3EX-14678-50035
3 vaccinations
10 coded responses
39 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 303 / GA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H7L-28936-54381
Child or adolescent in my care · Male · 2021-11-10
B6M-24662-31159
Child or adolescent in my care · Female · 2021-11-10
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Pfizer-BioNTech
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Pfizer-BioNTech
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My asthma kicked in today. Its not severe, but noticeable. Scale form 1-10 it is a 3 or 4.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Asthma — Feeling: GoodFree text: Asthma kicked up a bit, but is better today than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Asthma is a little aggravated. Not sure if its connected to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree text: Asthma is aggravated - not sure if connected to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-27
- 2021-08-24
-
2021-11-17
Dose 3 — Pfizer-BioNTech
-
2021-11-17
Survey response — day 0, dose 3MedDRA: Brain fog — Feeling: Fair · NauseaFree text: My mind feels foggyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Fair · Headache, Fatigue or tirednessFree text: FoggyMedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
-
2021-12-29
Survey response — day 42, dose 3MedDRA: Adverse reaction, Pre-existing disease — Feeling: FairFree text: It feels like allergy and asthma.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-16
Survey response — 3 months, dose 3MedDRA: Dyspnoea — Feeling: GoodFree text: A little short of breathMedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — 6 months, dose 3MedDRA: Cough, Fatigue, SARS-CoV-2 test negative, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Possibly some viral/bacterial respiratory infection. Post-nasal drop, cough, exhaustion. No fever. COVID test was negative.MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-19
-
2022-05-19
Call successfulCompleted over the phone
-
2022-11-17
Survey response — 12 months, dose 3MedDRA: Menstruation irregular — Feeling: GoodFree text: Not having my menstrual cycle monthlyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech | |
| 2 | 2021-02-23 | Pfizer-BioNTech | |
| 3 | 2021-11-17 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My asthma kicked in today. Its not severe, but noticeable. Scale form 1-10 it is a 3 or 4.
Systemic reaction (other): Asthma kicked up a bit, but is better today than yesterday
Systemic reaction (other): Asthma is a little aggravated. Not sure if its connected to the vaccine.
Systemic reaction (other): Asthma is aggravated - not sure if connected to vaccine
Release 10 — day 0, dose 3
Systemic reaction (other): My mind feels foggy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Foggy
Release 10 — day 42, dose 3
Symptoms: It feels like allergy and asthma.
Release 11 — 3 months, dose 3
Symptoms: A little short of breath
Release 11 — 6 months, dose 3
Symptoms: Possibly some viral/bacterial respiratory infection. Post-nasal drop, cough, exhaustion. No fever. COVID test was negative.
Release 12 — 12 months, dose 3
Symptoms: Not having my menstrual cycle monthly
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 | Adverse reaction | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release