Y3Q-22664-66355
1 vaccination
9 coded responses
14 check-ins
9 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 105 / NY
- Registered
- 2021-05-04
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-05-03
Dose 1 — Pfizer-BioNTech
-
2021-05-04
Registered in v-safe
-
2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Pain of skin, Pruritus — Feeling: Fair · Site: Pain, Swelling · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): My scalp is sore and itchy · Healthcare visit (other): My general doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain of skin, Tenderness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Sore scalp. Tender to touch since monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Medical counselling, Pain of skin, Pruritus — Feeling: Poor · Site: Pain · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Sorr scalp and headache. No sleep · Healthcare visit (other): Phone call. Need to follow up with allergist. Scalp is itchy and sore. Have been told to not get second shot till i see an allergist. Today i have a headache above temples. Wish i never got the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-08
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Sore throat alllergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain of skin — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: Sore scalp!! Went to er on friday night because of intense headache. My scalp has been sore since I got the shot. Have to go to allergist now. Thanks !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Survey response — day 7, dose 1MedDRA: Pain of skin — Feeling: Fair · Headache, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore scalpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-17
Survey response — day 14, dose 1MedDRA: Ear swelling, Hypoaesthesia, Office visit — Feeling: Good · Be unable to do your normal daily activitiesFree text: My right ear swelled up and went numb last tuesday for 7 hours. Went to an allergist last wed to see if i can get my second shot. Have been to 4 doctors since my first pfizer shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-08
- 2021-06-11
- 2021-06-14
-
2021-08-02
Survey response — 3 months, dose 1MedDRA: Anxiety, Feeling hot, Hypoaesthesia, Medical counselling, Office visit, Pain of skin — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Anxiety! about getting my second shot. Confusion from doctors has what to do next. Some say not to get second shot and some say to get it. I do not want to suffer another week of scalp pain and heat followed by numbness of right ear. · Healthcare visit (other): Allergist. Recomended to see neurologist nextMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-02
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-13
- 2021-11-03
-
2022-05-05
Survey response — 12 months, dose 1MedDRA: COVID-19, Sinusitis, Thyroid disorder — 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 consultationFree text: Covid in January Followed by sinus infection Then elevated thyroidMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-06
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-07 | Successful | Participant prefers to complete VAERS report online |
| 2021-05-10 | Successful | Participant prefers to complete VAERS report online |
| 2021-08-02 | Successful | Participant prefers to complete VAERS report online |
| 2022-05-05 | Successful 2022-05-06 |
Participant prefers to complete VAERS report online |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): My scalp is sore and itchy
Healthcare visit (other): My general doctor
Systemic reaction (other): Sore scalp. Tender to touch since monday.
Systemic reaction (other): Sorr scalp and headache. No sleep
Healthcare visit (other): Phone call. Need to follow up with allergist. Scalp is itchy and sore. Have been told to not get second shot till i see an allergist. Today i have a headache above temples. Wish i never got the shot.
Systemic reaction (other): Sore throat alllergies
Systemic reaction (other): Sore scalp!! Went to er on friday night because of intense headache. My scalp has been sore since I got the shot. Have to go to allergist now. Thanks !
Release 8 — day 7, dose 1
Systemic reaction (other): Sore scalp
Release 8 — day 14, dose 1
Symptoms: My right ear swelled up and went numb last tuesday for 7 hours. Went to an allergist last wed to see if i can get my second shot. Have been to 4 doctors since my first pfizer shot
Release 9 — 3 months, dose 1
Symptoms: Anxiety! about getting my second shot. Confusion from doctors has what to do next. Some say not to get second shot and some say to get it. I do not want to suffer another week of scalp pain and heat followed by numbness of right ear.
Healthcare visit (other): Allergist. Recomended to see neurologist next
Release 11 — 12 months, dose 1
Symptoms: Covid in January Followed by sinus infection Then elevated thyroid
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 | Headache | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Pain of skin | ✓ | ✓ | ✓ |
| HCVO | Pruritus | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear swelling | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release