ZQ4-20409-51456
5 vaccinations
19 coded responses
59 check-ins
19 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 483 / MI
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-03-16
Registered in v-safe
- 2021-03-17
- 2021-03-18
- 2021-03-25
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2021-04-01
Dose 2 — Pfizer-BioNTech
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Autoscopy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Out of body feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Diarrhea, Abdominal painAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-23
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2021-10-07
Dose 3 — Pfizer-BioNTech
- 2021-10-07
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2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweating a lot of itMedDRA releases: 2024-11 · check-in free text available
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2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sweating ModerateMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Sweating moderateMedDRA releases: 2024-11 · check-in free text available
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2021-10-12
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Urinary tract infection — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Moderate sweating and symptoms of UTIMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Lower urinary tract symptoms — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mild sweating, UTI symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-10-14
Survey response — day 7, dose 3MedDRA: Lower urinary tract symptoms — Feeling: Good · HeadacheFree text: Mild uti symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Survey response — day 14, dose 3MedDRA: Office visit, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: UTI symptoms · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-28
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2021-10-28
Call successfulCompleted over the phone
- 2021-11-04
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2021-11-11
Survey response — day 35, dose 3MedDRA: Amenorrhoea — Feeling: GoodFree text: Missed my menstrual cycle. Should have started November 1st 2021. After my 2nd shot I missed 2 months, May and June.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2022-01-06
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2022-04-01
Dose 4 — Pfizer-BioNTech
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2022-04-02
Survey response — days 1–6 daily, dose 4MedDRA: Back pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2024-11 · check-in free text available
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2022-04-03
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal pain lower, Back pain — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Back pain and lower abdominal painMedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Survey response — days 1–6 daily, dose 4MedDRA: Back pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Back painMedDRA releases: 2024-11 · check-in free text available
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2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Abdominal painAdult check-in
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2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
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2022-04-07
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Joint pains, Muscle or body achesFree text: Swollen glands under my armsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-08
- 2022-04-15
- 2022-04-22
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2022-04-29
Survey response — day 28, dose 4MedDRA: Influenza A virus test positive, Pneumonia — Feeling: Fair · 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: Tested positive for influenza A and got pneumoniaMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-05-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-06
- 2022-05-13
- 2022-09-30
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2022-10-14
Dose 5 — Pfizer-BioNTech
- 2022-10-14
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2022-10-15
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-17
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2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2022-10-20
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat and coughMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — day 7, dose 5MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sore throat and coughMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-11-04
-
2022-11-11
Survey response — day 28, dose 5MedDRA: Cough, Malaise, Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sick with a cold and coughMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-18
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2022-11-25
Survey response — day 42, dose 5MedDRA: Fibromyalgia, Hypertension, Rheumatoid arthritis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rheumatoid Arthritis, fibromyalgia, high blood pressureMedDRA releases: 2024-11 · check-in free text available
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
| 5 | 2022-10-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-21 | Successful 2021-10-28 |
Completed over the phone |
| 2022-04-29 | Successful 2022-05-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-11 | Successful 2022-11-14 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Out of body feeling
Systemic reaction (other): Back pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sweating a lot of it
Systemic reaction (other): Sweating Moderate
Systemic reaction (other): Sweating moderate
Systemic reaction (other): Moderate sweating and symptoms of UTI
Systemic reaction (other): Mild sweating, UTI symptoms
Release 10 — day 7, dose 3
Systemic reaction (other): Mild uti symptoms
Release 10 — day 14, dose 3
Release 10 — day 35, dose 3
Symptoms: Missed my menstrual cycle. Should have started November 1st 2021. After my 2nd shot I missed 2 months, May and June.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Back pain
Systemic reaction (other): Back pain and lower abdominal pain
Systemic reaction (other): Back pain
Systemic reaction (other): Swollen glands under my arms
Release 11 — day 28, dose 4
Symptoms: Tested positive for influenza A and got pneumonia
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sore throat and cough
Release 12 — day 7, dose 5
Systemic reaction (other): Sore throat and cough
Release 12 — day 28, dose 5
Symptoms: Sick with a cold and cough
Release 12 — day 42, dose 5
Symptoms: Rheumatoid Arthritis, fibromyalgia, high blood pressure
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 | Amenorrhoea | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Abdominal pain lower | · | · | ✓ |
| SRO | Autoscopy | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Lower urinary tract symptoms | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release