6TM-17114-59857
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 307 / GA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Pfizer-BioNTech
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Pfizer-BioNTech
-
2021-03-18
Survey response — day 0, dose 2MedDRA: Throat tightness — Feeling: Good · Site: Pain · Fever · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Tight throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-16
-
2021-09-24
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-09-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-26
- 2021-09-27
- 2021-09-28
- 2021-09-29
- 2021-09-30
-
2021-10-01
Survey response — day 7, dose 3MedDRA: Bronchitis — Feeling: Fair · Fever · Fatigue or tirednessFree text: BronchitisMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — day 14, dose 3MedDRA: Pneumonia — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: PneumoniaMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-15
Survey response — day 21, dose 3MedDRA: COVID-19 pneumonia — 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 · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: COVID pneumoniaMedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-18
-
2021-10-22
Survey response — day 28, dose 3MedDRA: COVID-19 pneumonia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Recovering from COVID pneumoniaMedDRA releases: 2024-11 · check-in free text available
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2021-10-22
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-27
- 2021-10-29
- 2021-11-05
- 2021-12-24
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2022-03-25
Survey response — 6 months, dose 3MedDRA: COVID-19, Ectopic pregnancy — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: COVID, ectopic pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-03-25
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-03-28
Call successfulDoes not wish to fill out VAERS report
- 2022-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Pfizer-BioNTech | |
| 2 | 2021-03-18 | Pfizer-BioNTech | |
| 3 | 2021-09-24 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-08 | Successful 2021-10-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-15 | Successful | Does not wish to fill out VAERS report |
| 2021-10-22 | Successful | Does not wish to fill out VAERS report |
| 2022-03-25 | Successful 2022-03-28 |
Does not wish to fill out VAERS report |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Tight throat
Release 9 — day 7, dose 3
Systemic reaction (other): Bronchitis
Release 10 — day 14, dose 3
Symptoms: Pneumonia
Release 10 — day 21, dose 3
Symptoms: COVID pneumonia
Release 10 — day 28, dose 3
Symptoms: Recovering from COVID pneumonia
Release 11 — 6 months, dose 3
Symptoms: COVID, ectopic pregnancy
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 | COVID-19 | · | · | ✓ |
| SD | COVID-19 pneumonia | · | · | ✓ |
| SD | Ectopic pregnancy | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SRO | Bronchitis | · | · | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release