EXR-28907-10295
4 vaccinations
10 coded responses
50 check-ins
10 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 853 / AZ
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Pfizer-BioNTech
-
2020-12-26
Survey response — day 0, dose 1MedDRA: Swelling face — Feeling: Fair · Joint pains, Nausea · Be unable to do your normal daily activitiesFree text: Facial swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-26
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-29
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-01-02
Survey response — day 7, dose 1MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Sore throat coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Survey response — day 14, dose 1MedDRA: Herpes zoster, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative, Streptococcus test positive — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diagnosed with shingles. High fever unrelieved with Tylenol and Ibuprofen. N/V/D and sore throat. Tested negative x3 for Covid. Placed on antibiotics for streptococcus infection of my tonsils. MD felt it could still be COVID despite the negative testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-18
-
2021-01-20
Dose 2 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-16
-
2021-02-17
Call successfulCompleted over the phone
- 2021-02-19
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-12-28
Dose 3 — Moderna
-
2021-12-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-01-01
-
2022-01-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-01-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-01-04
Survey response — day 7, dose 3MedDRA: Aphonia, Cough, Oropharyngeal pain — Feeling: Poor · Fever · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, cough, and loss of voiceMedDRA releases: 2024-11 · check-in free text available
-
2022-01-11
Survey response — day 14, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Was Covid positiveMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-01-25
-
2022-02-01
Survey response — day 35, dose 3MedDRA: Sinusitis bacterial — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Bacterial SinusitisMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-08
- 2022-03-31
- 2022-06-30
-
2022-10-12
Dose 4 — ModernaCo-administered: Flu
- 2022-10-12
-
2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Wheezing — Feeling: Fair · Muscle or body achesFree text: WheezingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-18
-
2022-11-23
Survey response — day 42, dose 4MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: UtiMedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-25
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech | |
| 3 | 2021-12-28 | Moderna | No |
| 4 | 2022-10-12 | Moderna | Flu |
Call center
5 call center cases
4 successful · 1 unsuccessful
VAERS report filed, before or during a call: 3
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Facial swelling
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 1 — day 7, dose 1
Systemic reaction (other): Sore throat cough
Release 1 — day 14, dose 1
Symptoms: Diagnosed with shingles. High fever unrelieved with Tylenol and Ibuprofen. N/V/D and sore throat. Tested negative x3 for Covid. Placed on antibiotics for streptococcus infection of my tonsils. MD felt it could still be COVID despite the negative test cut off by CDC
Release 10 — day 7, dose 3
Systemic reaction (other): Sore throat, cough, and loss of voice
Release 10 — day 14, dose 3
Symptoms: Was Covid positive
Release 11 — day 35, dose 3
Symptoms: Bacterial Sinusitis
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Wheezing
Release 12 — day 42, dose 4
Symptoms: Uti
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 | COVID-19 | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinusitis bacterial | · | · | ✓ |
| SD | Streptococcus test positive | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Aphonia | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release