3EZ-15592-10065
5 vaccinations
3 coded responses
29 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 600 / IL
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-04
Registered in v-safe
-
2021-04-04
Dose 1 — Pfizer-BioNTech
- 2021-04-04
-
2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-19
- 2021-04-27
-
2021-05-02
Dose 2 — Pfizer-BioNTech
-
2021-05-02
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-09
- 2021-05-16
- 2021-05-25
- 2021-05-30
- 2021-06-08
-
2021-06-14
Survey response — day 42, dose 2MedDRA: Chest pain, Heart rate increased — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest pain / fluttering heartbeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-14
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-23
- 2021-08-02
-
2021-11-07
Dose 3 — Pfizer-BioNTech
-
2022-05-02
Survey response — 12 months, dose 2MedDRA: Surgery, Uterine polyp — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Benign endometrial polyp diagnosed in March 2022 · Healthcare visit (other): Outpatient surgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-05-02
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-05-03
-
2022-05-07
Dose 4 — Pfizer-BioNTech
-
2022-09-27
Dose 5 — Pfizer-BioNTech
- 2022-10-16
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-12-27
-
2023-03-28
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-04 | Pfizer-BioNTech | |
| 2 | 2021-05-02 | Pfizer-BioNTech | |
| 3 | 2021-11-07 | Pfizer-BioNTech | No |
| 4 | 2022-05-07 | Pfizer-BioNTech | No |
| 5 | 2022-09-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-14 | Unsuccessful | |
| 2022-05-02 | Unsuccessful |
Free text
Release 9 — day 42, dose 2
Symptoms: Chest pain / fluttering heartbeat
Release 11 — 12 months, dose 2
Symptoms: Benign endometrial polyp diagnosed in March 2022
Healthcare visit (other): Outpatient surgery
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 |
|---|---|---|---|---|
| HCVO | Surgery | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Uterine polyp | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release