2Z9-12102-91897
3 vaccinations
6 coded responses
23 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-17
Dose 1 — Pfizer-BioNTech
-
2021-01-07
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Registered in v-safe
-
2021-01-09
Survey response — days 1–6 daily, dose 2MedDRA: Affect lability, Lymphadenopathy — Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Lymph swelling under injection arm. Emotionally labileMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Left axillary lymph node bump and tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-20
- 2021-04-08
- 2021-07-10
-
2021-10-15
Dose 3 — Pfizer-BioNTech
-
2021-10-19
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swellingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Survey response — days 1–6 daily, dose 3MedDRA: Abortion spontaneous — Feeling: Poor · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fetal loss- no heartbeatMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-22
Survey response — day 7, dose 3MedDRA: Depressed mood, Foetal death, Uterine dilation and curettage — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Sadness · Healthcare visit (other): D&C for fetal demiseMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-22
-
2021-10-26
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-10-26
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-21
- 2021-11-26
- 2022-01-16
- 2022-04-15
-
2022-10-15
Survey response — 12 months, dose 3MedDRA: Amenorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: No period for 3 monthsMedDRA releases: 2024-11 · check-in free text available
-
2022-10-15
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-17
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-17 | Pfizer-BioNTech | |
| 2 | 2021-01-07 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-21 | Successful 2021-10-26 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2021-10-22 | Successful 2021-10-26 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2022-10-15 | Successful 2022-10-17 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph swelling under injection arm. Emotionally labile
Systemic reaction (other): Left axillary lymph node bump and tenderness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lymph node swelling
Systemic reaction (other): Fetal loss- no heartbeat
Release 10 — day 7, dose 3
Release 12 — 12 months, dose 3
Symptoms: No period for 3 months
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 | Foetal death | · | · | ✓ |
| HCVO | Uterine dilation and curettage | · | · | ✓ |
| SD | Amenorrhoea | · | · | ✓ |
| SRO | Abortion spontaneous | · | · | ✓ |
| SRO | Affect lability | ✓ | ✓ | ✓ |
| SRO | Depressed mood | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Tenderness | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release