6SU-63028-01989
1 vaccination
5 coded responses
8 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 287 / NC
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
- 2020-12-17
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2021-01-05
Registered in v-safe
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2021-01-05
Dose 1 — Pfizer-BioNTech
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2021-01-05
Survey response — day 0, dose 1MedDRA: Dry mouth, Palpitations — Feeling: Fair · HeadacheFree text: Dry mouth, heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-06
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Flushing, Pruritus — Feeling: Good · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: I didn't have a rash just itching all over my face, head and chest with flushing for a day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Arthralgia, Injection site pain, Musculoskeletal stiffness, Neck pain — Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body achesFree text: Since my injection I've noticed cyst -like pain and period like cramping in my pelvic area and back. Everything checks out ok I just seem extra crampy. Also, the pain from the injection site radiates up through the top of my shoulder into my neck and causes it to stiffen some. I can still work but it is painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I feel anemicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-19
Survey response — day 14, dose 1MedDRA: Pneumonia — Feeling: Good · 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: I had mild pneumoniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-28
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Pfizer-BioNTech |
Call center
3 call center cases
1 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Dry mouth, heart palpitations
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I didn't have a rash just itching all over my face, head and chest with flushing for a day.
Systemic reaction (other): Since my injection I've noticed cyst -like pain and period like cramping in my pelvic area and back. Everything checks out ok I just seem extra crampy. Also, the pain from the injection site radiates up through the top of my shoulder into my neck and causes it to stiffen some. I can still work but it is painful.
Systemic reaction (other): I feel anemic
Release 2 — day 14, dose 1
Symptoms: I had mild pneumonia
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 | Pneumonia | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cyst | ○ | ○ | ○ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ○ | ○ | ○ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release