Y36-19092-97805
5 vaccinations
12 coded responses
57 check-ins
12 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 480 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-21
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
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2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Legs feel weakMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: Slight morning loose cough not chronicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
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2021-09-19
Dose 3 — Pfizer-BioNTech
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2021-09-30
Health check-in — day 7, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-10-03
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2021-10-10
Survey response — day 21, dose 3MedDRA: Chalazion, Hordeolum, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I developed a painful chalizion-stye on lower eye lid- I was seen by opthamology MD- received instruction with a Rx eye drop · Healthcare visit (other): Opthamalogist MDMedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-23
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2021-11-24
Call successfulParticipant prefers to complete VAERS report online
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2021-12-19
Survey response — 3 months, dose 3MedDRA: Lymphadenopathy, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Enlarged gland in my neck- left side below jaw · Healthcare visit (other): My internist family medicineMedDRA releases: 2024-11 · check-in free text available
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2021-12-19
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-21
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-20
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2022-04-13
Dose 4 — Pfizer-BioNTech
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2022-04-14
Survey response — days 1–6 daily, dose 4MedDRA: Muscular weakness — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Legs feel weakMedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: Muscular weakness — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal painFree text: Legs feel weak but not debilitatingMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
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2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2022-04-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-04-20
- 2022-04-27
- 2022-05-04
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2022-05-11
Survey response — day 28, dose 4MedDRA: Dizziness — Feeling: GoodFree text: Some dizzy feeling but okMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — day 35, dose 4MedDRA: Headache — Feeling: FairFree text: Head aches seem to be newMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Survey response — day 42, dose 4MedDRA: Dizziness, Headache, Muscular weakness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dizzy perhaps virus or spring pollen allergy Headaches in morning Leg Muscle weak · Healthcare visit (other): I visited my internistMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-26
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2022-05-26
Call successfulCompleted over the phone
- 2022-07-13
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2022-09-07
Dose 5 — Pfizer-BioNTech
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2022-09-09
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Symptoms more & different from prior vaxx.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-10
- 2022-09-11
- 2022-09-12
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2022-09-16
Survey response — day 7, dose 5MedDRA: Flank pain — Feeling: Good · NauseaFree text: Left flank above kidney area feeling sore the last two daysMedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-30
- 2022-10-05
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2022-10-12
Survey response — day 35, dose 5MedDRA: Nodule, Oropharyngeal discomfort, Pharyngeal erythema, Pharyngeal swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Throat right side appeared red w nodule swollen & discomfort-MedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Report sent to call center — day 35, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-09-19 | Pfizer-BioNTech | No |
| 4 | 2022-04-13 | Pfizer-BioNTech | No |
| 5 | 2022-09-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-10 | Successful 2021-11-24 |
Participant prefers to complete VAERS report online |
| 2021-12-19 | Successful 2021-12-21 |
Participant prefers to complete VAERS report online |
| 2022-05-25 | Successful 2022-05-26 |
Completed over the phone |
| 2022-10-12 | Successful 2022-10-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Legs feel weak
Systemic reaction (other): Slight morning loose cough not chronic
Release 10 — day 21, dose 3
Symptoms: I developed a painful chalizion-stye on lower eye lid- I was seen by opthamology MD- received instruction with a Rx eye drop
Healthcare visit (other): Opthamalogist MD
Release 10 — 3 months, dose 3
Symptoms: Enlarged gland in my neck- left side below jaw
Healthcare visit (other): My internist family medicine
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Legs feel weak
Systemic reaction (other): Legs feel weak but not debilitating
Release 11 — day 28, dose 4
Symptoms: Some dizzy feeling but ok
Release 11 — day 35, dose 4
Symptoms: Head aches seem to be new
Release 11 — day 42, dose 4
Symptoms: Dizzy perhaps virus or spring pollen allergy Headaches in morning Leg Muscle weak
Healthcare visit (other): I visited my internist
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Symptoms more & different from prior vaxx.
Release 12 — day 7, dose 5
Systemic reaction (other): Left flank above kidney area feeling sore the last two days
Release 12 — day 35, dose 5
Symptoms: Throat right side appeared red w nodule swollen & discomfort-
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 | · | · | ✓ |
| SD | Chalazion | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hordeolum | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Pharyngeal erythema | · | · | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Flank pain | · | · | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release