49Q-15295-83236
3 vaccinations
4 coded responses
32 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 852 / AZ
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Pfizer-BioNTech
-
2020-12-30
Registered in v-safe
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-05
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swelling near my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-18
-
2021-01-27
Dose 2 — Pfizer-BioNTech
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Abdominal painAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-12
- 2021-02-17
-
2021-02-23
Call successfulParticipant prefers to complete VAERS report online
- 2021-02-27
- 2021-03-07
- 2021-03-10
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Imaging procedure abnormal, Lymphadenopathy, Necrosis, Necrotic lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen lymph nodes with necrosis on imagingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-10-01
- 2021-10-02
- 2021-10-04
- 2021-10-11
- 2021-10-18
- 2021-10-26
- 2021-11-01
- 2021-11-11
-
2021-12-27
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Pregnancy, Premature labour, Premature separation of placenta — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Pre term labor, chronic placental abruption in a pregnancy starting shortly after the vaccine booster · Healthcare visit (other): Chronic placental abruption and pre term laborMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-27 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-11 | Successful 2021-02-23 |
Participant prefers to complete VAERS report online |
| 2021-04-28 | Unsuccessful | |
| 2022-03-28 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: Swelling near my neck
Release 8 — 3 months, dose 2
Symptoms: Swollen lymph nodes with necrosis on imaging
Release 10 — 3 months, dose 3
Symptoms: Cold symptoms
Release 11 — 6 months, dose 3
Symptoms: Pre term labor, chronic placental abruption in a pregnancy starting shortly after the vaccine booster
Healthcare visit (other): Chronic placental abruption and pre term labor
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 | Premature labour | · | · | ✓ |
| HCVO | Premature separation of placenta | · | · | ✓ |
| SD | Imaging procedure abnormal | ✓ | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Necrosis | ○ | ✓ | ○ |
| SD | Necrotic lymphadenopathy | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SD | Premature separation of placenta | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release