6SB-29330-62422
3 vaccinations
6 coded responses
19 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 956 / CA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Pfizer-BioNTech
-
2020-12-30
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fever · Joint pains, Fatigue or tirednessAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
-
2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Flank pain, Pruritus — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: Left flank itching and painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-08
Survey response — day 7, dose 1MedDRA: Burning sensation, Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Left side pain/burning from swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
-
2021-01-16
Dose 2 — Pfizer-BioNTech
-
2021-02-03
Survey response — day 14, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: My tattoo has had a reaction to the vaccine. Possibly the ink. Tattoo done 11/19/20 and vaccine recieved JanuaryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
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2021-04-17
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I went and got Botox injections and had an immune response. Have been getting Botox for years and never had a response before · Healthcare visit (other): Just a check in with the person who injected to BotoxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-17
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2021-11-12
Dose 3 — Pfizer-BioNTech
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2022-01-16
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: I got vaccine 1 and second dose AND booster abs got COVIDMedDRA releases: 2024-11 · check-in free text available
- 2022-02-11
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2022-03-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-11-12
Survey response — 12 months, dose 3MedDRA: COVID-19, Cardiomegaly, Hypertension, Telemedicine — Feeling: Good · 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: Symptoms: I contracted COVID twice. Less severe though. I also have new onset hypertension and cardiomegaly · Healthcare visit (other): Video appointment time t with my primary care DrMedDRA releases: 2024-11 · check-in free text available
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2022-11-12
Report sent to call center — 12 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 pr1 call case(s)
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-16 | Pfizer-BioNTech | |
| 3 | 2021-11-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-17 | Successful 2022-03-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-11-12 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Left flank itching and pain
Release 1 — day 7, dose 1
Systemic reaction (other): Left side pain/burning from swollen lymph nodes
Release 3 — day 14, dose 2
Symptoms: My tattoo has had a reaction to the vaccine. Possibly the ink. Tattoo done 11/19/20 and vaccine recieved January
Release 7 — 3 months, dose 2
Symptoms: I went and got Botox injections and had an immune response. Have been getting Botox for years and never had a response before
Healthcare visit (other): Just a check in with the person who injected to Botox
Release 10 — 12 months, dose 2
Symptoms: I got vaccine 1 and second dose AND booster abs got COVID
Release 12 — 12 months, dose 3
Symptoms: I contracted COVID twice. Less severe though. I also have new onset hypertension and cardiomegaly
Healthcare visit (other): Video appointment time t with my primary care Dr
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 | Telemedicine | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Cardiomegaly | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release