DKL-84533-92859
3 vaccinations
2 coded responses
19 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 543 / WI
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-19
Registered in v-safe
-
2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2020-12-20
- 2020-12-21
- 2020-12-22
- 2020-12-23
- 2020-12-27
- 2021-01-01
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-22
- 2021-04-11
- 2021-07-09
-
2022-01-08
Dose 3 — Moderna
-
2022-01-08
Survey response — 12 months, dose 2MedDRA: Chest pain, Fatigue, Nausea, Pain in extremity — Feeling: FairFree text: Chest pain for approximately 1 month following 2nd vaccine. Received booster of moderna today and have fatigue/arm pain/ nauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Survey response — 6 months, dose 3MedDRA: Fatigue, Headache, Hypoaesthesia oral, Menstruation irregular, Nausea, Neuropathy peripheral, Office visit, Vomiting — Feeling: Poor · 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: Symptoms: Fatigue, missed periods, severe foot up to thigh neuropathy, hand neuropathy, lip numbness, nausea and vomiting, headaches. These symptoms lasted 6 months and have just stopped recently . · Healthcare visit (other): Visit with ob np, neurology np. Many tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-09
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-11
-
2022-07-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2022-01-08 | Moderna | No |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 10 — 12 months, dose 2
Symptoms: Chest pain for approximately 1 month following 2nd vaccine. Received booster of moderna today and have fatigue/arm pain/ nausea
Release 12 — 6 months, dose 3
Symptoms: Fatigue, missed periods, severe foot up to thigh neuropathy, hand neuropathy, lip numbness, nausea and vomiting, headaches. These symptoms lasted 6 months and have just stopped recently .
Healthcare visit (other): Visit with ob np, neurology np. Many tests.
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 | Chest pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia oral | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release