6W6-21015-57162
3 vaccinations
6 coded responses
29 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 541 / WI
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Pfizer-BioNTech
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
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2021-01-26
Survey response — day 14, dose 1MedDRA: Arthralgia, Headache, Muscle tightness, Neck pain, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain and tightness of muscles in left arm, shoulder and neck. Headaches. · Healthcare visit (other): Chiropratic adjustmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-01
Dose 2 — Pfizer-BioNTech
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2021-02-01
Survey response — day 0, dose 2MedDRA: Paraesthesia oral, Pharyngeal paraesthesia — Feeling: Fair · Site: Pain, ItchingFree text: Tingling feeling in mouth/throat; almost like a single pop rock candy sensation/shocking feeling. Then it occasionally changes to a mild pain similar to having a mouth sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 35, dose 2MedDRA: Paranasal sinus hypersecretion, Sinus operation — Feeling: GoodFree text: Sinus drainageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 42, dose 2MedDRA: Paranasal sinus hypersecretion, Self-medication, Sinus congestion — Feeling: GoodFree text: Sinus congestion/drainage requiring over-the-counter saline rinse for relief. Unsure if this is related to normal springtime allergies as it is a bit early.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-19
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-05-03
- 2021-08-02
-
2021-12-17
Dose 3 — Pfizer-BioNTech
- 2022-02-01
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2022-02-01
Survey response — 12 months, dose 2MedDRA: Anosmia, Back pain, Fatigue, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for COVID-19 on 11/22/2021. Lost sense of smell but gradually returned over 2-3 weeks. Back pain for 5 days immediately following testing positive. General fatigue. All symptoms have resolved.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-20
- 2022-06-17
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2022-12-17
Survey response — 12 months, dose 3MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnant · Healthcare visit (other): Routine doctors visitsMedDRA releases: 2024-11 · check-in free text available
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2022-12-17
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-12-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-26 | Successful 2021-04-19 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-12-17 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Pain and tightness of muscles in left arm, shoulder and neck. Headaches.
Healthcare visit (other): Chiropratic adjustment
Release 3 — day 0, dose 2
Systemic reaction (other): Tingling feeling in mouth/throat; almost like a single pop rock candy sensation/shocking feeling. Then it occasionally changes to a mild pain similar to having a mouth sore.
Release 5 — day 35, dose 2
Symptoms: Sinus drainage
Release 5 — day 42, dose 2
Symptoms: Sinus congestion/drainage requiring over-the-counter saline rinse for relief. Unsure if this is related to normal springtime allergies as it is a bit early.
Release 11 — 12 months, dose 2
Symptoms: Tested positive for COVID-19 on 11/22/2021. Lost sense of smell but gradually returned over 2-3 weeks. Back pain for 5 days immediately following testing positive. General fatigue. All symptoms have resolved.
Release 12 — 12 months, dose 3
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinus operation | ✓ | ✓ | ○ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pharyngeal paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release