2Q5-30323-80946
3 vaccinations
4 coded responses
36 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 900 / CA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Pfizer-BioNTech
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-09
Dose 2 — Pfizer-BioNTech
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Survey response — day 42, dose 2MedDRA: Ovarian cyst ruptured — 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: Ruptured ovarian cystMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
-
2021-09-07
Survey response — 6 months, dose 2MedDRA: Anal abscess — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Perianal abscessMedDRA releases: 2024-11 · check-in free text available
-
2021-09-07
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
-
2021-09-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-27
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
-
2021-10-18
Survey response — day 21, dose 3MedDRA: Sinusitis — Feeling: FairFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-27
- 2022-03-28
-
2022-09-27
Survey response — 12 months, dose 3MedDRA: COVID-19, Pregnancy — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I had Covid-19 in July. I am also now pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-27
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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-29
-
2022-09-29
Callback requested for07:00PM ET
-
2022-09-30
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 | 2021-02-15 | Pfizer-BioNTech | |
| 2 | 2021-03-09 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-20 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-09-07 | Successful 2021-09-09 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-09-27 | Successful 2022-09-30 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — day 42, dose 2
Symptoms: Ruptured ovarian cyst
Release 9 — 6 months, dose 2
Symptoms: Perianal abscess
Release 10 — day 21, dose 3
Symptoms: Sinus infection
Release 12 — 12 months, dose 3
Symptoms: I had Covid-19 in July. I am also now pregnant.
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 | Anal abscess | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ovarian cyst ruptured | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release