, loss of appetite, fever, scratchy throat, runny nose, occasional sneezing · Healthcare visit (other): Phone call with my doctorMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Report sent to call center — 6 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)
- 2022-07-01
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2022-07-01
Call successfulCompleted over the phone
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2022-12-06
Dose 4 — Pfizer-BioNTech
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2022-12-06
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2022-12-07
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-12-09
Survey response — days 1–6 daily, dose 4MedDRA: Cold urticaria, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Cold urticaria- primarily hands. Would have kept me from working yesterday if I had to take public transportation. Began yesterday morning and involved hands and feet. Hands itched all morning. Could not even touch food in my refrigerator.MedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Survey response — days 1–6 daily, dose 4MedDRA: Diarrhoea, Rhinorrhoea — Feeling: Good · DiarrheaFree text: Diarrhea began last evening after my vsafe submission. Runny nose may stay at night, clear but profuse. Has occurred past few nights but forgot to mention.MedDRA releases: 2024-11 · check-in free text available
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2022-12-11
Survey response — days 1–6 daily, dose 4MedDRA: Peripheral coldness — Feeling: GoodFree text: Still some cold sensitivity in the handsMedDRA releases: 2024-11 · check-in free text available
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2022-12-13
Survey response — day 7, dose 4MedDRA: Peripheral coldness — Feeling: Good · Site: PainFree text: Still a bit of cold sensitivity in the hands. It's mild.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2022-12-27
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2023-01-04
Survey response — day 28, dose 4MedDRA: Diarrhoea, Headache, Nausea, Throat irritation — Feeling: GoodMedDRA releases: 2024-11
- 2023-01-10
- 2023-01-17
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2023-03-07
Survey response — 3 months, dose 4MedDRA: Abdominal pain lower, Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-07
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-08
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-21 | Pfizer-BioNTech | |
| 3 | 2021-12-30 | Pfizer-BioNTech | No |
| 4 | 2022-12-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue
Systemic reaction (other): Abdominal pain on day I received the shot
Release 6 — day 7, dose 1
Systemic reaction (other): Rash is just above the elbow
Release 7 — day 14, dose 1
Symptoms: Soreness in the injection site muscle became noticeable 2 days ago. Still feeling fatigue. The rash is no longer itchy and seems to be healing
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Breathing is harder - moderate
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Intermittent tingling of middle 3 toes on side of the injection.
Systemic reaction (other): Nausea is transient
Release 11 — day 21, dose 3
Symptoms: GI disturbance: Loose stools alternating with constipation. Agitation.
Release 11 — day 28, dose 3
Symptoms: More effort to breath
Release 11 — day 35, dose 3
Symptoms: Still more effort to breathe but not as severe as last week.
Release 11 — 3 months, dose 3
Symptoms: Changes in my blood test. Exact details not available at the moments
Release 12 — 6 months, dose 3
Symptoms: Diarrhea, headache, loss of appetite, fever, scratchy throat, runny nose, occasional sneezing
Healthcare visit (other): Phone call with my doctor
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Cold urticaria- primarily hands. Would have kept me from working yesterday if I had to take public transportation. Began yesterday morning and involved hands and feet. Hands itched all morning. Could not even touch food in my refrigerator.
Systemic reaction (other): Diarrhea began last evening after my vsafe submission. Runny nose may stay at night, clear but profuse. Has occurred past few nights but forgot to mention.
Systemic reaction (other): Still some cold sensitivity in the hands
Release 12 — day 7, dose 4
Systemic reaction (other): Still a bit of cold sensitivity in the hands. It's mild.
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 | · | · | ✓ |
| SD | Abdominal pain lower | · | · | ✓ |
| SD | Agitation | · | · | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Constipation | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Cold urticaria | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release