Q9S-16358-55093
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 140 / NY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Pfizer-BioNTech
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2021-01-06
Survey response — day 0, dose 1MedDRA: Hypoaesthesia oral — Feeling: Fair · Site: Pain · DiarrheaFree text: Mild numbness to roof of mouth and right lower lipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
- 2021-01-10
- 2021-01-11
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Blepharospasm — Feeling: GoodFree text: Right eye twitchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — day 7, dose 1MedDRA: Blepharospasm — Feeling: GoodFree text: Right eye twitchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
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2021-01-27
Dose 2 — Pfizer-BioNTech
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-03-03
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2021-03-12
Survey response — day 42, dose 2MedDRA: Anxiety — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increase in anxiety.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
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2021-07-28
Survey response — 6 months, dose 2MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Swollen lymph nodes since march · Healthcare visit (other): ENT appts, labs, ultrasounds, allergy testing (to rule out)MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-03
- 2021-08-06
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2022-01-08
Call successfulParticipant prefers to complete VAERS report online
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2022-01-27
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Fatigue, Headache, Lymphadenopathy, Office visit, Subchorionic haematoma — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Swollen lymph nodes in neck, chronic fatigue, headaches, pregnancy with a subchorionic hematoma that resulted in a miscarriage. · Healthcare visit (other): Primary care doctorMedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
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2022-01-28
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-12 | Successful | Participant prefers to complete VAERS report online |
| 2021-07-28 | Successful 2022-01-08 |
Participant prefers to complete VAERS report online |
| 2022-01-27 | Successful 2022-01-28 |
Completed over the phone |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Mild numbness to roof of mouth and right lower lip
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Right eye twitching
Release 2 — day 7, dose 1
Systemic reaction (other): Right eye twitching
Release 5 — day 42, dose 2
Symptoms: Increase in anxiety.
Release 9 — 6 months, dose 2
Symptoms: Swollen lymph nodes since march
Healthcare visit (other): ENT appts, labs, ultrasounds, allergy testing (to rule out)
Release 11 — 12 months, dose 2
Symptoms: Swollen lymph nodes in neck, chronic fatigue, headaches, pregnancy with a subchorionic hematoma that resulted in a miscarriage.
Healthcare visit (other): Primary care doctor
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 | Office visit | ✓ | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | · | ✓ |
| SD | Subchorionic haematoma | · | · | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release