6RG-46134-72869
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 100 / NY
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Pfizer-BioNTech
-
2021-03-24
Registered in v-safe
- 2021-03-24
- 2021-03-25
- 2021-04-01
-
2021-04-08
Dose 2 — Pfizer-BioNTech
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-15
- 2021-05-20
- 2021-07-10
- 2021-10-08
-
2021-11-18
Dose 3 — Moderna
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Photophobia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sensitive to lightMedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Aura, Vision blurred — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Blurred vision -aurasMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Aura — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vision aurasMedDRA releases: 2024-11 · check-in free text available
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, VomitingAdult check-in
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Aura — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Vision - aurasMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-25
Health check-in — day 7, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
-
2022-05-19
Survey response — 6 months, dose 3MedDRA: Brain fog, Cough, Upper-airway cough syndrome — 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 · Outpatient clinic or urgent care clinic visitFree text: Post nasal drip brain fog coughMedDRA releases: 2024-11 · check-in free text available
-
2022-05-19
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)
-
2022-05-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Pfizer-BioNTech | |
| 2 | 2021-04-08 | Pfizer-BioNTech | |
| 3 | 2021-11-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-19 | Successful 2022-05-20 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sensitive to light
Systemic reaction (other): Blurred vision -auras
Systemic reaction (other): Vision auras
Systemic reaction (other): Vision - auras
Release 11 — 6 months, dose 3
Symptoms: Post nasal drip brain fog 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 |
|---|---|---|---|---|
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Aura | · | · | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release