Y52-22884-48843
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 801 / CO
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Pfizer-BioNTech
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2021-01-13
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Palpitations — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Dizziness and heart racingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-22
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-27
Survey response — day 14, dose 1MedDRA: Blister, Genital infection, Headache, Injection site pain, Myalgia, Pelvic infection, Pyrexia, Rash, Unevaluable event — Feeling: Poor · Be unable to work, 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: Symptoms: Very sore at injection site, muscle pain in arms, fevers, severe rash on hands & fingers- blisters- infection in private areas, headaches all have gradually worsened- · Healthcare visit (other): Some not addressed by health care providers yetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Dose 2 — Pfizer-BioNTech
- 2021-02-25
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-05-05
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Unexplainable high fevers of up to 102.8Labored breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Call successfulDoes not wish to fill out VAERS report
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: Breathing on an ongoing basis is more difficultMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-06
Survey response — 12 months, dose 2MedDRA: Laboratory test abnormal, Malaise, Office visit — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: I tested positive and was very ill · Healthcare visit (other): In person with my primaryMedDRA releases: 2024-11 · check-in free text available
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2022-02-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-27 | Successful 2021-06-08 |
Does not wish to fill out VAERS report |
| 2022-02-06 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness and heart racing
Release 2 — day 14, dose 1
Symptoms: Very sore at injection site, muscle pain in arms, fevers, severe rash on hands & fingers- blisters- infection in private areas, headaches all have gradually worsened-
Healthcare visit (other): Some not addressed by health care providers yet
Release 8 — 3 months, dose 2
Symptoms: Unexplainable high fevers of up to 102.8Labored breathing
Release 9 — 6 months, dose 2
Symptoms: Breathing on an ongoing basis is more difficult
Release 11 — 12 months, dose 2
Symptoms: I tested positive and was very ill
Healthcare visit (other): In person with my primary
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Genital infection | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pelvic infection | ○ | ✓ | ○ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release