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4YC-31775-13394

4 vaccinations 4 coded responses 17 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
981 / WA
Registered
2021-05-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
3P7-30681-45724 Child or adolescent in my care · Female · 2022-06-20
HKV-28711-78270 Child or adolescent in my care · Male · 2022-06-20
CAT-27055-21436 Child or adolescent in my care · Female · 2022-06-20

Timeline

  1. 2021-04-15
    Dose 1 — Pfizer-BioNTech
  2. 2021-05-06
    Dose 2 — Pfizer-BioNTech
  3. 2021-05-09
    Registered in v-safe
  4. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pain in extremity, Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Had rash on neck I didnt connect to report previous few days. Since I forgot to sign up sooner wanted to add only sore arm for first shot but much fatigue and body sensitivity in first days after dose 2
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-05-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-05-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-17
    Survey response — day 42, dose 2
    MedDRA: Lethargy, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, Sneezing, Tenderness — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Stuffy nose, sneezing, sore throat, lethargy and sensitivity to touch (rode on a plane, likely a cold)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-12-06
    Dose 3 — Pfizer-BioNTech
  17. 2022-05-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-09-24
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  19. 2022-11-02
    Survey response — day 35, dose 4
    MedDRA: Axillary pain, Office visit, Pruritus, Rash, Sensitive skin — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Armpit itch and pain bilaterally, rash and sensitivity on trunk - I thought I had shingles but urgent care thinks it's vaccine reaction
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-11-02
    Report sent to call center — day 35, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  21. 2022-11-03
    Call successful
    Participant prefers to complete VAERS report online
  22. 2022-11-07
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  23. 2022-12-24
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  24. 2023-03-26
    Survey response — 6 months, dose 4
    MedDRA: Antinuclear antibody positive, Laboratory test abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  25. 2023-03-26
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2023-03-27
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Pfizer-BioNTech
22021-05-06Pfizer-BioNTech
32021-12-06Pfizer-BioNTech No
42022-09-24Pfizer-BioNTech Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): Had rash on neck I didnt connect to report previous few days. Since I forgot to sign up sooner wanted to add only sore arm for first shot but much fatigue and body sensitivity in first days after dose 2

Release 9 — day 42, dose 2

2021-06-17

Symptoms: Stuffy nose, sneezing, sore throat, lethargy and sensitivity to touch (rode on a plane, likely a cold)

Release 12 — day 35, dose 4

2022-11-02

Symptoms: Armpit itch and pain bilaterally, rash and sensitivity on trunk - I thought I had shingles but urgent care thinks it's vaccine reaction

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

FieldPreferred term2021-092023-042024-11
SDAntinuclear antibody positive · · ✓
SDAxillary pain · · ✓
SDLaboratory test abnormal · · ✓
SDLethargy ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOffice visit · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPruritus · · ✓
SDRash · · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSensitive skin · · ✓
SDSneezing ✓ ✓ ✓
SDTenderness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SRORash ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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