YWS-98842-59581
3 vaccinations
17 coded responses
36 check-ins
17 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-14
Dose 1 — Pfizer-BioNTech
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2021-03-15
Registered in v-safe
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Chest pain, Tachycardia, Throat irritation — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workFree text: Tachycardia, scratchy throat, chest pain, bloatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-20
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2021-03-21
Survey response — day 7, dose 1MedDRA: Ear pain — Feeling: Good · HeadacheFree text: Stabbing pain in ear. Did not last long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
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2021-04-05
Dose 2 — Pfizer-BioNTech
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2021-04-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Rapid heartbeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Fever · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Fatigue or tirednessFree text: Under arm sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Hypoaesthesia — Feeling: GoodFree text: Dizziness, numbness in armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 7, dose 2MedDRA: Dizziness, Hypoaesthesia — Feeling: Good · Fatigue or tirednessFree text: Dizziness, arm numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 14, dose 2MedDRA: Chest pain, Dizziness, Hypoaesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest pain, dizziness, numbness in armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
- 2021-11-14
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2021-11-18
Call successfulParticipant prefers to complete VAERS report online
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2021-12-01
Dose 3 — Pfizer-BioNTech
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2021-12-02
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia oral, Numb chin syndrome, Tachycardia — Feeling: Poor · Site: Pain, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · 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: Numb lips, tongue and chin. TachycardiaMedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Report sent to call center — days 1–6 daily, 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)
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2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-03
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2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Dizziness, Hypoaesthesia — Feeling: Fair · Site: Pain · Headache, NauseaFree text: Dizziness, arm pit pain, arm and hand numbnessMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Hypoaesthesia oral, Numb chin syndrome — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Dizziness, numbness of lips and chinMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia, Palpitations — Feeling: Fair · Chills, Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Facial numbness and palpitationsMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-08
- 2021-12-08
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2021-12-15
Survey response — day 14, dose 3MedDRA: Dyspnoea, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Pruritus, Tachycardia — Feeling: Fair · 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: Facial, tongue, lip numbness. Entire body itchy and tingling. Tachycardia. Shortness of breath.MedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-16
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2021-12-22
Survey response — day 21, dose 3MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2021-12-22
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-12-23
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2021-12-29
Survey response — day 28, dose 3MedDRA: Cough, Gastrointestinal disorder, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, cough, GI issuesMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Survey response — day 35, dose 3MedDRA: Blood pressure increased, Chest pain, Cough, Dizziness, Headache, Palpitations — 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 · Emergency room or emergency department visitFree text: Headaches, racing heart rate, cough, dizziness, blood pressure spikes, chest painsMedDRA releases: 2024-11 · check-in free text available
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2022-01-05
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-01-06
- 2022-01-14
- 2022-03-02
- 2022-12-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-19 | Successful 2021-11-18 |
Participant prefers to complete VAERS report online |
| 2021-12-02 | Unsuccessful | |
| 2021-12-07 | Unsuccessful | |
| 2021-12-15 | Unsuccessful | |
| 2021-12-22 | Unsuccessful | |
| 2022-01-05 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tachycardia, scratchy throat, chest pain, bloating
Release 6 — day 7, dose 1
Systemic reaction (other): Stabbing pain in ear. Did not last long.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Rapid heartbeat
Systemic reaction (other): Dizziness
Systemic reaction (other): Dizziness
Systemic reaction (other): Under arm soreness
Systemic reaction (other): Dizziness, numbness in arms
Release 7 — day 7, dose 2
Systemic reaction (other): Dizziness, arm numbness
Release 7 — day 14, dose 2
Symptoms: Chest pain, dizziness, numbness in arms
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Numb lips, tongue and chin. Tachycardia
Systemic reaction (other): Dizziness, arm pit pain, arm and hand numbness
Systemic reaction (other): Dizziness, numbness of lips and chin
Systemic reaction (other): Facial numbness and palpitations
Release 10 — day 14, dose 3
Symptoms: Facial, tongue, lip numbness. Entire body itchy and tingling. Tachycardia. Shortness of breath.
Release 10 — day 21, dose 3
Symptoms: Covid
Release 10 — day 28, dose 3
Symptoms: Fever, cough, GI issues
Release 10 — day 35, dose 3
Symptoms: Headaches, racing heart rate, cough, dizziness, blood pressure spikes, chest pains
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 | Blood pressure increased | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia oral | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | · | · | ✓ |
| SRO | Numb chin syndrome | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release