3W9-19999-49662
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Pfizer-BioNTech
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-03-27
Registered in v-safe
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-09
-
2021-04-16
Survey response — day 21, dose 2MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue has been a rollarcoaster day to day, and mind fogginess.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-04-30
- 2021-05-10
- 2021-06-25
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2021-09-26
Survey response — 6 months, dose 2MedDRA: Cholelithiasis, Gastrooesophageal reflux disease, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Potential GERD or gallstones, symptom is vomitting everymorning for the past 2 monthsMedDRA releases: 2024-11 · check-in free text available
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2022-03-28
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Pregnancy, SARS-CoV-2 test negative — Feeling: Fair · 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 visitFree text: Cold, not covid or strep, lasted two weeks, couldnt take medication because i am now preganant. Occured 1 week after the masking mandate for schools was lifted.MedDRA releases: 2024-11 · check-in free text available
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2022-03-28
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 · 1 call case(s)
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2022-03-29
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-28 | Successful 2022-03-29 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Fever
Release 7 — day 21, dose 2
Symptoms: Fatigue has been a rollarcoaster day to day, and mind fogginess.
Release 9 — 6 months, dose 2
Symptoms: Potential GERD or gallstones, symptom is vomitting everymorning for the past 2 months
Release 11 — 12 months, dose 2
Symptoms: Cold, not covid or strep, lasted two weeks, couldnt take medication because i am now preganant. Occured 1 week after the masking mandate for schools was lifted.
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 | Cholelithiasis | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release