37E-29447-87646
2 vaccinations
5 coded responses
21 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 917 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Pfizer-BioNTech
- 2021-04-09
- 2021-04-12
- 2021-04-13
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-05-02
-
2021-05-09
Survey response — day 28, dose 1MedDRA: Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sinus headache — Feeling: GoodFree text: Head cold (congestion, runny nose, sore throat, sinus headache)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Dose 2 — Pfizer-BioNTech
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-15
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Pain in my lower breast (same side as vaccine shot)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: GoodFree text: Pain below my left breast (injection side)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-19
- 2021-05-20
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2021-05-27
Survey response — day 14, dose 2MedDRA: Faeces discoloured — Feeling: GoodFree text: Black stoolsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-03
- 2021-06-17
- 2021-06-24
- 2021-08-12
- 2021-11-13
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2022-05-15
Survey response — 12 months, dose 2MedDRA: Breast abscess — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Breast abscessMedDRA releases: 2024-11 · check-in free text available
-
2022-05-15
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-05-13 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-15 | Unsuccessful |
Free text
Release 8 — day 28, dose 1
Symptoms: Head cold (congestion, runny nose, sore throat, sinus headache)
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in my lower breast (same side as vaccine shot)
Systemic reaction (other): Pain below my left breast (injection side)
Release 8 — day 14, dose 2
Symptoms: Black stools
Release 11 — 12 months, dose 2
Symptoms: Breast abscess
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 | Breast abscess | · | · | ✓ |
| SD | Faeces discoloured | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release