Y5M-23586-83011
3 vaccinations
8 coded responses
25 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 214 / MD
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-14
Dose 1 — Pfizer-BioNTech
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2021-04-15
Registered in v-safe
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-28
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2021-05-05
Dose 2 — Pfizer-BioNTech
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2021-05-05
Survey response — day 0, dose 2MedDRA: Dizziness, Tinnitus — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal painFree text: Lightheaded, ringing in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Skin on upper arm with shot feels burntMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Oral herpes — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: Intense itching around injection site started this morning. A cold sore developed on my lip - never had one before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body achesFree text: Forgot to mention a persistent brain fog that began about 6 hours after getting the shot - it is only just beginning to subside.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-27
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2021-11-03
Dose 3 — Pfizer-BioNTech
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2021-11-04
Survey response — 6 months, dose 2MedDRA: Dry mouth, Ear pain, Eyelid pain, Fatigue, Headache, Injection site paraesthesia, Joint stiffness, Pain, Paraesthesia, Spinal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: All symptoms began around midnight after getting booster. Left arm from shot location to fingertips is tingling. Spine, back of head, ears, and eyelids all throbbing. Dry mouth. All joints are stiff. Very tired.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Eye pain, Pain, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Whooshing sound in ears, throbbing pain behind eyesMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care, Hypotension, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Loud whooshing sound in ears, low blood pressure (measured at er last night/this morningMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
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2021-11-05
Call successfulCompleted over the phone
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-12
- 2021-11-17
- 2021-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Pfizer-BioNTech | |
| 2 | 2021-05-05 | Pfizer-BioNTech | |
| 3 | 2021-11-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-04 | Successful 2021-11-05 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded
Release 8 — day 0, dose 2
Systemic reaction (other): Lightheaded, ringing in ears
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Skin on upper arm with shot feels burnt
Systemic reaction (other): Intense itching around injection site started this morning. A cold sore developed on my lip - never had one before.
Systemic reaction (other): Forgot to mention a persistent brain fog that began about 6 hours after getting the shot - it is only just beginning to subside.
Release 10 — 6 months, dose 2
Symptoms: All symptoms began around midnight after getting booster. Left arm from shot location to fingertips is tingling. Spine, back of head, ears, and eyelids all throbbing. Dry mouth. All joints are stiff. Very tired.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Whooshing sound in ears, throbbing pain behind eyes
Systemic reaction (other): Loud whooshing sound in ears, low blood pressure (measured at er last night/this morning
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 |
|---|---|---|---|---|
| SD | Dry mouth | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Eyelid pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site paraesthesia | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Hypotension | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release