WJ4-14305-84879
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 452 / OH
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Pfizer-BioNTech
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-07
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Fatigue, Hypersomnia — Feeling: Good · Joint pains, Fatigue or tirednessFree text: I am very tired since receiving my shot and yesterday,my kness began hurting and also my wrist, they feel better today . Im still very tired though, sleeping more than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-17
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2021-03-23
Dose 2 — Pfizer-BioNTech
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2021-03-23
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased, Body temperature normal, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My normal temperature is 97.1 and today its 98.2 which isnt consider a fever to most but to me it isMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: My normal temp is 97.1 yesterday it went up to 98.7 so i have had a fever since i received my 2nd shot, although today it has begun to go downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Feeling hot — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: My noral body temperature is 97.1° and i felt warm to touch and my eyes were hurting a bit so took temperature and it was 98.1° , so i did have a slight fever again today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-31
- 2021-04-06
- 2021-04-13
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2021-04-20
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Internal haemorrhage, Office visit, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Had bad stomach pains along with severe diarrhea and vomiting and ened up at Er. After blood work, a cat scan and pelvic exam, they found i have interal bleeding in my abdominal cavity but cant find where its coming from. Saw my obgyn today, no clue · Healthcare visit (other): Saw my obgyn today , no answers yet, further testing neededMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
- 2021-05-04
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2021-06-22
Survey response — 3 months, dose 2MedDRA: Haemorrhage, Surgery, Uterine dilation and curettage — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: I had to have a D & C because i had interal bleeding and they suspected it came from a ovarian cyst, but that was not the case. Still not sure what caused it. · Healthcare visit (other): Out patient surgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-22
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
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2021-07-01
Call successfulCompleted over the phone
- 2021-09-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-23 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-20 | Successful | Completed over the phone |
| 2021-06-22 | Successful 2021-07-01 |
Completed over the phone |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I am very tired since receiving my shot and yesterday,my kness began hurting and also my wrist, they feel better today . Im still very tired though, sleeping more than normal
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My normal temperature is 97.1 and today its 98.2 which isnt consider a fever to most but to me it is
Systemic reaction (other): My normal temp is 97.1 yesterday it went up to 98.7 so i have had a fever since i received my 2nd shot, although today it has begun to go down
Systemic reaction (other): My noral body temperature is 97.1° and i felt warm to touch and my eyes were hurting a bit so took temperature and it was 98.1° , so i did have a slight fever again today.
Release 7 — day 28, dose 2
Symptoms: Had bad stomach pains along with severe diarrhea and vomiting and ened up at Er. After blood work, a cat scan and pelvic exam, they found i have interal bleeding in my abdominal cavity but cant find where its coming from. Saw my obgyn today, no clue cut off by CDC
Healthcare visit (other): Saw my obgyn today , no answers yet, further testing needed
Release 9 — 3 months, dose 2
Symptoms: I had to have a D & C because i had interal bleeding and they suspected it came from a ovarian cyst, but that was not the case. Still not sure what caused it.
Healthcare visit (other): Out patient surgery
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 | ✓ | ✓ | ✓ |
| HCVO | Surgery | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Internal haemorrhage | ✓ | ✓ | ✓ |
| SD | Uterine dilation and curettage | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | ✓ | · | ✓ |
| SRO | Body temperature normal | ○ | ✓ | ○ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release