3RA-13788-99391
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 403 / KY
- Registered
- 2021-09-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-11
Registered in v-safe
-
2021-09-11
Dose 1 — Pfizer-BioNTech
- 2021-09-11
-
2021-09-12
Survey response — days 1–6 daily, dose 1MedDRA: Middle insomnia, Night sweats — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Woke up covered in sweat overnightMedDRA releases: 2024-11 · check-in free text available
-
2021-09-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-15
- 2021-09-16
- 2021-09-17
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-10-18
-
2021-10-23
Dose 2 — Pfizer-BioNTech
- 2021-10-23
-
2021-10-24
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: LightheadedMedDRA releases: 2024-11 · check-in free text available
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2021-10-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Injection site warmth — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Light-headedness, injection site is warmer than the rest of the arm and other arm tooMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
-
2021-11-06
Survey response — day 14, dose 2MedDRA: Arthralgia, Fatigue, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Return of moderate fatigue, body ache and joint pain that lasted 4 more days, then dropped to the mild level but still remains. I had a negative PCR test.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-05
- 2022-01-23
- 2022-04-25
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2022-10-25
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Uterine dilation and curettage — 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 · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Pregnancy, then miscarriage found by ultrasound at 9wks, then D&C because I didn't pass anything. A strong, healthy heartbeat had been seen at week 7, baby looked to have died 2-4 days before the 9 week ultrasound. · Healthcare visit (other): D&C Outpatient surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
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 prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-11 | Pfizer-BioNTech | No |
| 2 | 2021-10-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-25 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Woke up covered in sweat overnight
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded
Systemic reaction (other): Light-headedness, injection site is warmer than the rest of the arm and other arm too
Release 10 — day 14, dose 2
Symptoms: Return of moderate fatigue, body ache and joint pain that lasted 4 more days, then dropped to the mild level but still remains. I had a negative PCR test.
Release 12 — 12 months, dose 2
Symptoms: Pregnancy, then miscarriage found by ultrasound at 9wks, then D&C because I didn't pass anything. A strong, healthy heartbeat had been seen at week 7, baby looked to have died 2-4 days before the 9 week ultrasound.
Healthcare visit (other): D&C 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 | Uterine dilation and curettage | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release