6W9-18129-48220
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 754 / TX
- Registered
- 2021-08-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-04
Registered in v-safe
-
2021-08-04
Dose 1 — Pfizer-BioNTechCo-administered: Tetanus
- 2021-08-04
-
2021-08-05
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Arm sorenessMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-06
-
2021-08-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-08-08
-
2021-08-09
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-10
- 2021-08-11
- 2021-08-18
- 2021-08-25
-
2021-09-01
Dose 2 — Pfizer-BioNTech
- 2021-09-01
-
2021-09-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-09-03
- 2021-09-04
- 2021-09-05
- 2021-09-06
- 2021-09-07
- 2021-09-08
- 2021-09-15
- 2021-09-22
- 2021-09-29
-
2021-10-06
Survey response — day 35, dose 2MedDRA: Ventricular extrasystoles — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Diagnosed with pvc'sMedDRA releases: 2024-11 · check-in free text available
-
2021-10-06
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-08
- 2021-10-13
- 2021-12-01
-
2022-03-02
Survey response — 6 months, dose 2MedDRA: COVID-19, Dizziness — Feeling: GoodFree text: Had covid at the end of december eqrly January and now experience dizzinessMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-04 | Pfizer-BioNTech | Tetanus |
| 2 | 2021-09-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-06 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Arm soreness
Systemic reaction (other): Sore throat
Release 10 — day 35, dose 2
Symptoms: Diagnosed with pvc's
Release 11 — 6 months, dose 2
Symptoms: Had covid at the end of december eqrly January and now experience dizziness
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 | Dizziness | · | · | ✓ |
| SD | Ventricular extrasystoles | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release