3MQ-30666-04314
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 530 / WI
- Registered
- 2021-08-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
4XU-12039-52071
Adult relative or friend · Male · 2021-08-26
Timeline
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2021-08-26
Registered in v-safe
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2021-08-26
Dose 1 — Pfizer-BioNTech
- 2021-08-26
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2021-08-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-08-28
- 2021-08-29
-
2021-08-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-08-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-09-09
-
2021-09-17
Dose 2 — Pfizer-BioNTech
-
2021-09-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fatigue or tirednessAdult check-in
- 2021-09-19
-
2021-09-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-22
-
2021-09-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-09-24
Survey response — day 7, dose 2MedDRA: Anxiety — Feeling: Good · Headache, Fatigue or tirednessFree text: AnxietyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-01
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2021-10-08
Survey response — day 21, dose 2MedDRA: Breast pain, Chills, Nausea, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend schoolFree text: High fever, nausea, chills, body aches, painful breastMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Fair · Be unable to work or attend schoolFree text: Daily headachesMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Survey response — day 35, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Worsening headachesMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — day 42, dose 2MedDRA: Anxiety, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Increasing anxiety, stifling headachesMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — 3 months, dose 2MedDRA: Dizziness, Fatigue, Headache, Myalgia, Nausea, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, light headed, massive headache, sore muscles, nausea, and very tiredMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Gastrointestinal pain, Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe itching that comes and goes, miscarriage, severe GI crampingMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-26 | Pfizer-BioNTech | No |
| 2 | 2021-09-17 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-20 | Unsuccessful |
Free text
Release 9 — day 7, dose 2
Systemic reaction (other): Anxiety
Release 10 — day 21, dose 2
Symptoms: High fever, nausea, chills, body aches, painful breast
Release 10 — day 28, dose 2
Symptoms: Daily headaches
Release 10 — day 35, dose 2
Symptoms: Worsening headaches
Release 10 — day 42, dose 2
Symptoms: Increasing anxiety, stifling headaches
Release 10 — 3 months, dose 2
Symptoms: Fever, light headed, massive headache, sore muscles, nausea, and very tired
Release 11 — 6 months, dose 2
Symptoms: Severe itching that comes and goes, miscarriage, severe GI cramping
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 | Abortion spontaneous | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release