4JB-20382-86132
3 vaccinations
5 coded responses
31 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 078 / NJ
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Pfizer-BioNTech
-
2021-01-31
Registered in v-safe
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · DiarrheaAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-05
-
2021-02-06
Survey response — day 7, dose 1MedDRA: Medical counselling, Oropharyngeal pain — Feeling: Poor · Headache · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Sore throat · Healthcare visit (other): Covid rapid test- tested negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-13
-
2021-02-20
Dose 2 — Pfizer-BioNTech
- 2021-02-20
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-15
- 2021-03-22
- 2021-04-03
- 2021-05-22
- 2021-07-14
- 2021-08-21
-
2021-10-02
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin feels warm at injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · 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 consultationFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Report sent to call center — days 1–6 daily, 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)
-
2021-10-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-07
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-09
Health check-in — day 7, dose 3Feeling: Good · Site: Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-10-16
- 2021-10-24
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2021-10-30
Survey response — day 28, dose 3MedDRA: Abdominal discomfort, Diarrhoea, Nausea — Feeling: FairFree text: Upset stomach / diarrhea / nauseaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
-
2022-04-02
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Dyspnoea, Nasal congestion, Unevaluable event — Feeling: Poor · 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 consultationFree text: Symptoms: Covid, difficulty breathing, throat, chest, cough, congestion in nose · Healthcare visit (other): Chest X-rayMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
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 · 1 call case(s)
- 2022-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Pfizer-BioNTech | |
| 2 | 2021-02-20 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-06 | Unsuccessful | |
| 2021-10-05 | Unsuccessful | |
| 2022-04-02 | Unsuccessful |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Sore throat
Healthcare visit (other): Covid rapid test- tested negative
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Skin feels warm at injection site
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
Release 10 — day 28, dose 3
Symptoms: Upset stomach / diarrhea / nausea
Release 11 — 6 months, dose 3
Symptoms: Covid, difficulty breathing, throat, chest, cough, congestion in nose
Healthcare visit (other): Chest X-ray
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release