629-31773-28236
3 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 989 / WA
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-25
Dose 1 — Pfizer-BioNTech
-
2021-04-26
Registered in v-safe
- 2021-04-26
- 2021-04-29
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-09
-
2021-05-15
Dose 2 — Pfizer-BioNTech
- 2021-05-16
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: This was yesterday after I filled out my report. Today I am good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-19
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-29
-
2021-06-05
Survey response — day 21, dose 2MedDRA: Oropharyngeal pain, Pain — Feeling: FairFree text: Sore throat, body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-06-22
- 2021-06-26
-
2021-08-14
Survey response — 3 months, dose 2MedDRA: Chest discomfort, Cough, Headache, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Snuffy nose, cough, chest tightness, headache, sore throat.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-14
-
2021-12-15
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-06-17
Survey response — 6 months, dose 3MedDRA: Influenza — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Influenza AMedDRA releases: 2024-11 · check-in free text available
-
2022-06-17
Report sent to call center — 6 months, 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)
- 2022-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-25 | Pfizer-BioNTech | |
| 2 | 2021-05-15 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-17 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): This was yesterday after I filled out my report. Today I am good.
Release 8 — day 21, dose 2
Symptoms: Sore throat, body aches
Release 9 — 3 months, dose 2
Symptoms: Snuffy nose, cough, chest tightness, headache, sore throat.
Release 12 — 6 months, dose 3
Symptoms: Influenza A
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 | Chest discomfort | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release