Y73-29536-88141
3 vaccinations
15 coded responses
30 check-ins
15 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 018 / MA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Dose 1 — Pfizer-BioNTech
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2021-02-26
Registered in v-safe
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Photophobia — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Light sensitivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-01
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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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · 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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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Little congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 7, dose 1MedDRA: Muscular weakness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Weakness in armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
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2021-03-18
Dose 2 — Pfizer-BioNTech
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2021-03-18
Survey response — day 0, dose 2MedDRA: Chest pain — Feeling: Good · Headache, Fatigue or tirednessFree text: Chest painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Eye irritation, Oropharyngeal pain, Tinnitus — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Loud ringing in my ears, burning eyes, sore throat and ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Tinnitus — Feeling: Good · Site: Pain · Muscle or body achesFree text: Tinnitus still little headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Swelling · Joint pains, Muscle or body achesFree text: Still high pitched ringing in my earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-03-25
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Chills, Headache, Joint pains, Muscle or body achesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain, Tinnitus — Feeling: FairFree text: Sore throat and increased ringing in the earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain, Tinnitus — Feeling: FairFree text: Sore throat and continues ringing in my earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
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2021-05-01
Survey response — day 42, dose 2MedDRA: Tinnitus — Feeling: FairFree text: Ringing in ears louder and more constantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-09-18
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2021-09-26
Dose 3 — Pfizer-BioNTech
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2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painFree text: Ringing in earsMedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-10
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2021-10-24
Survey response — day 28, dose 3MedDRA: Neuralgia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continue pain on nerve in shoulder · Healthcare visit (other): OrthopedicMedDRA releases: 2024-11 · check-in free text available
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2021-10-24
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
- 2021-11-02
- 2021-11-07
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2022-09-26
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Chest pain, Fatigue, Pulmonary pain, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Extreme fatigue Ear ringing Chest /lung pain Taste and smell goneMedDRA releases: 2024-11 · check-in free text available
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2022-09-26
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-09-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-09-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-24 | Successful 2022-09-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-26 | Successful 2022-09-27 |
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 1
Systemic reaction (other): Light sensitivity
Systemic reaction (other): Stiff neck
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Little congestion
Release 5 — day 7, dose 1
Systemic reaction (other): Weakness in arms
Release 5 — day 0, dose 2
Systemic reaction (other): Chest pains
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Loud ringing in my ears, burning eyes, sore throat and ear ache
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Tinnitus still little headache
Systemic reaction (other): Still high pitched ringing in my ears
Release 6 — day 7, dose 2
Systemic reaction (other): Sore throat
Release 6 — day 14, dose 2
Symptoms: Sore throat and increased ringing in the ears
Release 7 — day 21, dose 2
Symptoms: Sore throat and continues ringing in my ears
Release 8 — day 42, dose 2
Symptoms: Ringing in ears louder and more constant
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Ringing in ears
Release 10 — day 28, dose 3
Release 12 — 12 months, dose 3
Symptoms: Extreme fatigue Ear ringing Chest /lung pain Taste and smell gone
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release