6WV-32384-62965
3 vaccinations
8 coded responses
33 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 660 / KS
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 1 — Pfizer-BioNTech
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: GoodFree text: Itchy eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Eye pruritus — Feeling: GoodFree text: Eye is still a bit itchy but it is 7 degrees Fahrenheit, so maybe that is the cause (?).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Dry eye — Feeling: GoodFree text: Just some dry eyes, less than before. It is very cold outside, maybe the cause of it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
-
2021-02-12
Survey response — day 7, dose 1MedDRA: Energy increased, Therapeutic response unexpected — Feeling: GoodFree text: I feel noticeably better than before I took the vaccine. More energy, both mentally and physically. How did this happen?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Pfizer-BioNTech
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-11-20
Dose 3 — Moderna
- 2021-11-20
- 2021-11-21
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-23
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2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Shooting sharp pains, in my arms. About once/day for last few days.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2021-12-27
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2022-01-03
Survey response — day 42, dose 3MedDRA: Poor quality sleep, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sleep is poor due to sleep apnea and my CPAP machine is not working.MedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Survey response — 3 months, dose 3MedDRA: Back pain, Nasal congestion, Nasal crusting, Pain, Sinusitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus infection? Congestion and scabs in my nose. I also have a nagging pain in my back, lower right, inferior to rib area. It is mild, dull but persistent. · Healthcare visit (other): I haven't gone yet but plan to next week.MedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-24
Call successfulParticipant prefers to complete VAERS report online
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2022-05-21
Survey response — 6 months, dose 3MedDRA: Abdominal discomfort, Abdominal pain upper, Cholelithiasis, Diarrhoea, Headache, Pyrexia, Retching, 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 · Outpatient clinic or urgent care clinic visitFree text: In early April I had sudden onset of headache, fever and vomiting. Fever was 100.4 then 100.1 for almost a week, and diarrhea. Stomach pain and discomfort continues still, especially in the morning. Sometimes I dry heave. Gallbladder sludge.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Pfizer-BioNTech | |
| 2 | 2021-02-25 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy eye
Systemic reaction (other): Eye is still a bit itchy but it is 7 degrees Fahrenheit, so maybe that is the cause (?).
Systemic reaction (other): Just some dry eyes, less than before. It is very cold outside, maybe the cause of it.
Release 4 — day 7, dose 1
Systemic reaction (other): I feel noticeably better than before I took the vaccine. More energy, both mentally and physically. How did this happen?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Shooting sharp pains, in my arms. About once/day for last few days.
Release 10 — day 42, dose 3
Symptoms: Sleep is poor due to sleep apnea and my CPAP machine is not working.
Release 11 — 3 months, dose 3
Symptoms: Sinus infection? Congestion and scabs in my nose. I also have a nagging pain in my back, lower right, inferior to rib area. It is mild, dull but persistent.
Healthcare visit (other): I haven't gone yet but plan to next week.
Release 11 — 6 months, dose 3
Symptoms: In early April I had sudden onset of headache, fever and vomiting. Fever was 100.4 then 100.1 for almost a week, and diarrhea. Stomach pain and discomfort continues still, especially in the morning. Sometimes I dry heave. Gallbladder sludge.
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasal crusting | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Retching | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release