4HC-29168-05169
4 vaccinations
7 coded responses
46 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 800 / CO
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
JXY-24982-19051
Child or adolescent in my care · Female · 2021-11-10
6TB-15669-98681
Child or adolescent in my care · Male · 2022-01-16
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Pfizer-BioNTech
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Chills, Fatigue or tirednessFree text: Unsettled stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
-
2021-04-24
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Sudden dizziness and lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Dose 2 — Pfizer-BioNTech
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: Not diarrhea but stomach feeling unsettledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
-
2021-05-08
Survey response — day 7, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: Unsettled stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-08-02
- 2021-10-30
-
2021-11-10
Dose 3 — Pfizer-BioNTech
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-24
- 2021-12-01
-
2021-12-10
Survey response — day 28, dose 3MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Light headednessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-24
- 2022-02-09
-
2022-05-11
Survey response — 6 months, dose 3MedDRA: Adverse reaction, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Tested positive for covid end of March and have experienced post-covid health concerns since.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Report sent to call center — 6 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-12
Call successfulParticipant prefers to complete VAERS report online
-
2022-10-20
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-10
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-03
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Pfizer-BioNTech | |
| 2 | 2021-05-01 | Pfizer-BioNTech | |
| 3 | 2021-11-10 | Pfizer-BioNTech | No |
| 4 | 2022-10-20 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-11 | Successful 2022-05-12 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Unsettled stomach
Release 7 — day 14, dose 1
Symptoms: Sudden dizziness and lightheadedness
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Not diarrhea but stomach feeling unsettled
Release 8 — day 7, dose 2
Systemic reaction (other): Unsettled stomach
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny nose, sore throat
Release 10 — day 28, dose 3
Symptoms: Light headedness
Release 11 — 6 months, dose 3
Symptoms: Tested positive for covid end of March and have experienced post-covid health concerns since.
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 | Adverse reaction | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release