49Q-21305-86570
3 vaccinations
4 coded responses
40 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Pfizer-BioNTech
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tirednessAdult check-in
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
-
2021-01-29
Dose 2 — Pfizer-BioNTech
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-05-02
- 2021-07-30
-
2021-10-28
Dose 3 — Pfizer-BioNTech
-
2021-10-28
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body achesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Fair · Site: Pain, SwellingFree text: Arm pit swelling & pain (same side as injection)MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: GoodFree text: Mild swelling/tender under armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-27
- 2021-12-02
- 2021-12-09
-
2022-01-27
Survey response — 3 months, dose 3MedDRA: Fatigue, Feeling cold, Myalgia — Feeling: Good · Be unable to work or attend schoolFree text: Had COVID symptoms x1 week (cold, fatigue, muscle aches)MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
-
2022-10-28
Survey response — 12 months, dose 3MedDRA: Office visit, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itchy rash · Healthcare visit (other): Dermatologist officeMedDRA releases: 2024-11 · check-in free text available
-
2022-10-28
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-01
-
2022-11-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Pfizer-BioNTech | |
| 2 | 2021-01-29 | Pfizer-BioNTech | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-28 | Successful 2022-11-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Arm pit swelling & pain (same side as injection)
Systemic reaction (other): Mild swelling/tender under armpit
Release 11 — 3 months, dose 3
Symptoms: Had COVID symptoms x1 week (cold, fatigue, muscle aches)
Release 12 — 12 months, dose 3
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 | Office visit | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release