2KZ-17696-90863
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 908 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
HXA-24582-45414
Child or adolescent in my care · Male · 2021-11-27
R9L-30046-03946
Child or adolescent in my care · Female · 2021-11-27
V9F-21005-87015
Child or adolescent in my care · Female · 2021-11-27
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Pfizer-BioNTech
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Pfizer-BioNTech
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 28, dose 2MedDRA: Chills, Ear pain, Lymphadenopathy, Oropharyngeal pain, Pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Throat pain on right side; right ear pain Started yesterday. Pain is intermittent and sharp. Swollen submandibular lymph nodes. Chills and possible fever during the night. Following up with MD today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-19
- 2021-03-26
- 2021-05-14
-
2021-08-15
Survey response — 6 months, dose 2MedDRA: Heavy menstrual bleeding, Menstruation irregular — Feeling: GoodFree text: My menstruation has changed. Its heavier and longer than it used to be. I also cant tell when its coming when before I would have symptoms before menstruating. Its something I noticed the month after first getting the shot and keeping traMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-06
Dose 3 — Pfizer-BioNTech
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
-
2021-10-22
Survey response — day 14, dose 3MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Unevaluable event — Feeling: FairFree text: Period symptoms and bleeding worse than it is usually. Very heavy bleeding and crampingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — day 21, dose 3MedDRA: Gingival pain, Glossodynia, Nasopharyngitis, Oral pain, Pain — Feeling: FairFree text: Sore underneath left side of tongue; sore on inner left gumline; sore on left inner cheek making it painful to eat. Cold like symptoms last weekend. No fever.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-11
- 2021-11-17
-
2021-12-20
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-05
-
2022-04-06
Survey response — 6 months, dose 3MedDRA: Influenza like illness, Malaise — Feeling: Good · Be unable to work or attend schoolFree text: I have been getting sicker than I usually do. My family will have a minor cold and I feel like I have the flu.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 28, dose 2
Symptoms: Throat pain on right side; right ear pain Started yesterday. Pain is intermittent and sharp. Swollen submandibular lymph nodes. Chills and possible fever during the night. Following up with MD today.
Release 9 — 6 months, dose 2
Symptoms: My menstruation has changed. Its heavier and longer than it used to be. I also cant tell when its coming when before I would have symptoms before menstruating. Its something I noticed the month after first getting the shot and keeping tra
Release 10 — day 14, dose 3
Symptoms: Period symptoms and bleeding worse than it is usually. Very heavy bleeding and cramping
Release 10 — day 21, dose 3
Symptoms: Sore underneath left side of tongue; sore on inner left gumline; sore on left inner cheek making it painful to eat. Cold like symptoms last weekend. No fever.
Release 11 — 6 months, dose 3
Symptoms: I have been getting sicker than I usually do. My family will have a minor cold and I feel like I have the flu.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dysmenorrhoea | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Gingival pain | · | · | ✓ |
| SD | Glossodynia | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oral pain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release