VUM-44358-87675
4 vaccinations
10 coded responses
53 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 837 / ID
- Registered
- 2020-12-20
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
JMY-36257-51622
Child or adolescent in my care · Female · 2022-07-08
Timeline
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2020-12-20
Registered in v-safe
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2020-12-20
Dose 1 — Pfizer-BioNTech
- 2020-12-20
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2020-12-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-22
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2020-12-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Upper-airway cough syndrome — Feeling: Good · Fatigue or tirednessFree text: Very mildly sore throat (post-nasal drip likely)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2021-01-03
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2021-01-10
Dose 2 — Pfizer-BioNTech
- 2021-01-10
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Earache and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
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2021-04-11
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Rhinitis allergic — Feeling: GoodFree text: A sharp increase in allergy symptoms (allergic rhinitis).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-11
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2021-10-04
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-04
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2021-10-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-10-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
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2021-10-18
Survey response — day 14, dose 3MedDRA: Hypersensitivity, Nausea, Pre-existing disease, SARS-CoV-2 test negative, Self-medication — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Exacerbated allergy symptoms requiring Benadryl. Also took a couple of days off at work because my daughter vomited twice in a 48-hour period. I never had emesis, but did experience nausea. Both of our COVID-19 tests were negative.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
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2021-11-01
Survey response — day 28, dose 3MedDRA: Eye irritation, Hypersensitivity, Ocular hyperaemia, Pre-existing disease, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Exacerbated allergy symptoms, including sneezing and red, irritated eyes.MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — day 35, dose 3MedDRA: Dermatitis, Eczema eyelids, Eye irritation, Hypersensitivity, Pre-existing disease — Feeling: GoodFree text: Exacerbated seasonal allergy symptoms, including eye irritation and dermatitis to eyelids and just above the upper lip (requires topical steroids).MedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — day 42, dose 3MedDRA: Dermatitis, Dry eye, Dry skin, Erythema, Hypersensitivity, Ocular hyperaemia, Pre-existing disease, Sneezing — Feeling: FairFree text: Increased allergy symptoms, including dry/red eyes, sneezing, and areas of red/dry/inflamed skin on my face and hands.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
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2022-04-04
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous, Uterine dilation and curettage — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Missed miscarriage at 14 weeks gestation requiring a D&C.MedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-05
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2022-04-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-09-26
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-09-26
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2022-09-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
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2022-09-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
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2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-02
- 2022-10-03
- 2022-10-10
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2022-10-17
Survey response — day 21, dose 4MedDRA: Chills, Influenza like illness, Nausea, Productive cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flu-like symptoms, including chills, nausea, congestion, and a productive cough.MedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — day 28, dose 4MedDRA: Chills, Fatigue, Nausea, Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upper respiratory infection, including congestion, productive cough, chills, nausea, and fatigue. COVID-19 negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-07
- 2022-12-27
- 2023-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-20 | Pfizer-BioNTech | |
| 2 | 2021-01-10 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-26 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-11 | priority 2/3 | |
| 2022-04-04 | Successful 2022-04-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Very mildly sore throat (post-nasal drip likely)
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Earache and sore throat
Release 7 — 3 months, dose 2
Symptoms: A sharp increase in allergy symptoms (allergic rhinitis).
Release 10 — day 14, dose 3
Symptoms: Exacerbated allergy symptoms requiring Benadryl. Also took a couple of days off at work because my daughter vomited twice in a 48-hour period. I never had emesis, but did experience nausea. Both of our COVID-19 tests were negative.
Release 10 — day 28, dose 3
Symptoms: Exacerbated allergy symptoms, including sneezing and red, irritated eyes.
Release 10 — day 35, dose 3
Symptoms: Exacerbated seasonal allergy symptoms, including eye irritation and dermatitis to eyelids and just above the upper lip (requires topical steroids).
Release 10 — day 42, dose 3
Symptoms: Increased allergy symptoms, including dry/red eyes, sneezing, and areas of red/dry/inflamed skin on my face and hands.
Release 11 — 6 months, dose 3
Symptoms: Missed miscarriage at 14 weeks gestation requiring a D&C.
Release 12 — day 21, dose 4
Symptoms: Flu-like symptoms, including chills, nausea, congestion, and a productive cough.
Release 12 — day 28, dose 4
Symptoms: Upper respiratory infection, including congestion, productive cough, chills, nausea, and fatigue. COVID-19 negative.
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 | Abortion spontaneous | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dermatitis | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Dry skin | · | · | ✓ |
| SD | Eczema eyelids | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinitis allergic | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release