Y63-25923-31313
3 vaccinations
6 coded responses
28 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 730 / OK
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-19
Registered in v-safe
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2020-12-19
Dose 1 — Pfizer-BioNTech
- 2020-12-19
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2020-12-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2020-12-21
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2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, DiarrheaAdult check-in
- 2020-12-28
- 2021-01-02
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2021-01-09
Dose 2 — Pfizer-BioNTech
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2021-01-09
Survey response — day 0, dose 2MedDRA: Paraesthesia — Feeling: Good · HeadacheFree text: Tingling in finger left index tipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Peripheral coldness — Feeling: Good · DiarrheaFree text: Numbness in left index finger tip . It feels cold at the tipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Gastrointestinal sounds abnormal — Feeling: Fair · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Intestinal grumbling sounds hyperactiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-12
- 2021-01-15
- 2021-01-18
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2021-01-23
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Diarrhoea, Dyspnoea, Fatigue, Productive cough — Feeling: FairFree text: Diarrhea is increased and Friday had epigastric pain . That pain has occurred 2 times in that weak . Get tired more easily. Have a cough . Productive . Some increase Shortness of breath .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-06
- 2021-02-13
- 2021-02-20
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2021-04-12
Survey response — 3 months, dose 2MedDRA: Cough, Diarrhoea, Secretion discharge — Feeling: GoodFree text: Cough with mucous , and diarrhea which has been a problem for monthsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Survey response — 6 months, dose 2MedDRA: Bronchitis, Fatigue, Office visit, Parainfluenzae virus infection, SARS-CoV-2 test negative — 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 visitFree text: Symptoms: Had Parainfluinza 3 virus and developed into bronchitis. Ran low grade fever 99.4 for cople days . Extreme fatigue about 10 days or more · Healthcare visit (other): After 1week to 10days I went to my PCP because I was not getting better. Had 2 covid test negative One from urgent care and 1from PCP both were negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Report sent to call center — 6 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 pr1 call case(s)
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2021-07-14
Call successfulParticipant prefers to complete VAERS report online
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2021-09-25
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-29
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-08
- 2022-03-30
- 2022-09-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-09 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-11 | priority 2/3 | |
| 2021-07-12 | Successful 2021-07-14 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — day 0, dose 2
Systemic reaction (other): Tingling in finger left index tip
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness in left index finger tip . It feels cold at the tip
Systemic reaction (other): Intestinal grumbling sounds hyperactive
Release 2 — day 14, dose 2
Symptoms: Diarrhea is increased and Friday had epigastric pain . That pain has occurred 2 times in that weak . Get tired more easily. Have a cough . Productive . Some increase Shortness of breath .
Release 7 — 3 months, dose 2
Symptoms: Cough with mucous , and diarrhea which has been a problem for months
Release 9 — 6 months, dose 2
Symptoms: Had Parainfluinza 3 virus and developed into bronchitis. Ran low grade fever 99.4 for cople days . Extreme fatigue about 10 days or more
Healthcare visit (other): After 1week to 10days I went to my PCP because I was not getting better. Had 2 covid test negative One from urgent care and 1from PCP both were negative
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 | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Parainfluenzae virus infection | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Pyrexia | ○ | ○ | ○ |
| SD | Secretion discharge | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal sounds abnormal | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release