69W-22532-23193
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 276 / NC
- Registered
- 2021-07-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-07
Registered in v-safe
-
2021-07-07
Dose 1 — Pfizer-BioNTech
- 2021-07-07
- 2021-07-08
- 2021-07-09
- 2021-07-10
- 2021-07-11
- 2021-07-12
- 2021-07-13
- 2021-07-14
- 2021-07-21
- 2021-07-28
- 2021-08-04
-
2021-08-05
Dose 2 — Pfizer-BioNTech
- 2021-08-05
-
2021-08-06
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Just a little tired, but not much.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-07
- 2021-08-08
-
2021-08-09
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Tension — Feeling: Fair · HeadacheFree text: Not sure this headache is vaccine related. Tension in forehead.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-10
- 2021-08-11
- 2021-08-12
- 2021-08-19
- 2021-08-27
- 2021-09-03
- 2021-09-09
- 2021-09-16
-
2021-11-04
Survey response — 3 months, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: Increase in tinnitus that has continued for a few weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
Survey response — 6 months, dose 2MedDRA: COVID-19, Fatigue, Myalgia, Thyroiditis subacute — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid! Muscle aches, fatigue, subacute thyroiditis. Those were all my symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-06
Survey response — 12 months, dose 2MedDRA: Bladder disorder, COVID-19, Irritable bowel syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Issues with IBS and bladder that started after Covid.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-06
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-15
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-07 | Pfizer-BioNTech | No |
| 2 | 2021-08-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-06 | Successful 2022-08-15 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Just a little tired, but not much.
Systemic reaction (other): Not sure this headache is vaccine related. Tension in forehead.
Release 10 — 3 months, dose 2
Symptoms: Increase in tinnitus that has continued for a few weeks.
Release 11 — 6 months, dose 2
Symptoms: Covid! Muscle aches, fatigue, subacute thyroiditis. Those were all my symptoms.
Release 12 — 12 months, dose 2
Symptoms: Issues with IBS and bladder that started after Covid.
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 | Bladder disorder | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Thyroiditis subacute | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Tension | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release