33N-11221-03022
1 vaccination
1 coded response
1 check-in
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 333 / FL
- Registered
- 2021-07-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-29
Dose 1 — Pfizer-BioNTech
-
2021-07-15
Registered in v-safe
-
2021-07-15
Survey response — day 14, dose 1MedDRA: Abortion spontaneous, Breast pain, Fatigue, Nasopharyngitis, Unevaluable event — Feeling: Fair · 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: Symptoms: Fatigue, cold like symptoms, severe breast pain, miscarriage (after taking birth control for 15 consecutive years) · Healthcare visit (other): Attempted telehealth. No one would see me.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-15 | Unsuccessful |
Free text
Release 9 — day 14, dose 1
Symptoms: Fatigue, cold like symptoms, severe breast pain, miscarriage (after taking birth control for 15 consecutive years)
Healthcare visit (other): Attempted telehealth. No one would see me.
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Abortion spontaneous | ✓ | · | ✓ |
| SD | Breast pain | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release