Z32-19407-44076
3 vaccinations
19 coded responses
36 check-ins
19 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 912 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-10
Dose 1 — Pfizer-BioNTech
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2021-03-11
Registered in v-safe
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, DiarrheaAdult check-in
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · DiarrheaFree text: Forget to mention that I experienced more tingling in my toes (both feet) than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 7, dose 1MedDRA: Faeces soft — Feeling: Good · DiarrheaFree text: Just mild soft stool the past weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 14, dose 1MedDRA: Malaise, Pre-existing disease, Vertigo, Vomiting — Feeling: FairFree text: My tinnitus has been acting up. Not sure if vaccine has anything to do with it. Experienced bad case of vertigo today with vomiting spells. Only today was ill was for three hours this afternoon, since the vaccine. (Vertigo and vomiting).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-05
Dose 2 — Pfizer-BioNTech
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Nocturia, Poor quality sleep — Feeling: Good · Site: Pain · DiarrheaFree text: Yesterday felt fatigue and headache all afternoon and did not sleep well. Had to urinate frequently all nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Cardiac flutter — Feeling: GoodFree text: Fluttering of heart since second vaccine. Forget to list this. IntermittentlyMedDRA 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: Cardiac flutter — Feeling: Good · DiarrheaFree text: Heart fluttering intermittentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
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2021-05-03
Survey response — day 28, dose 2MedDRA: Diarrhoea, Fatigue — Feeling: GoodFree text: Just very tired since second vaccine. Exhausted at times. This last week especially if I sit down inside. Need to be outside and move around. I can still do some chores but need to keep moving. Also, some diarrhea. DailyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — day 35, dose 2MedDRA: Chest discomfort, Diarrhoea, Fatigue, Office visit, Pain in extremity, Paraesthesia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I feel more tired, diarrhea, some weird sensation in my chest, and pain in my legs maybe from inflammation. Also nerve sensations in my feet, tingling. Went to the dr to get ultrasound on legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-18
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2021-07-05
Survey response — 3 months, dose 2MedDRA: Dizziness, Dyspnoea, Faeces soft, Nocturia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Dizzy, soft stool, urinating in the middle of night and chest weirdness. Not short of breath. All doctor reports and labs show no problems. So I believe it was antibody overload!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
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2021-07-18
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-06
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2021-12-21
Dose 3 — Pfizer-BioNTech
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Pollakiuria, Tinnitus — Feeling: Poor · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My tinnitus is at a very high level. Also urinating a lotMedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: Tinnitus is worseMedDRA releases: 2024-11 · check-in free text available
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2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Hypertonic bladder — Feeling: Fair · Joint pains, Muscle or body achesFree text: Overactive bladderMedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Tinnitus — Feeling: Fair · Joint painsFree text: TinnitusMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Survey response — days 1–6 daily, dose 3MedDRA: Neuralgia, Tinnitus — Feeling: Fair · Joint pains, Muscle or body achesFree text: Tinnitus, nerve painMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Survey response — day 7, dose 3MedDRA: Neuralgia, Tinnitus — Feeling: Fair · Joint painsFree text: Tinnitus, nerve painMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Survey response — day 14, dose 3MedDRA: Dizziness, Headache, Oropharyngeal pain, Paraesthesia — Feeling: FairFree text: Dizziness similar to vertigo Nerves tingling in both feet Headache Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
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2022-01-20
Survey response — day 28, dose 3MedDRA: Nervous system disorder, Paraesthesia, Tinnitus, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Tingling feet nerve issues Vertigo TinnitusMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-21
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2022-01-21
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-27
- 2022-02-02
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2022-03-25
Survey response — 3 months, dose 3MedDRA: Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tinnitus worseMedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
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2022-12-21
Survey response — 12 months, dose 3MedDRA: Herpes zoster, Laboratory test abnormal, Skin discolouration — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: After last booster end of August, Moderna this time, I developed (a month later) a small case of shingles. I broke out in a circle patch on lower thigh, just above knee. No itching nor pain. But tested positive for shingles.MedDRA releases: 2024-11 · check-in free text available
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2022-12-21
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | |
| 2 | 2021-04-05 | Pfizer-BioNTech | |
| 3 | 2021-12-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-10 | Successful | Participant prefers to complete VAERS report online |
| 2021-07-05 | Successful 2021-07-18 |
Participant prefers to complete VAERS report online |
| 2022-01-20 | Successful 2022-01-21 |
Participant prefers to complete VAERS report online |
| 2022-12-21 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Forget to mention that I experienced more tingling in my toes (both feet) than normal
Release 5 — day 7, dose 1
Systemic reaction (other): Just mild soft stool the past week
Release 6 — day 14, dose 1
Symptoms: My tinnitus has been acting up. Not sure if vaccine has anything to do with it. Experienced bad case of vertigo today with vomiting spells. Only today was ill was for three hours this afternoon, since the vaccine. (Vertigo and vomiting).
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday felt fatigue and headache all afternoon and did not sleep well. Had to urinate frequently all night
Systemic reaction (other): Fluttering of heart since second vaccine. Forget to list this. Intermittently
Systemic reaction (other): Heart fluttering intermittently
Release 8 — day 28, dose 2
Symptoms: Just very tired since second vaccine. Exhausted at times. This last week especially if I sit down inside. Need to be outside and move around. I can still do some chores but need to keep moving. Also, some diarrhea. Daily
Release 8 — day 35, dose 2
Symptoms: I feel more tired, diarrhea, some weird sensation in my chest, and pain in my legs maybe from inflammation. Also nerve sensations in my feet, tingling. Went to the dr to get ultrasound on legs
Release 9 — 3 months, dose 2
Symptoms: Dizzy, soft stool, urinating in the middle of night and chest weirdness. Not short of breath. All doctor reports and labs show no problems. So I believe it was antibody overload!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My tinnitus is at a very high level. Also urinating a lot
Systemic reaction (other): Tinnitus is worse
Systemic reaction (other): Overactive bladder
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus, nerve pain
Release 10 — day 7, dose 3
Systemic reaction (other): Tinnitus, nerve pain
Release 10 — day 14, dose 3
Symptoms: Dizziness similar to vertigo Nerves tingling in both feet Headache Sore throat
Release 10 — day 28, dose 3
Symptoms: Tingling feet nerve issues Vertigo Tinnitus
Release 11 — 3 months, dose 3
Symptoms: Tinnitus worse
Release 12 — 12 months, dose 3
Symptoms: After last booster end of August, Moderna this time, I developed (a month later) a small case of shingles. I broke out in a circle patch on lower thigh, just above knee. No itching nor pain. But tested positive for shingles.
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Faeces soft | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Nocturia | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Skin discolouration | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cardiac flutter | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Faeces soft | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypertonic bladder | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Nocturia | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | · | · | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release