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XVM-36508-20930

4 vaccinations 11 coded responses 40 check-ins 10 free-text entries 4 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
640 / MO
Registered
2021-02-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Registered in v-safe
  2. 2021-02-03
    Dose 1 — Pfizer-BioNTech
  3. 2021-02-03
    Survey response — 0 day, dose 1
    MedDRA: Asthenia, Dizziness, Dysgeusia, Headache, Hypoaesthesia oral, Immediate post-injection reaction, Nausea — Feeling: Good · Site: Pain · Nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-02-10
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-17
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-24
    Dose 2 — Pfizer-BioNTech
  13. 2021-02-24
    Survey response — 0 day, dose 2
    MedDRA: Depressed mood, Discomfort, Dyspnoea, Immature granulocyte count, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-05
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-10
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-17
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-24
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-31
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-07
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-26
    Survey response — 3 month, dose 2
    MedDRA: Cough, Illness, Nasopharyngitis, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  27. 2021-05-26
    Report sent to call center — 3 month, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-08-04
    Dose 3 — Pfizer-BioNTech
  29. 2021-08-25
    Survey response — 6 month, dose 2
    MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  30. 2021-08-25
    Survey response — 21 day, dose 3
    MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  31. 2021-09-01
    Survey response — 28 day, dose 3
    MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair
    MedDRA releases: 2021-09,2024-11 · check-in answers available
  32. 2021-09-08
    Health check-in — 35 day, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-09-15
    Health check-in — 42 day, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-03
    Health check-in — 3 month, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-02-02
    Health check-in — 6 month, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-04-27
  37. 2022-08-04
    Health check-in — 12 month, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-09-14
    Dose 4 — Pfizer-BioNTech
  39. 2022-09-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Adult check-in
  40. 2022-09-20
    Report sent to call center — days 1–6 daily, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  41. 2022-09-21
    Survey response — 7 day, dose 4
    MedDRA: Cough, Joint swelling, Respiratory tract congestion — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11 · check-in answers available
  42. 2022-09-21
  43. 2022-09-21
  44. 2022-09-28
    Health check-in — 14 day, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-05
    Health check-in — 21 day, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-10-12
    Health check-in — 28 day, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-10-19
    Health check-in — 35 day, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-10-26
    Health check-in — 42 day, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-12-14
    Survey response — 3 month, dose 4
    MedDRA: Pneumonia, Respiratory syncytial virus infection — 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 visit
    MedDRA releases: 2024-11 · check-in answers available
  50. 2022-12-14
    Report sent to call center — 3 month, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  51. 2022-12-15
  52. 2022-12-15
  53. 2023-03-15
    Survey response — 6 month, dose 4
    MedDRA: Bronchitis, COVID-19 — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11 · check-in answers available
  54. 2023-03-15
    Report sent to call center — 6 month, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  55. 2023-03-16
  56. 2023-03-16
  57. 2023-03-16
  58. 2023-03-16

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Pfizer-BioNTech
22021-02-24Pfizer-BioNTech
32021-08-04Pfizer-BioNTech No
42022-09-14Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-26 Unsuccessful
2022-09-20 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact
2022-12-14 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact
2023-03-15 Unsuccessful Reported to VAERS voluntarily prior to GDIT contact

Free text

Release 3

Systemic reaction (other): I had an adverse reaction 5 minutes after receiving the vaccine. First, my lips and tip of my tongue became numb, followed by a metallic taste. Then, I became pale, dizzy, nauseous, and felt like I was going to pass out. BP was 140/90. After the dizziness reduced, I got a bad headache, which lasted about 20 min. I still felt weak for about an hour.
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat, congestion

Release 4

Systemic reaction (other): About 10 min after my shot, it was harder to breathe. I felt weighed down all over my body. Like I was being pulled down. It was hard to take a breath. This passed after about 15 min.

Release 8

Symptoms: We had colds. We tested negative for Covid-19. I was sick for three weeks with cough, sneezing, runny nose, fever and chest congestion. I took oral steroids. We have all recovered.

Release 9

Symptoms: Stomach flu currently. Obtained Pfizer booster 08/04/2021.
Symptoms: Stomach flu currently
Symptoms: Sore throat, runny nose, tired.

Release 12

Systemic reaction (other): Cough, congestion, swollen knee
Symptoms: Pneumonia from RSV obtained from my children

Free-text releases are not linked to a specific 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
SDBronchitis · · ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDFatigue ✓ · ✓
SDGastroenteritis viral ✓ · ✓
SDIllness ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ · ✓
SDPneumonia · · ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory syncytial virus infection · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROCough · · ✓
SRODepressed mood ○ ✓ ○
SRODiscomfort ✓ · ✓
SRODizziness ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROImmature granulocyte count ○ ✓ ○
SROImmediate post-injection reaction ✓ ✓ ✓
SROJoint swelling · · ✓
SRONausea ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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

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