Y92-22777-87687
4 vaccinations
9 coded responses
22 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 302 / GA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-04-23
Registered in v-safe
- 2021-04-23
-
2021-04-27
Survey response — day 14, dose 2MedDRA: Headache, Hypersomnia, Pain in extremity, Self-medication — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: After 2nd shot I had a headache that tylenolol 6 pills couldnt touch. I slept from 2pm till 10am the day after the shot. The arm that I didnt receive the injection was achingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 21, dose 2MedDRA: Formication — Feeling: GoodFree text: I think I forgot to report my skin crawling on my scalp. It started day after vaccine and has lessened in week 3.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
-
2021-05-25
Survey response — day 42, dose 2MedDRA: Muscle twitching, Tic — Feeling: GoodFree text: Right side of my face is experiencing nerve jumping or tics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-13
Survey response — 3 months, dose 2MedDRA: Peripheral swelling — Feeling: GoodFree text: Swollen right index fingerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-12
-
2021-10-26
Dose 3 — Pfizer-BioNTech
- 2022-04-18
-
2022-04-22
Dose 4 — Pfizer-BioNTech
- 2022-04-25
- 2022-04-26
- 2022-04-27
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2022-04-29
- 2022-05-06
-
2022-05-13
Survey response — day 21, dose 4MedDRA: Hypoaesthesia — Feeling: GoodFree text: Numbness in my left handMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Survey response — day 28, dose 4MedDRA: Hypoaesthesia — Feeling: GoodFree text: Numbness in left handMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
-
2022-06-03
Survey response — day 42, dose 4MedDRA: Brain fog, Fatigue, Headache, Nasal congestion — Feeling: Poor · 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: Headache, stuffy nose brain fog fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-06-03
Report sent to call center — day 42, dose 4Be 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)
- 2022-06-06
-
2022-06-06
Call successfulCompleted over the phone
- 2022-07-22
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2022-10-21
Survey response — 6 months, dose 4MedDRA: Diverticulitis — Feeling: Good · Be unable to work or attend schoolFree text: DiverticulitisMedDRA releases: 2024-11 · check-in free text available
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2023-04-24
Survey response — 12 months, dose 4MedDRA: Adverse drug reaction, Disturbance in attention, Drug hypersensitivity, Office visit, Unevaluable event — 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 professionalMedDRA releases: 2024-11
-
2023-04-24
Report sent to call center — 12 months, dose 4Be 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)
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | |
| 2 | 2021-04-13 | Pfizer-BioNTech | |
| 3 | 2021-10-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-03 | Successful 2022-06-06 |
Completed over the phone |
| 2023-04-24 | Unsuccessful |
Free text
Release 8 — day 14, dose 2
Symptoms: After 2nd shot I had a headache that tylenolol 6 pills couldnt touch. I slept from 2pm till 10am the day after the shot. The arm that I didnt receive the injection was aching
Release 8 — day 21, dose 2
Symptoms: I think I forgot to report my skin crawling on my scalp. It started day after vaccine and has lessened in week 3.
Release 8 — day 42, dose 2
Symptoms: Right side of my face is experiencing nerve jumping or tics.
Release 9 — 3 months, dose 2
Symptoms: Swollen right index finger
Release 11 — day 21, dose 4
Symptoms: Numbness in my left hand
Release 11 — day 28, dose 4
Symptoms: Numbness in left hand
Release 11 — day 42, dose 4
Symptoms: Headache, stuffy nose brain fog fatigue
Release 12 — 6 months, dose 4
Symptoms: Diverticulitis
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 | Adverse drug reaction | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Drug hypersensitivity | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Formication | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Muscle twitching | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tic | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release