4AH-28914-65479
3 vaccinations
3 coded responses
39 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 421 / KY
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Pfizer-BioNTech
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
-
2021-03-25
Survey response — day 21, dose 1MedDRA: Nasal congestion, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Sinus pain — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus pain and pressure, stuffy nose, sore throat, body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2022-01-08
Dose 3 — Pfizer-BioNTech
- 2022-01-08
-
2022-01-09
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, Vomiting, DiarrheaAdult check-in
- 2022-01-11
- 2022-01-12
- 2022-01-14
- 2022-01-15
- 2022-01-22
- 2022-01-29
- 2022-02-05
- 2022-02-12
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2022-02-19
Survey response — day 42, dose 3MedDRA: Abdominal pain upper, Diarrhoea, Dyspnoea, Heart rate increased, Muscle spasms — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Stomach ache, muscle cramps, diarrhea, shortness of breadth, and heightened heart rate.MedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Report sent to call center — day 42, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-24
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2022-02-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-09
- 2022-07-09
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2023-01-08
Survey response — 12 months, dose 3MedDRA: Cough, Dyspnoea, Pain, Pyrexia — 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 consultationMedDRA releases: 2024-11
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2023-01-08
Report sent to call center — 12 months, dose 3Be 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)
- 2023-01-09
- 2023-01-13
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2023-01-13
Callback requested for11:00AM ET
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2022-01-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-19 | Successful 2022-02-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-01-08 | Unsuccessful |
Free text
Release 6 — day 21, dose 1
Symptoms: Sinus pain and pressure, stuffy nose, sore throat, body aches.
Release 11 — day 42, dose 3
Symptoms: Stomach ache, muscle cramps, diarrhea, shortness of breadth, and heightened heart rate.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release