6WM-23092-66891
4 vaccinations
3 coded responses
44 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 282 / NC
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Pfizer-BioNTech
-
2021-02-10
Health check-in — day 0, dose 1Feeling: Fair · Fever · Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-19
- 2021-02-24
- 2021-03-03
-
2021-03-05
Dose 2 — Pfizer-BioNTech
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pollakiuria — Feeling: GoodFree text: This may sound odd but I do want to report that the night of my vaccine I had to go to the bathroom every 10 minutes to urinate. It finally subsided by noon the following day. I dont have any issues with my kidneysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Constipation, Emergency care — Feeling: Poor · Be unable to workFree text: Went to the ER Monday due to severe upper abdominal pain and severe constipation. Went to Urgent Care Wednesday because I was worried that the ER doctor didnt sufficiently explain what was going on. Ill see my PCP Monday. Tender around my liverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 42, dose 2MedDRA: Biliary colic — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Had a gallbladder attack and gall stones were confirmed. No infection; no surgery required.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Report sent to call center — day 42, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-04
- 2021-09-03
-
2021-09-21
Dose 3 — Pfizer-BioNTech
-
2021-09-22
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-09-26
- 2021-09-27
- 2021-09-28
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-11-02
- 2021-12-21
- 2021-12-21
-
2021-12-22
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-22
-
2022-04-08
Dose 4 — Moderna
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Pfizer-BioNTech | |
| 2 | 2021-03-05 | Pfizer-BioNTech | |
| 3 | 2021-09-21 | Pfizer-BioNTech | No |
| 4 | 2022-04-08 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): This may sound odd but I do want to report that the night of my vaccine I had to go to the bathroom every 10 minutes to urinate. It finally subsided by noon the following day. I dont have any issues with my kidneys
Release 6 — day 14, dose 2
Symptoms: Went to the ER Monday due to severe upper abdominal pain and severe constipation. Went to Urgent Care Wednesday because I was worried that the ER doctor didnt sufficiently explain what was going on. Ill see my PCP Monday. Tender around my liver
Release 7 — day 42, dose 2
Symptoms: Had a gallbladder attack and gall stones were confirmed. No infection; no surgery required.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Biliary colic | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release