3AM-46388-76002
3 vaccinations
4 coded responses
30 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 349 / FL
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Pfizer-BioNTech
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Pfizer-BioNTech
-
2021-02-01
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Sore injection sightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Shot sight pain armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-09-25
Dose 3 — Pfizer-BioNTech
- 2021-09-30
- 2021-10-01
- 2021-10-02
-
2021-10-09
Survey response — day 14, dose 3MedDRA: Emergency care, Headache, Hypoaesthesia, Pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Sudden numbing of fingers in right handthat lasted a minute or two twice. Then sudden onset of headache in left front forehead and temple radiating out to rest of head that lasted 6 to 8 hours. Went to hospital to make sure It wasnt a stroke. 10/09/MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-16
Survey response — day 21, dose 3MedDRA: Cerebrovascular accident, Headache, Hospitalisation, Hypoaesthesia, Insomnia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Complete but brief numbing of right middle finger followed by headache that lasted hours and kept me awake untill the next day .I went to hospital for suspected possible stroke and stayed for 4 days.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-16
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-18
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-25
- 2021-10-31
- 2021-11-08
- 2021-12-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-09-25 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Sore injection sight
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Shot sight pain arm
Release 10 — day 14, dose 3
Symptoms: Sudden numbing of fingers in right handthat lasted a minute or two twice. Then sudden onset of headache in left front forehead and temple radiating out to rest of head that lasted 6 to 8 hours. Went to hospital to make sure It wasnt a stroke. 10/09/ cut off by CDC
Release 10 — day 21, dose 3
Symptoms: Complete but brief numbing of right middle finger followed by headache that lasted hours and kept me awake untill the next day .I went to hospital for suspected possible stroke and stayed for 4 days.
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 | Cerebrovascular accident | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release