D9W-18443-04804
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 603 / IL
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Dose 1 — Pfizer-BioNTech
-
2021-04-27
Registered in v-safe
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2021-04-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Vision blurred — Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizzy and my eyes are blurred.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-05
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2021-05-10
Survey response — day 14, dose 1MedDRA: Back injury, Muscle spasms, Self-medication — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I injured my lower back on May 6th. Although I am using ice and taking extra strenth Tylenol and Aleve, my back continues to go into spasms. The spasms are so bad, they cause me to scream. Several nights, I have had to sit up all night in a chair.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Dose 2 — Pfizer-BioNTech
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-24
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-31
Survey response — day 14, dose 2MedDRA: Abdominal pain, Chills, Fatigue, Office visit, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever, abdominal pain, chills, fatigue--all became worse, since my last check in. · Healthcare visit (other): I went to an internistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-07
- 2021-06-14
-
2021-06-22
Survey response — day 35, dose 2MedDRA: Fatigue, Malaise, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I spent an hour vomiting on june 17th-- didnt feel well at all. This carried into June 18th. Today, I am better, but very, very tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-28
- 2021-08-16
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2021-11-17
Survey response — 6 months, dose 2MedDRA: Back pain, Office visit, Postmenopausal haemorrhage, Self-medication, Vaginal haemorrhage — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Post menopausal bleeding that coincided with my covid vaccination. I took Aleve for 3 days, because of back pain, and on day 3, I started bleeding vaginally. I don't kow if the bleeding was due to the Aleve or my covid vaccination. I'm bleeding again · Healthcare visit (other): I went to my obgyn. She ordered a transvaginal ultrasound.MedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-18
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2022-05-17
Survey response — 12 months, dose 2MedDRA: Endometrial cancer, Hysterectomy, Lymphadenectomy, Uterine dilation and curettage — 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 · HospitalizationFree text: I was diagnosed with endometrial cancer in March 2022, after a D&C, and I underwent a hysterectomy on May 3rd. All 4 lymph nodes were also removed. I just got the results. The cancer did not spread into the lymph nodes. Thanks be to God!MedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-18
- 2022-05-18
- 2022-05-18
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2022-05-20
Call successfulCompleted over the phone
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2022-05-20
Call successfulCompleted over the phone
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2022-05-20
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Pfizer-BioNTech | |
| 2 | 2021-05-17 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-31 | Successful 2022-05-20 |
Completed over the phone |
| 2021-11-17 | Successful 2022-05-20 |
Completed over the phone |
| 2022-05-17 | Successful 2022-05-20 |
Completed over the phone |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy and my eyes are blurred.
Release 8 — day 14, dose 1
Symptoms: I injured my lower back on May 6th. Although I am using ice and taking extra strenth Tylenol and Aleve, my back continues to go into spasms. The spasms are so bad, they cause me to scream. Several nights, I have had to sit up all night in a chair.
Release 8 — day 14, dose 2
Symptoms: Fever, abdominal pain, chills, fatigue--all became worse, since my last check in.
Healthcare visit (other): I went to an internist
Release 9 — day 35, dose 2
Symptoms: I spent an hour vomiting on june 17th-- didnt feel well at all. This carried into June 18th. Today, I am better, but very, very tired.
Release 10 — 6 months, dose 2
Symptoms: Post menopausal bleeding that coincided with my covid vaccination. I took Aleve for 3 days, because of back pain, and on day 3, I started bleeding vaginally. I don't kow if the bleeding was due to the Aleve or my covid vaccination. I'm bleeding again cut off by CDC
Healthcare visit (other): I went to my obgyn. She ordered a transvaginal ultrasound.
Release 11 — 12 months, dose 2
Symptoms: I was diagnosed with endometrial cancer in March 2022, after a D&C, and I underwent a hysterectomy on May 3rd. All 4 lymph nodes were also removed. I just got the results. The cancer did not spread into the lymph nodes. Thanks be to God!
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Back injury | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Endometrial cancer | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SD | Lymphadenectomy | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release