2BV-21844-10074
3 vaccinations
11 coded responses
33 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 070 / NJ
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Pfizer-BioNTech
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2021-03-03
Health check-in — day 0, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-05
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Abortion spontaneous — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Currently experiencing miscarriage related to unfortunate fertility cycle and unrelated to vaccine. Pregnancy test was negative before vaccine, positive day of vaccine and should not have been. Implantation too late for healthy pregnancy and fertility medications were stopped five days prior to positive positive test due to negative result and positive result was received after vaccine but too late for restarting medication to save pregnancy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
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2021-03-24
Dose 2 — Pfizer-BioNTech
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2021-03-24
Survey response — day 0, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Asthma attackMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Hypogeusia, Hyposmia — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Diminished taste and smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
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2021-09-22
Survey response — 6 months, dose 2MedDRA: Liver disorder — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Having trouble with liver, not yet diagnosed with anythingMedDRA releases: 2024-11 · check-in free text available
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2021-09-22
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-23
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2021-12-22
Dose 3 — Pfizer-BioNTech
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Short of breathMedDRA releases: 2024-11 · check-in free text available
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2021-12-23
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Asthma, Dyspnoea, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Short of breath, worsened asthmaMedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Short of breathMedDRA releases: 2024-11 · check-in free text available
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2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Asthma, Dyspnoea, Hypersensitivity — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Short of breath, asthma attack, very sensitive since boosterMedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Survey response — days 1–6 daily, dose 3MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Exacerbated asthma, highly sensitiveMedDRA releases: 2024-11 · check-in free text available
- 2021-12-27
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2021-12-28
Survey response — days 1–6 daily, dose 3MedDRA: Asthma — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Asthma symptomsMedDRA releases: 2024-11 · check-in free text available
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2021-12-28
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-12-28
Callback requested for05:30PM ET
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2021-12-29
Survey response — day 7, dose 3MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Asthma still exacerbated but less so than past few daysMedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Call successfulCompleted over the phone
- 2022-01-05
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-12-22 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-22 | Unsuccessful | |
| 2021-12-23 | Successful | Participant prefers to complete VAERS report online |
| 2021-12-28 | Successful 2021-12-29 |
Completed over the phone |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Currently experiencing miscarriage related to unfortunate fertility cycle and unrelated to vaccine. Pregnancy test was negative before vaccine, positive day of vaccine and should not have been. Implantation too late for healthy pregnancy and fertility medications were stopped five days prior to positive positive test due to negative result and positive result was received after vaccine but too late for restarting medication to save pregnancy.
Release 6 — day 0, dose 2
Systemic reaction (other): Asthma attack
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Diminished taste and smell
Release 9 — 6 months, dose 2
Symptoms: Having trouble with liver, not yet diagnosed with anything
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Short of breath
Systemic reaction (other): Short of breath, worsened asthma
Systemic reaction (other): Short of breath
Systemic reaction (other): Short of breath, asthma attack, very sensitive since booster
Systemic reaction (other): Exacerbated asthma, highly sensitive
Systemic reaction (other): Asthma symptoms
Release 10 — day 7, dose 3
Systemic reaction (other): Asthma still exacerbated but less so than past few days
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 | Liver disorder | · | · | ✓ |
| SRO | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Hypersensitivity | · | · | ✓ |
| SRO | Hypogeusia | ✓ | ✓ | ✓ |
| SRO | Hyposmia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release