W65-10197-65573
3 vaccinations
9 coded responses
38 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 483 / MI
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
88E-18431-94787
Child or adolescent in my care · Male · 2022-06-28
N5Z-23719-37917
Child or adolescent in my care · Male · 2022-06-28
Timeline
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2021-01-02
Registered in v-safe
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2021-01-02
Dose 1 — Pfizer-BioNTech
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2021-01-02
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2021-01-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-05
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2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-01-07
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2021-01-09
Survey response — day 7, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: Good · Site: Redness, ItchingFree text: Runny nose, sneezingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — day 14, dose 1MedDRA: Furuncle — Feeling: GoodFree text: Small boil behind both earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Dose 2 — Pfizer-BioNTech
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2021-01-23
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Skin exfoliation — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Skin around hand peelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
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2021-01-30
Survey response — day 7, dose 2MedDRA: Skin exfoliation — Feeling: GoodFree text: Peeling of skin on 2 fingersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-03-01
- 2021-03-06
- 2021-04-24
- 2021-07-24
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2021-10-24
Dose 3 — Pfizer-BioNTech
- 2021-10-24
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: Lymph node tenderness in armpit, same site as injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
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2021-11-07
Survey response — day 14, dose 3MedDRA: Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend schoolFree text: Cold, congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — day 21, dose 3MedDRA: Cough — Feeling: Fair · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
- 2021-12-07
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2022-01-23
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: Covid positiveMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
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2022-10-26
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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: Covid x 1MedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Report sent to call center — 12 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)
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Pfizer-BioNTech | |
| 2 | 2021-01-23 | Pfizer-BioNTech | |
| 3 | 2021-10-24 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-26 | Unsuccessful |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Runny nose, sneezing
Release 2 — day 14, dose 1
Symptoms: Small boil behind both ears
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Skin around hand peeling
Release 3 — day 7, dose 2
Systemic reaction (other): Peeling of skin on 2 fingers
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node tenderness in armpit, same site as injection
Release 10 — day 14, dose 3
Symptoms: Cold, congestion
Release 10 — day 21, dose 3
Symptoms: Cough
Release 11 — 3 months, dose 3
Symptoms: Covid positive
Release 12 — 12 months, dose 3
Symptoms: Covid x 1
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Furuncle | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Skin exfoliation | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release