YC9-12388-17350
3 vaccinations
16 coded responses
38 check-ins
15 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 891 / NV
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
UQX-14954-91848
Adult relative or friend · Female · 2021-08-05
SNC-13918-23428
Adult relative or friend · Female · 2021-09-12
Timeline
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2021-07-30
Registered in v-safe
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2021-07-30
Dose 1 — Pfizer-BioNTech
- 2021-07-30
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2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Emergency care, Immunisation reaction — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I experienced a reaction to the shot and went to ER LAST NIGHTMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-08-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-08-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-08-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-08-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-06
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2021-08-13
Survey response — day 14, dose 1MedDRA: Abdominal pain, Hyperhidrosis, Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, constant sweats in my sleep ( the bed in soaked) I never sweated before the shot. My abdominal pain is still there, and my blood pressure is 182/110 pulse 110 with medication.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-20
Dose 2 — Pfizer-BioNTech
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2021-08-20
Survey response — day 0, dose 2MedDRA: Blood pressure increased, Heart rate increased — Feeling: Good · Site: Pain, Itching · Fever · HeadacheFree text: Rapid heart rate and high blood pressureMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-20
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2021-08-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2021-08-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-08-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dyspnoea — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: I had issues breathing last night; my rescue inhalers did not work. Cough is presentMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-24
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Flank pain — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain in abdominal area and pain in sidesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-08-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-27
- 2021-09-03
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2021-09-12
Survey response — day 21, dose 2MedDRA: Blood pressure increased, Diarrhoea, Dyspnoea, Faeces discoloured, Flank pain, Heart rate abnormal, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Having a hard time breathing, went to doctors and my BP was 169/123 plus 132. My heart meds are not working and I cant control my heart rate. It stays at 160/123 plus 135 since shoots. I have diarrhea thats black and flank painMedDRA releases: 2024-11 · check-in free text available
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2021-09-17
Survey response — day 28, dose 2MedDRA: Diarrhoea, Faeces discoloured, Fatigue, Flank pain, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhea (black) , flank pain, nausea, exhaustionMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Survey response — day 35, dose 2MedDRA: Flank pain, Pain — Feeling: FairFree text: Pain and it's a 10 in my flank areasMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Survey response — day 42, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Heart beat rate is staying above 100 BP is 160/124 with medication.MedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Cough, Fatigue, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Cough that will not go away, extremely fatigued, pain in abdomen still · Healthcare visit (other): My personal doctorMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-22
Call successfulCompleted over the phone
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2021-12-30
Dose 3 — Pfizer-BioNTech
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2021-12-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-01-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-01-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-06
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2022-01-13
Survey response — day 14, dose 3MedDRA: Cough, Headache — Feeling: FairFree text: Cough and headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
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2022-01-27
Survey response — day 28, dose 3MedDRA: Headache, Pain, Pyrexia — Feeling: PoorFree text: Headache, fever, body achesMedDRA releases: 2024-11 · check-in free text available
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2022-02-06
Survey response — day 35, dose 3MedDRA: Cough, Heart rate increased — Feeling: FairFree text: Cough and rapid heart rateMedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Survey response — day 42, dose 3MedDRA: Abdominal pain, Heart rate increased, Hypertension, Libido decreased, Menstruation irregular — Feeling: FairFree text: Rapid heart beat, high blood pressure, pain in abdomen. Lack of sex drive, and irregular periods.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-01
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2022-06-30
Survey response — 6 months, dose 3MedDRA: Cardiac disorder, Cough, Fatigue, Libido decreased, Spinal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Loss of sexual drive, heart issues, cough that won't go away. Exhausted and spine hurts all the timeMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-01
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2022-07-01
Call successfulParticipant prefers to complete VAERS report online
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2023-01-01
Survey response — 12 months, dose 3MedDRA: Brain fog, Cough, Fatigue, Headache, Libido decreased, Office visit, Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-01-01
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Pfizer-BioNTech | No |
| 2 | 2021-08-20 | Pfizer-BioNTech | No |
| 3 | 2021-12-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-13 | Successful 2021-08-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2021-11-19 | Successful 2021-11-22 |
Completed over the phone |
| 2022-06-30 | Successful 2022-07-01 |
Participant prefers to complete VAERS report online |
| 2023-01-01 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I experienced a reaction to the shot and went to ER LAST NIGHT
Release 9 — day 14, dose 1
Symptoms: Sore throat, constant sweats in my sleep ( the bed in soaked) I never sweated before the shot. My abdominal pain is still there, and my blood pressure is 182/110 pulse 110 with medication.
Release 9 — day 0, dose 2
Systemic reaction (other): Rapid heart rate and high blood pressure
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): I had issues breathing last night; my rescue inhalers did not work. Cough is present
Systemic reaction (other): Pain in abdominal area and pain in sides
Release 9 — day 21, dose 2
Symptoms: Having a hard time breathing, went to doctors and my BP was 169/123 plus 132. My heart meds are not working and I cant control my heart rate. It stays at 160/123 plus 135 since shoots. I have diarrhea thats black and flank pain
Release 9 — day 28, dose 2
Symptoms: Diarrhea (black) , flank pain, nausea, exhaustion
Release 9 — day 35, dose 2
Symptoms: Pain and it's a 10 in my flank areas
Release 9 — day 42, dose 2
Symptoms: Heart beat rate is staying above 100 BP is 160/124 with medication.
Release 10 — 3 months, dose 2
Symptoms: Cough that will not go away, extremely fatigued, pain in abdomen still
Healthcare visit (other): My personal doctor
Release 10 — day 14, dose 3
Symptoms: Cough and headache
Release 11 — day 28, dose 3
Symptoms: Headache, fever, body aches
Release 11 — day 35, dose 3
Symptoms: Cough and rapid heart rate
Release 11 — day 42, dose 3
Symptoms: Rapid heart beat, high blood pressure, pain in abdomen. Lack of sex drive, and irregular periods.
Release 12 — 6 months, dose 3
Symptoms: Loss of sexual drive, heart issues, cough that won't go away. Exhausted and spine hurts all the time
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 | Abdominal pain | ✓ | · | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Faeces discoloured | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate abnormal | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hyperhidrosis | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Libido decreased | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Abdominal pain | ✓ | · | ✓ |
| SRO | Blood pressure increased | ✓ | · | ✓ |
| SRO | Cough | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Emergency care | ✓ | · | ✓ |
| SRO | Flank pain | ✓ | · | ✓ |
| SRO | Heart rate increased | ✓ | · | ✓ |
| SRO | Immunisation reaction | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release