3AU-49181-60578
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 945 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
9PA-16077-41478
Child or adolescent in my care · Male · 2021-12-11
BHN-91985-51326
Child or adolescent in my care · Male · 2021-12-11
Timeline
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-04-09
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Good · HeadacheFree text: Sore in my mouth that started 2 days ago but just thought about today might be good to report since I couldn't think of another source or reason for the soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-23
-
2021-04-30
Dose 2 — Pfizer-BioNTech
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-13
- 2021-07-30
- 2021-10-29
-
2021-12-11
Dose 3 — Moderna
-
2021-12-11
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaFree text: 13 wks pregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-14
-
2021-12-18
Survey response — day 7, dose 3MedDRA: Abdominal distension, Abdominal pain upper — Feeling: Fair · Fever · Abdominal painFree text: stomach feeling achy and fullMedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Survey response — day 14, dose 3MedDRA: Vaginal haemorrhage — Feeling: GoodFree text: spotting.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-23
- 2022-03-12
-
2022-06-11
Survey response — 6 months, dose 3MedDRA: Delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: ChildbirthMedDRA releases: 2024-11 · check-in free text available
-
2022-06-11
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
- 2022-06-13
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech | |
| 3 | 2021-12-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-11 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sore in my mouth that started 2 days ago but just thought about today might be good to report since I couldn't think of another source or reason for the sore
Release 10 — day 0, dose 3
Systemic reaction (other): 13 wks pregnant
Release 10 — day 7, dose 3
Systemic reaction (other): stomach feeling achy and full
Release 10 — day 14, dose 3
Symptoms: spotting.
Release 12 — 6 months, dose 3
Symptoms: Childbirth
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 | Delivery | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Abdominal distension | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release