37N-33924-08196
1 vaccination
1 coded response
4 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 210 / MD
- Registered
- 2021-08-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KKK-13643-87734
Child or adolescent in my care · Male · 2021-08-11
Timeline
-
2021-08-10
Dose 1 — Pfizer-BioNTech
-
2021-08-11
Registered in v-safe
-
2021-08-11
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Syncope — Feeling: Fair · Site: Pain · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Syncope after injectionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-11
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
- 2021-08-12
- 2021-08-13
- 2021-08-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-11 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Syncope after injection
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 |
|---|---|---|---|---|
| SRO | Immediate post-injection reaction | ✓ | · | ✓ |
| SRO | Syncope | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release