54H-17776-10599
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 460 / IN
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Pfizer-BioNTech
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-18
-
2021-03-25
Dose 2 — Pfizer-BioNTech
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-04-29
Survey response — day 35, dose 2MedDRA: Ear congestion, Ear discomfort — Feeling: GoodFree text: Ear fullness/congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Survey response — day 42, dose 2MedDRA: Ear discomfort, Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat, headache, sinus congestion, ear discomfort, fatigue · Healthcare visit (other): Outpatient COVID test today - results pendingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
- 2021-06-24
- 2021-09-23
-
2022-03-29
Survey response — 12 months, dose 2MedDRA: Pre-existing disease, Rash, Suspected COVID-19 — Feeling: GoodFree text: Suspected COVID and post-COVID systemic rashMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Pfizer-BioNTech | |
| 2 | 2021-03-25 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-06 | Unsuccessful |
Free text
Release 8 — day 35, dose 2
Symptoms: Ear fullness/congestion
Release 8 — day 42, dose 2
Symptoms: Sore throat, headache, sinus congestion, ear discomfort, fatigue
Healthcare visit (other): Outpatient COVID test today - results pending
Release 11 — 12 months, dose 2
Symptoms: Suspected COVID and post-COVID systemic rash
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Ear congestion | ✓ | ✓ | ✓ |
| SD | Ear discomfort | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Suspected COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release