3V5-13896-53833
2 vaccinations
4 coded responses
7 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 201 / VA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Pfizer-BioNTech
-
2021-04-22
Dose 2 — Pfizer-BioNTech
-
2021-04-23
Registered in v-safe
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Site: PainFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: TinnitusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Lymphadenopathy, Mammogram abnormal — Feeling: GoodFree text: Visible lymph node on mammogram near my shot site more than 8 weeks after shotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-23
-
2022-04-22
Survey response — 12 months, dose 2MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: I had COVID for 5 weeks starting in early January.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-22 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Tinnitus
Systemic reaction (other): Tinnitus
Release 9 — 3 months, dose 2
Symptoms: Visible lymph node on mammogram near my shot site more than 8 weeks after shot
Release 11 — 12 months, dose 2
Symptoms: I had COVID for 5 weeks starting in early January.
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 | COVID-19 | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Mammogram abnormal | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release