PEM-17236-17181
4 vaccinations
14 coded responses
54 check-ins
14 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 480 / MI
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
M78-19436-38241
Child or adolescent in my care · Female · 2022-06-24
LCW-23098-94018
Child or adolescent in my care · Female · 2022-07-29
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Pfizer-BioNTech
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-12
-
2021-01-15
Dose 2 — Pfizer-BioNTech
- 2021-01-15
-
2021-01-16
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Muscular weakness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Insomnia, arm weakness overnightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-04-16
- 2021-07-16
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2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Blindness transient, Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lightheadedness-vision going dark this morningMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Good · Site: Pain · Muscle or body achesFree text: Cough if i breathe deeplyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Good · Site: Pain · Headache · Be unable to work or attend schoolFree text: Slight cough-having a rapid pcr test tomorrow morning for workMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Cough, SARS-CoV-2 test — Feeling: Good · Site: Pain · Headache · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Occasional cough/odd sensation in chest like a cough is coming on · Healthcare visit (other): Covid test for work clearance (no result yet)MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-06
Survey response — days 1–6 daily, dose 3MedDRA: Cough, SARS-CoV-2 test negative — Feeling: Good · Site: Pain · Be unable to work or attend schoolFree text: Occasional cough. Covid pcr test was neg.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
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2021-12-31
Survey response — 3 months, dose 3MedDRA: Anaemia of pregnancy — Feeling: GoodFree text: Anemia of pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-04-01
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2022-09-18
Dose 4 — Moderna
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2022-09-18
Survey response — day 0, dose 4MedDRA: Hypoaesthesia, Peripheral coldness, Pre-existing disease, Raynaud's phenomenon — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: My Raynaud's is flaring up and I haven't really been having it happen in several months (it is summer here). Several fingers and toes are cold and numb in places.MedDRA releases: 2024-11 · check-in free text available
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2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Palpitations, Reaction to previous exposure to any vaccine — Feeling: Good · Site: PainFree text: I also had this yesterday and forgot to add it (also happened with my third dose). I have the constant feeling of heart palpitations and/or like i need to cough, especially if i take a deeper breath.MedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Palpitations — Feeling: Good · Site: PainFree text: I still have the sensation of constant heart palpitations in my upper chest and throat.MedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Palpitations — Feeling: GoodFree text: Continued sensation of heart palpitations and occational cough as a resultMedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Palpitations — Feeling: GoodFree text: Continued sensation of constant heart palpitations and occasional cough esp when i take a deeper breathMedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Palpitations — Feeling: GoodFree text: Sensation of palpitations is less noticeable now, but still there along with occasional coughingMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Survey response — day 7, dose 4MedDRA: Cough, Medical counselling, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Continued occasional cough and very minor feeling of heart palpitations · Healthcare visit (other): I sent my doctor a message in the portal about my concerns. He recommended we talk before having any other boosters, but he's not concerned at this time.MedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Report sent to call center — day 7, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-09-27
Call successfulParticipant prefers to complete VAERS report online
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2022-09-27
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
- 2022-12-18
- 2023-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Pfizer-BioNTech | |
| 2 | 2021-01-15 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-09-18 | Moderna | No |
Call center
3 call center cases
2 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia, arm weakness overnight
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Lightheadedness-vision going dark this morning
Systemic reaction (other): Cough if i breathe deeply
Systemic reaction (other): Slight cough-having a rapid pcr test tomorrow morning for work
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Occasional cough/odd sensation in chest like a cough is coming on
Healthcare visit (other): Covid test for work clearance (no result yet)
Systemic reaction (other): Occasional cough. Covid pcr test was neg.
Release 10 — 3 months, dose 3
Symptoms: Anemia of pregnancy
Release 12 — day 0, dose 4
Systemic reaction (other): My Raynaud's is flaring up and I haven't really been having it happen in several months (it is summer here). Several fingers and toes are cold and numb in places.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I also had this yesterday and forgot to add it (also happened with my third dose). I have the constant feeling of heart palpitations and/or like i need to cough, especially if i take a deeper breath.
Systemic reaction (other): I still have the sensation of constant heart palpitations in my upper chest and throat.
Systemic reaction (other): Continued sensation of heart palpitations and occational cough as a result
Systemic reaction (other): Continued sensation of constant heart palpitations and occasional cough esp when i take a deeper breath
Systemic reaction (other): Sensation of palpitations is less noticeable now, but still there along with occasional coughing
Release 12 — day 7, dose 4
Systemic reaction (other): Continued occasional cough and very minor feeling of heart palpitations
Healthcare visit (other): I sent my doctor a message in the portal about my concerns. He recommended we talk before having any other boosters, but he's not concerned at this time.
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 | Medical counselling | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | Anaemia of pregnancy | · | · | ✓ |
| SRO | Blindness transient | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Raynaud's phenomenon | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release