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JWN-26711-98353

3 vaccinations 9 coded responses 37 check-ins 9 free-text entries 3 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
293 / SC
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Congestion, sneezing, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-24
    Dose 2 — Pfizer-BioNTech
  12. 2021-03-24
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · Chills, Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  15. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  16. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-23
    Survey response — 3 months, dose 2
    MedDRA: Parosmia — Feeling: Good
    Free text: My sense of smell has changed. I can no longer smell certain things and my perception of other smells has been altered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-09-22
    Survey response — 6 months, dose 2
    MedDRA: Dizziness, Headache, Illness, Pyrexia, Rhinorrhoea — Feeling: Good · 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 visit
    Free text: I had several illnesses similar to covid with runny nose, lightheadedness, headache, and fever.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-09-22
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-23
  29. 2021-10-04
    Dose 3 — Pfizer-BioNTech
  30. 2021-10-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  31. 2021-10-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Sore throat, cough
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2021-10-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-10-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-10-25
    Survey response — day 21, dose 3
    MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Intense pain in left shoulder above shot insertion point
    MedDRA releases: 2024-11 · check-in free text available
  39. 2021-10-25
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  40. 2021-10-27
    Call successful
    Participant prefers to complete VAERS report online
  41. 2021-11-01
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-11-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-11-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-01-03
    Survey response — 3 months, dose 3
    MedDRA: Chills, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I experienced severe congestion, a sore throat, headache, and aches and chills.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-04-04
    Survey response — 6 months, dose 3
    MedDRA: Cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, 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 visit
    Free text: I tested positive for COVID 19 with coughing, runny nose, congestion, and fever.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-04
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  47. 2022-04-06
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Pfizer-BioNTech
22021-03-24Pfizer-BioNTech
32021-10-04Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Congestion

2021-03-08

Systemic reaction (other): Congestion, sneezing, runny nose

Release 9 — 3 months, dose 2

2021-06-23

Symptoms: My sense of smell has changed. I can no longer smell certain things and my perception of other smells has been altered.

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: I had several illnesses similar to covid with runny nose, lightheadedness, headache, and fever.

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Sore throat

2021-10-07

Systemic reaction (other): Sore throat, cough

Release 10 — day 21, dose 3

2021-10-25

Symptoms: Intense pain in left shoulder above shot insertion point

Release 10 — 3 months, dose 3

2022-01-03

Symptoms: I experienced severe congestion, a sore throat, headache, and aches and chills.

Release 11 — 6 months, dose 3

2022-04-04

Symptoms: I tested positive for COVID 19 with coughing, runny nose, congestion, and fever.

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
SDArthralgia · · ✓
SDChills · · ✓
SDCough · · ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDIllness · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDParosmia ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test positive · · ✓
SROCough · · ✓
SROOropharyngeal pain · · ✓
SRORespiratory tract congestion ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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

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