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JTW-21787-21422

2 vaccinations 6 coded responses 9 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
957 / CA
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-09
    Survey response — day 0, dose 2
    MedDRA: Dental paraesthesia, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Numbness and tingling on left side of face, most noticeably my teeth and mouth on that side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Pain under armpit on side of shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Oropharyngeal pain, Pain — Feeling: Fair · Site: Pain
    Free text: Sore throat and numbness off and on still upper teeth on side of body where I got my shot. Still achy and sore off and on.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pain, Pyrexia — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Felt almost feverish but no fever. Still achy and run down.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Flushing, Pain, Pyrexia — Feeling: Fair · Muscle or body aches
    Free text: Last night I felt achy and flushed like I was getting a fever or getting sick but I didnt have a fever. I still feel achy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-10-15
    Survey response — 6 months, dose 2
    MedDRA: Abnormal menstrual clots, Abortion spontaneous, Heavy menstrual bleeding — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had a miscarriage and also every period since I got my second shot has been way way too heavy. I used to have very light periods now I am soaking through overnight pads every two hours and have like quarter sized clots. It's horrible.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-15
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  14. 2021-10-19
  15. 2021-10-19
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Pfizer-BioNTech
22021-04-09Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-10-15 Successful
2021-10-19
Participant prefers to complete VAERS report online

Free text

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Numbness and tingling on left side of face, most noticeably my teeth and mouth on that side.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Pain under armpit on side of shot

2021-04-12

Systemic reaction (other): Sore throat and numbness off and on still upper teeth on side of body where I got my shot. Still achy and sore off and on.

2021-04-15

Systemic reaction (other): Felt almost feverish but no fever. Still achy and run down.

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Last night I felt achy and flushed like I was getting a fever or getting sick but I didnt have a fever. I still feel achy.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: I had a miscarriage and also every period since I got my second shot has been way way too heavy. I used to have very light periods now I am soaking through overnight pads every two hours and have like quarter sized clots. It's horrible.

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

FieldPreferred term2021-092023-042024-11
SDAbnormal menstrual clots · · ✓
SDAbortion spontaneous · · ✓
SDHeavy menstrual bleeding · · ✓
SROAxillary pain ✓ ✓ ✓
SRODental paraesthesia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release