4XU-10789-56941
4 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 946 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
-
2021-03-19
Registered in v-safe
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, DiarrheaAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-25
Health check-in — day 7, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
-
2021-04-08
Dose 2 — Pfizer-BioNTech
-
2021-04-08
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
-
2021-04-15
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
-
2021-05-01
Survey response — day 21, dose 2MedDRA: Blood urine, Blood urine present, Culture urine negative, Laboratory test, Lower urinary tract symptoms, Unevaluable event, Urinary tract infection — Feeling: Fair · Be unable to work, 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: Blood in urine, UTI symptoms but a negative urine culture · Healthcare visit (other): Lab testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-13
Survey response — day 35, dose 2MedDRA: Blood glucose increased, Pollakiuria — Feeling: GoodFree text: Continued urinary frequency. High blood sugarMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-08
-
2021-10-15
Dose 3 — Pfizer-BioNTech
- 2022-05-04
- 2022-05-05
-
2022-09-14
Dose 4 — Pfizer-BioNTech
- 2022-09-18
-
2022-10-26
Survey response — day 42, dose 4MedDRA: Bronchitis, Cough — Feeling: Good · 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: Cough, bronchitisMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-27
Call successfulDoes not wish to fill out VAERS report
-
2022-10-27
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 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech | |
| 3 | 2021-10-15 | Pfizer-BioNTech | No |
| 4 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-01 | Successful 2022-10-27 |
Does not wish to fill out VAERS report |
| 2022-10-26 | Successful 2022-10-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 8 — day 21, dose 2
Symptoms: Blood in urine, UTI symptoms but a negative urine culture
Healthcare visit (other): Lab test
Release 8 — day 35, dose 2
Symptoms: Continued urinary frequency. High blood sugar
Release 12 — day 42, dose 4
Symptoms: Cough, bronchitis
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 | Laboratory test | ○ | ✓ | ○ |
| HCVO | Unevaluable event | ✓ | · | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Blood urine | ○ | ✓ | ○ |
| SD | Blood urine present | ✓ | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Culture urine negative | ○ | ✓ | ○ |
| SD | Lower urinary tract symptoms | ✓ | · | ✓ |
| SD | Pollakiuria | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release