2H5-24818-52902
3 vaccinations
5 coded responses
22 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 919 / CA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
G5K-25326-45114
Child or adolescent in my care · Male · 2021-11-06
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Pfizer-BioNTech
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-22
- 2021-03-24
- 2021-04-02
-
2021-04-07
Dose 2 — Pfizer-BioNTech
-
2021-04-21
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Injection site pain — Feeling: GoodFree text: For 2 to 3 days post second vaccination had mild soreness at injection site, mild intermittent headache and mild fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-07
- 2021-05-12
- 2021-05-19
- 2021-07-09
-
2021-10-06
Survey response — 6 months, dose 2MedDRA: Cervical polyp, Ovarian cyst, Polypectomy, Uterine leiomyoma — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Complex ovarian cyst, uterine fibroid and cervical polyps · Healthcare visit (other): Polypectomy and pelvic ultrasoundsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Micturition urgency — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Urinary urgencyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-11-12
Survey response — day 7, dose 3MedDRA: Sciatica — Feeling: Fair · Joint pains, Muscle or body achesFree text: SciaticaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-21
- 2021-11-26
- 2021-12-12
-
2022-11-09
Survey response — 12 months, dose 3MedDRA: COVID-19, Chills, Contusion, Cough, Eye pain, Fatigue, Headache, Nasal congestion, Oropharyngeal pain, Pain, Productive cough, Pyrexia, Respiratory failure, Spinal pain — 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 · Telehealth, virtual health, or email health consultationFree text: Covid 19 positive with fever, chills, body aches, joint pain particularly of spine, eye socket pain, headaches, sore throat, dry then productive cough, fatigue, bruising of hand and leg, mild restricted breathing, nasal congestionMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-11-10
Call successfulDoes not wish to fill out VAERS report
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2022-11-10
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Pfizer-BioNTech | |
| 2 | 2021-04-07 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 14, dose 2
Symptoms: For 2 to 3 days post second vaccination had mild soreness at injection site, mild intermittent headache and mild fatigue.
Release 10 — 6 months, dose 2
Symptoms: Complex ovarian cyst, uterine fibroid and cervical polyps
Healthcare visit (other): Polypectomy and pelvic ultrasounds
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Urinary urgency
Release 10 — day 7, dose 3
Systemic reaction (other): Sciatica
Release 12 — 12 months, dose 3
Symptoms: Covid 19 positive with fever, chills, body aches, joint pain particularly of spine, eye socket pain, headaches, sore throat, dry then productive cough, fatigue, bruising of hand and leg, mild restricted breathing, nasal congestion
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 | Polypectomy | · | · | ✓ |
| SD | Cervical polyp | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory failure | · | · | ✓ |
| SD | Spinal pain | · | · | ✓ |
| SD | Uterine leiomyoma | · | · | ✓ |
| SRO | Micturition urgency | · | · | ✓ |
| SRO | Sciatica | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release