6XT-11000-37768
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-01
Registered in v-safe
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-07
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
- 2021-03-25
- 2021-03-26
-
2021-04-02
Survey response — day 14, dose 2MedDRA: Body temperature increased, Fatigue, Paraesthesia, SARS-CoV-2 test negative — Feeling: GoodFree text: Mild temperature increase 1 degree above normal. Pulse ox 98. Mild Fatigue and skin tingling Symptoms like the start of a cold enough to get a COVID-19 quick test today, which was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-16
- 2021-04-26
- 2021-05-02
- 2021-06-20
- 2021-09-19
-
2022-03-20
Survey response — 12 months, dose 2MedDRA: Chest pain, Dyspnoea, Echocardiogram abnormal, Office visit, Pericardial effusion — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had an Echocardiogram in July which noticed trace pericardial effusion. I had it done because I reported intermittent chest pain &mild SOB in April/May. I needed to be cleared for GYN surgery in Aug, which I was.I had no previous cardiac history. · Healthcare visit (other): Cardiologist evaluationMedDRA releases: 2024-11 · check-in free text available
-
2022-03-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 2
Symptoms: Mild temperature increase 1 degree above normal. Pulse ox 98. Mild Fatigue and skin tingling Symptoms like the start of a cold enough to get a COVID-19 quick test today, which was negative.
Release 11 — 12 months, dose 2
Symptoms: I had an Echocardiogram in July which noticed trace pericardial effusion. I had it done because I reported intermittent chest pain &mild SOB in April/May. I needed to be cleared for GYN surgery in Aug, which I was.I had no previous cardiac history. cut off by CDC
Healthcare visit (other): Cardiologist evaluation
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Echocardiogram abnormal | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pericardial effusion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release