5CL-17224-53715
3 vaccinations
5 coded responses
29 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Pfizer-BioNTech
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-26
Dose 2 — Pfizer-BioNTech
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-12
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
-
2021-10-29
Dose 3 — Pfizer-BioNTech
-
2021-11-01
Survey response — 6 months, dose 2MedDRA: Hysterectomy, Office visit, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hysterectomy surgery · Healthcare visit (other): Outpatient surgwryMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Contusion, Epistaxis — Feeling: GoodFree text: Bloody nose, bruises on bodyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Chest pain, Cough — Feeling: FairFree text: Dry Cough, chest pain/tightness when coughingMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Call successfulParticipant prefers to complete VAERS report online
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain, Cough, Oropharyngeal pain — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, chest pain, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Fever · Headache, 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 · Outpatient clinic or urgent care clinic visitFree text: Sore throat, dry coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-11
- 2021-11-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-26 | Pfizer-BioNTech | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-01 | Successful 2021-11-02 |
Participant prefers to complete VAERS report online |
| 2021-11-04 | Unsuccessful |
Free text
Release 10 — 6 months, dose 2
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Bloody nose, bruises on body
Systemic reaction (other): Dry Cough, chest pain/tightness when coughing
Systemic reaction (other): Cough, chest pain, sore throat
Systemic reaction (other): Sore throat, dry cough
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 | Office visit | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Hysterectomy | · | · | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release