S43-13985-12069
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 730 / OK
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-18
Registered in v-safe
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2020-12-18
Dose 1 — Pfizer-BioNTech
- 2020-12-18
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2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2020-12-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-20
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2020-12-21
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
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2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-23
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2020-12-24
- 2020-12-25
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2021-01-03
Survey response — day 14, dose 1MedDRA: Influenza virus test negative, Malaise, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sick off and on for a few weeks. Tested negative for all strep, covid and flu.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-29
Call successfulParticipant prefers to complete VAERS report online
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2021-06-18
Survey response — 6 months, dose 1MedDRA: Pre-existing disease, Thrombosis — Feeling: Good · Be unable to work or attend schoolFree text: Blood clot, 5cm, left AC.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-12-20
Survey response — 12 months, dose 1MedDRA: Thrombosis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Blood clotMedDRA releases: 2024-11 · check-in free text available
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2021-12-20
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 1 — day 14, dose 1
Symptoms: Sick off and on for a few weeks. Tested negative for all strep, covid and flu.
Release 9 — 6 months, dose 1
Symptoms: Blood clot, 5cm, left AC.
Release 10 — 12 months, dose 1
Symptoms: Blood clot
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 |
|---|---|---|---|---|
| SD | Illness | ○ | ○ | ○ |
| SD | Influenza virus test negative | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Streptococcus test negative | ○ | ○ | ○ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release