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QLU-10051-03494

3 vaccinations 8 coded responses 33 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
370 / TN
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Registered in v-safe
  2. 2021-04-06
    Dose 1 — Pfizer-BioNTech
  3. 2021-04-06
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  4. 2021-04-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Wheezing — Feeling: Poor · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Wheezing — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Diarrhea
    Free text: Wheezing, coughing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Wheezing — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Wheezing, cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Good · Chills
    Adult check-in
  11. 2021-04-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Dose 2 — Pfizer-BioNTech
  14. 2021-04-28
    Survey response — day 0, dose 2
    MedDRA: Wheezing — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Wheezing — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site
    Free text: Wheezing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  17. 2021-04-30
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  19. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  20. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea, Abdominal pain
    Adult check-in
  21. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  22. 2021-05-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-05-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-10-11
  30. 2021-10-13
    Call successful
    Participant prefers to complete VAERS report online
  31. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-04-28
    Survey response — 12 months, dose 2
    MedDRA: Ehlers-Danlos syndrome, Postural orthostatic tachycardia syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    Free text: Ehlers Danlos Syndrome and POTS
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-04-28
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  34. 2022-04-29
  35. 2022-05-12
  36. 2022-09-20
    Dose 3 — Pfizer-BioNTech
  37. 2022-09-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work or attend school
    Adult check-in
  38. 2022-09-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains, Nausea
    Adult check-in
  39. 2022-09-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2022-09-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2022-10-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-10-15
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  43. 2022-12-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Pfizer-BioNTech
22021-04-28Pfizer-BioNTech
32022-09-20Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-07

Systemic reaction (other): Wheezing

2021-04-08

Systemic reaction (other): Wheezing, coughing

2021-04-09

Systemic reaction (other): Wheezing, cough

2021-04-10

Systemic reaction (other): Cough

2021-04-11

Systemic reaction (other): Cough

Release 8 — day 0, dose 2

2021-04-28

Systemic reaction (other): Wheezing

Release 8 — days 1–6 daily, dose 2

2021-04-29

Systemic reaction (other): Wheezing

Release 11 — 12 months, dose 2

2022-04-28

Symptoms: Ehlers Danlos Syndrome and POTS

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
SDEhlers-Danlos syndrome · · ✓
SDPostural orthostatic tachycardia syndrome · · ✓
SROCough ✓ ✓ ✓
SROWheezing ✓ ✓ ✓

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