YV7-11053-66570
3 vaccinations
9 coded responses
11 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 850 / AZ
- Registered
- 2022-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2022-02-08
Dose 1 — Pfizer-BioNTech
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2022-03-14
Registered in v-safe
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2022-03-17
Dose 2 — Pfizer-BioNTech
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2022-03-17
Survey response — day 0, dose 2MedDRA: Rash vesicular — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: The rash looks like Shingles or Herpes blistersMedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Pain, Pruritus, Rash, Rash vesicular, Skin burning sensation, Swelling — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I really think it triggered Shingles. The area where the rash is, us swollen. I had not had any pain in the area before seeing the blister type rash. Now I have burning & itching all over my head & body. Especially the scalp.MedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased, Condition aggravated, Hyperhidrosis, Pain of skin, Peripheral coldness, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · 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: My temp was only 94.7, but it wouldnt let me put it in. I'm normally at 97. It has never been this low. Im bundled up in several blankets. This feels like my hig fever when I had COVID. My skin feels so cold it hurts & I break out in sweats while chiMedDRA releases: 2024-11 · check-in free text available
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2022-03-22
Report sent to call center — days 1–6 daily, dose 2Be 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)
- 2022-03-23
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2022-03-23
Call successfulOther
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2022-03-23
Call successfulCompleted over the phone
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2022-03-24
Survey response — day 7, dose 2MedDRA: Herpes zoster, Rash — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Still have Shingles rashMedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Survey response — day 14, dose 2MedDRA: Dyspnoea, Heart rate increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Easily out of breath & racing heart rateMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Survey response — day 28, dose 2MedDRA: Abdominal pain, Diarrhoea, Oral herpes, Pyrexia, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have a Fever Blister outbreak, Severe abdominal cramoing, fever of 102, severe diarrhea, vomiting I didnt check in last week but had a fever blister outbreakas well but no other symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Survey response — day 35, dose 2MedDRA: Diarrhoea, Hyperhidrosis, Muscle spasms, Nausea, Night sweats, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Temp of 101, severe cramping & diarrhea. Cramping also caused nausea. Severe night sweats drenching my clothes & sheets 2-3x/ night for 4 nights.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — day 42, dose 2MedDRA: Headache, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus infection & headacheMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-05-02
Call successfulDoes not wish to fill out VAERS report
- 2022-06-20
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2022-10-04
Dose 3 — Pfizer-BioNTech
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2022-10-13
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
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2022-11-16
Survey response — day 42, dose 3MedDRA: Influenza, Oral herpes, Pneumonia, Sinusitis — 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 professional · Telehealth, virtual health, or email health consultationFree text: Flu, sinus infection, pneumonia, fever blistersMedDRA releases: 2024-11 · check-in free text available
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2022-11-16
Report sent to call center — day 42, dose 3Be 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)
- 2022-11-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2022-02-08 | Pfizer-BioNTech | No |
| 2 | 2022-03-17 | Pfizer-BioNTech | No |
| 3 | 2022-10-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-18 | Successful 2022-03-23 |
Other |
| 2022-03-22 | Successful 2022-03-23 |
Completed over the phone |
| 2022-04-30 | Successful 2022-05-02 |
Does not wish to fill out VAERS report |
| 2022-11-16 | Unsuccessful |
Free text
Release 11 — day 0, dose 2
Systemic reaction (other): The rash looks like Shingles or Herpes blisters
Release 11 — days 1–6 daily, dose 2
Systemic reaction (other): I really think it triggered Shingles. The area where the rash is, us swollen. I had not had any pain in the area before seeing the blister type rash. Now I have burning & itching all over my head & body. Especially the scalp.
Systemic reaction (other): My temp was only 94.7, but it wouldnt let me put it in. I'm normally at 97. It has never been this low. Im bundled up in several blankets. This feels like my hig fever when I had COVID. My skin feels so cold it hurts & I break out in sweats while chi cut off by CDC
Release 11 — day 7, dose 2
Systemic reaction (other): Still have Shingles rash
Release 11 — day 14, dose 2
Symptoms: Easily out of breath & racing heart rate
Release 11 — day 28, dose 2
Symptoms: I have a Fever Blister outbreak, Severe abdominal cramoing, fever of 102, severe diarrhea, vomiting I didnt check in last week but had a fever blister outbreakas well but no other symptoms.
Release 11 — day 35, dose 2
Symptoms: Temp of 101, severe cramping & diarrhea. Cramping also caused nausea. Severe night sweats drenching my clothes & sheets 2-3x/ night for 4 nights.
Release 11 — day 42, dose 2
Symptoms: Sinus infection & headache
Release 12 — day 42, dose 3
Symptoms: Flu, sinus infection, pneumonia, fever blisters
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 | Abdominal pain | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Herpes zoster | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain of skin | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash vesicular | · | · | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release