4Z2-10471-20943
5 vaccinations
7 coded responses
44 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 211 / MD
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Pfizer-BioNTech
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
-
2021-01-13
Dose 2 — Pfizer-BioNTech
-
2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort, Injection site reaction — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · 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: Dr gave me antibiotic so injection site doesnt turn into cellulitis. & Im on the verge of a headache that doesnt actually become a headache. Itll start then stop right away. Still glad I got the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-24
Survey response — day 7, dose 2MedDRA: Injection site nodule — Feeling: Good · Site: Redness, SwellingFree text: A small knot at injection site. Better than having Covid, though!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-14
-
2021-03-15
Call successfulParticipant prefers to complete VAERS report online
- 2021-04-14
- 2021-07-14
-
2021-09-26
Dose 3 — Pfizer-BioNTech
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-10
- 2021-10-17
- 2021-10-24
- 2021-11-01
- 2021-11-08
- 2021-12-26
- 2022-03-27
-
2022-04-03
Dose 4 — Pfizer-BioNTech
-
2022-04-15
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NopeMedDRA releases: 2024-11 · check-in free text available
- 2022-04-17
- 2022-04-24
- 2022-05-01
- 2022-05-09
-
2022-05-15
Survey response — day 42, dose 4MedDRA: Bronchitis, SARS-CoV-2 test negative — 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 consultationFree text: I caught bronchitis (NOT Covid related & am Covid NEGATIVE)MedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Report sent to call center — day 42, dose 4Be 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)
- 2022-05-17
- 2022-05-17
- 2022-07-05
-
2022-09-19
Dose 5 — Pfizer-BioNTech
-
2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-09-21
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: I'm good & glad to be here!MedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-25
- 2022-09-26
- 2022-10-03
- 2022-10-17
- 2022-10-24
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2022-11-01
Survey response — day 42, dose 5MedDRA: Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Seasonal allergies. Had COVID test and it was NEGATIVE.MedDRA releases: 2024-11 · check-in free text available
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2022-11-01
Report sent to call center — day 42, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-11-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-03 | Pfizer-BioNTech | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Dr gave me antibiotic so injection site doesnt turn into cellulitis. & Im on the verge of a headache that doesnt actually become a headache. Itll start then stop right away. Still glad I got the vaccine.
Release 2 — day 7, dose 2
Systemic reaction (other): A small knot at injection site. Better than having Covid, though!
Release 11 — day 7, dose 4
Systemic reaction (other): Nope
Release 11 — day 42, dose 4
Symptoms: I caught bronchitis (NOT Covid related & am Covid NEGATIVE)
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): I'm good & glad to be here!
Release 12 — day 42, dose 5
Symptoms: Seasonal allergies. Had COVID test and it was NEGATIVE.
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 | Bronchitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release