2DS-14035-97067
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 625 / IL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 2 — Pfizer-BioNTech
- 2021-03-24
- 2021-03-25
- 2021-03-27
- 2021-03-28
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: FairFree text: Nose bleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — day 7, dose 2MedDRA: Nasal congestion — Feeling: FairFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 14, dose 2MedDRA: Epistaxis — Feeling: GoodFree text: Nose bleedsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-21
- 2021-04-28
- 2021-05-06
- 2021-06-25
-
2021-11-21
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-02-20
Survey response — 3 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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 visitFree text: Covid-19MedDRA releases: 2024-11 · check-in free text available
-
2022-02-20
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-24
-
2022-11-21
Survey response — 12 months, dose 3MedDRA: Arthropathy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Joint issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-22
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 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-24 | Pfizer-BioNTech | |
| 3 | 2021-11-21 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-20 | Successful 2022-02-25 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-11-21 | Successful 2022-11-22 |
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): Nose bleed
Release 6 — day 7, dose 2
Systemic reaction (other): Nasal congestion
Release 7 — day 14, dose 2
Symptoms: Nose bleeds
Release 11 — 3 months, dose 3
Symptoms: Covid-19
Release 12 — 12 months, dose 3
Symptoms: Joint issues
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 | Arthropathy | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release