3WM-30995-75277
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 554 / MN
- Registered
- 2021-09-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-17
Registered in v-safe
-
2021-09-17
Dose 1 — Pfizer-BioNTech
- 2021-09-17
- 2021-09-18
- 2021-09-19
-
2021-09-20
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: FairFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2021-09-21
- 2021-09-22
-
2021-09-23
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Good · Joint painsFree text: Increased anxietyMedDRA releases: 2024-11 · check-in free text available
- 2021-09-24
-
2021-10-01
Survey response — day 14, dose 1MedDRA: Anxiety — Feeling: FairFree text: Increased feeling of anxiousnessMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Dose 2 — Pfizer-BioNTech
-
2021-10-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-10-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2021-10-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache · 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 consultationAdult check-in
-
2021-10-11
Report sent to call center — days 1–6 daily, 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)
- 2021-10-12
-
2021-10-13
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: FairFree text: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-15
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-14
- 2021-11-19
-
2022-01-08
Survey response — 3 months, dose 2MedDRA: Polymorphic eruption of pregnancy — 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 · Emergency room or emergency department visit, HospitalizationFree text: 38 weeks pregnant, developed a PUPP rash all over my body, been taking medicine, feeling baby move less.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-08
Report sent to call center — 3 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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-01-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-17 | Pfizer-BioNTech | No |
| 2 | 2021-10-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-11 | Successful | Participant prefers to complete VAERS report online |
| 2022-01-08 | Successful 2022-01-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Systemic reaction (other): Increased anxiety
Release 9 — day 14, dose 1
Symptoms: Increased feeling of anxiousness
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Shortness of breath
Release 10 — 3 months, dose 2
Symptoms: 38 weeks pregnant, developed a PUPP rash all over my body, been taking medicine, feeling baby move less.
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 | Anxiety | · | · | ✓ |
| SD | Polymorphic eruption of pregnancy | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release