ZLD-18755-76133
4 vaccinations
21 coded responses
37 check-ins
20 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 531 / WI
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QPD-30910-98699
Child or adolescent in my care · Male · 2022-11-02
Q4C-16547-62227
Child or adolescent in my care · Male · 2022-11-02
Timeline
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2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Pfizer-BioNTech
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2020-12-30
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Lacrimation increased — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Got injection in left arm - my left eye watered for a couple hours straight starting about 30 min after injection. No irritation or foreign bodies in eye. No history of eye watering. Resolved within two hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Still have a bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Survey response — day 7, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
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2021-01-20
Dose 2 — Pfizer-BioNTech
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2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Hypertension — Feeling: Poor · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Elevated blood pressure 150/100 last night and all day todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
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2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Breast tenderness, Menstrual disorder — Feeling: Good · Muscle or body achesFree text: Breast tenderness for the past three days, unrelated to menstrual cycle. I had breast tenderness for about two weeks after my first dose as well, and my period was two weeks late the (Im usually very regular).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 2MedDRA: Breast tenderness, Depressed mood, Irritability, Mood altered — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Breast tenderness, mood changes - sadness, irritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood, Irritability — Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Depressed mood, irritabilityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
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2021-02-03
Survey response — day 14, dose 2MedDRA: Muscle strain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Neck strainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
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2021-02-24
Survey response — day 35, dose 2MedDRA: Facial pain — Feeling: GoodFree text: Right- sided facial painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-04-21
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2021-07-21
Survey response — 6 months, dose 2MedDRA: Breast tenderness, Tenderness, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Left armpit and breast tenderness · Healthcare visit (other): MammogramMedDRA releases: 2024-11 · check-in free text available
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2021-07-21
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-22
Call successfulParticipant prefers to complete VAERS report online
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2021-10-18
Dose 3 — Pfizer-BioNTech
- 2022-01-20
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2022-10-31
Dose 4 — Pfizer-BioNTech
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2022-11-02
Survey response — days 1–6 daily, dose 4MedDRA: Anxiety — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, NauseaFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
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2022-11-03
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Swollen armpit on injection sideMedDRA releases: 2024-11 · check-in free text available
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2022-11-04
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: Swollen armpit on injection sideMedDRA releases: 2024-11 · check-in free text available
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2022-11-05
Survey response — days 1–6 daily, dose 4MedDRA: Menstruation delayed, Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen armpit on injection side, period is a week lateMedDRA releases: 2024-11 · check-in free text available
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2022-11-06
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Menstruation delayed — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sore armpit on injection side, period is 8 days lateMedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Health check-in — day 7, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2023-02-01
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2023-05-01
Survey response — 6 months, dose 4MedDRA: Attention deficit hyperactivity disorder — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
| 4 | 2022-10-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-31 | priority 2/3 | |
| 2021-07-21 | Successful 2021-07-22 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Got injection in left arm - my left eye watered for a couple hours straight starting about 30 min after injection. No irritation or foreign bodies in eye. No history of eye watering. Resolved within two hours.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Still have a bruise at injection site
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
Systemic reaction (other): Bruising at injection site
Release 1 — day 7, dose 1
Systemic reaction (other): Bruising at injection site
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Elevated blood pressure 150/100 last night and all day today
Systemic reaction (other): Breast tenderness for the past three days, unrelated to menstrual cycle. I had breast tenderness for about two weeks after my first dose as well, and my period was two weeks late the (Im usually very regular).
Systemic reaction (other): Breast tenderness, mood changes - sadness, irritability
Systemic reaction (other): Depressed mood, irritability
Release 3 — day 14, dose 2
Symptoms: Neck strain
Release 4 — day 35, dose 2
Symptoms: Right- sided facial pain
Release 9 — 6 months, dose 2
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Anxiety
Systemic reaction (other): Swollen armpit on injection side
Systemic reaction (other): Swollen armpit on injection side
Systemic reaction (other): Swollen armpit on injection side, period is a week late
Systemic reaction (other): Sore armpit on injection side, period is 8 days late
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 | Unevaluable event | · | · | ✓ |
| SD | Attention deficit hyperactivity disorder | · | · | ✓ |
| SD | Breast tenderness | · | · | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Breast tenderness | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Menstruation delayed | · | · | ✓ |
| SRO | Mood altered | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release