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MJ5-42163-97806

3 vaccinations 7 coded responses 31 check-ins 7 free-text entries 4 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
432 / OH
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Registered in v-safe
  2. 2021-03-21
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-21
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysmenorrhoea — Feeling: Good · Abdominal pain · Be unable to do your normal daily activities
    Free text: I am on the second day of menstruation and had pretty intense abdominal cramps which is very unusual for me. Im fine today. Cramps for several hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-11
    Dose 2 — Pfizer-BioNTech
  12. 2021-04-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · 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. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: I felt about 75% normal.by 30hrs after shot #2 and 100% normal.the following day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-19
    Survey response — day 7, dose 2
    MedDRA: Dysmenorrhoea — Feeling: Good
    Free text: Start perioded period but cramps (unusal)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-10
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Chemical pregnancy/ early miscarrage in early August. First day of July period was 7/3. Intercourse on 7/11. Positive test 7/28 after symptoms. Bloodwork confirmation on 7/29. 8/3 miscarriage.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-10
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  28. 2021-11-22
  29. 2021-11-29
    Call successful
    Participant prefers to complete VAERS report online
  30. 2021-12-07
    Dose 3 — Pfizer-BioNTech
  31. 2021-12-13
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Fatigue, Feeling abnormal, Headache, Heart rate abnormal, Heart rate increased, Medical counselling — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Mild fatigue and tiredness. 12 hrs after injection, i got chills/headache. My heart was 90+bpm for almost 20 hrs, beginning about 12 hrs post inject. My heart was 115+bpm for 12 of those hrs. Even now, almost a wk later, it is avg 75-76bpm vs65-67 n · Healthcare visit (other): Sent a msg to doctor. Concerned with heart rate and feeling "off.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-12-13
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  33. 2021-12-14
    Survey response — day 7, dose 3
    MedDRA: Fatigue, Heart rate increased, Medical counselling — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional
    Free text: Systemic reaction (other): Continue to have elevated heart rate and feel a bit fatigued. · Healthcare visit (other): Email with doctor
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-14
    Report sent to call center — day 7, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  35. 2021-12-14
  36. 2021-12-21
    Survey response — day 14, dose 3
    MedDRA: Anxiety, Heart rate increased, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: I am improving but have had increased heart rate since booster that was chalked up to anxiety. Unacceptable. · Healthcare visit (other): Doctor visit
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-12-21
    Report sent to call center — day 14, dose 3
    Get care from a doctor or other healthcare professional
    1 call case(s)
  38. 2021-12-22
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  39. 2021-12-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-01-06
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-14
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-18
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-06-09
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Pfizer-BioNTech
22021-04-11Pfizer-BioNTech
32021-12-07Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-10 Successful
2021-11-29
 Participant prefers to complete VAERS report online
2021-12-13 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-14 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-12-21 Successful
2021-12-22
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): I am on the second day of menstruation and had pretty intense abdominal cramps which is very unusual for me. Im fine today. Cramps for several hours.

Release 7 — days 1–6 daily, dose 2

2021-04-13

Systemic reaction (other): I felt about 75% normal.by 30hrs after shot #2 and 100% normal.the following day

Release 7 — day 7, dose 2

2021-04-19

Systemic reaction (other): Start perioded period but cramps (unusal)

Release 10 — 6 months, dose 2

2021-10-10

Symptoms: Chemical pregnancy/ early miscarrage in early August. First day of July period was 7/3. Intercourse on 7/11. Positive test 7/28 after symptoms. Bloodwork confirmation on 7/29. 8/3 miscarriage.

Release 10 — days 1–6 daily, dose 3

2021-12-13

Systemic reaction (other): Mild fatigue and tiredness. 12 hrs after injection, i got chills/headache. My heart was 90+bpm for almost 20 hrs, beginning about 12 hrs post inject. My heart was 115+bpm for 12 of those hrs. Even now, almost a wk later, it is avg 75-76bpm vs65-67 n cut off by CDC
Healthcare visit (other): Sent a msg to doctor. Concerned with heart rate and feeling "off.

Release 10 — day 7, dose 3

2021-12-14

Systemic reaction (other): Continue to have elevated heart rate and feel a bit fatigued.
Healthcare visit (other): Email with doctor

Release 10 — day 14, dose 3

2021-12-21

Symptoms: I am improving but have had increased heart rate since booster that was chalked up to anxiety. Unacceptable.
Healthcare visit (other): Doctor visit

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
HCVOFeeling abnormal · · ✓
HCVOHeart rate abnormal · · ✓
HCVOMedical counselling · · ✓
HCVOOffice visit · · ✓
SDAbortion spontaneous · · ✓
SDAnxiety · · ✓
SDHeart rate increased · · ✓
SROChills · · ✓
SRODysmenorrhoea ✓ ✓ ✓
SROFatigue · · ✓
SROHeadache · · ✓
SROHeart rate increased · · ✓
SROUnevaluable event ✓ ✓ ✓

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

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