25F-54114-47676
3 vaccinations
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Male
- Age at first dose
- 31-35
- ZIP prefix
- 571 / SD
- Registered
- 2021-11-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-28
Dose 2 — Moderna
-
2021-11-10
Registered in v-safe
-
2021-11-10
Dose 3 — Pfizer-BioNTech
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Palpitations — Feeling: Good · Site: Pain · Muscle or body achesFree text: Heart racing for a few min 16 hours after injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaFree text: I'm also 5 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Injection site pain — Feeling: Good · Site: PainFree text: Axillary pain more than injection site painMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Fair · Fatigue or tirednessFree text: Fatigue could be due to pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose (maybe unrelated)MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-17
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
-
2022-05-11
Survey response — 6 months, dose 3MedDRA: Pre-eclampsia, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Preeclampsia with pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-12
-
2022-05-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | No |
| 2 | 2021-01-28 | Moderna | No |
| 3 | 2021-11-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-11 | Successful 2022-05-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Heart racing for a few min 16 hours after injection
Systemic reaction (other): I'm also 5 weeks pregnant
Systemic reaction (other): Axillary pain more than injection site pain
Systemic reaction (other): Fatigue could be due to pregnancy
Systemic reaction (other): Runny nose (maybe unrelated)
Release 11 — 6 months, dose 3
Symptoms: Preeclampsia with pregnancy
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 | Pre-eclampsia | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release