6Z2-69078-43628
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 070 / NJ
- Registered
- 2021-05-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Pfizer-BioNTech
-
2021-05-07
Registered in v-safe
-
2021-05-07
Dose 2 — Pfizer-BioNTech
-
2021-05-07
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-06
-
2021-06-20
Survey response — day 42, dose 2MedDRA: Chest pain — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Chest painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-20
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-28
- 2021-08-06
-
2021-11-05
Survey response — 6 months, dose 2MedDRA: Laboratory test abnormal — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I tested positive again.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-11-08
-
2021-11-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-07
Survey response — 12 months, dose 2MedDRA: COVID-19, Nasopharyngitis, Sinusitis — Feeling: Poor · 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: I've had Covid again and sinus infections and head colds in between.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-07
Report sent to call center — 12 months, dose 2Be 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)
- 2022-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Pfizer-BioNTech | |
| 2 | 2021-05-07 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-20 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-11-05 | Successful 2021-11-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-05-07 | Unsuccessful |
Free text
Release 9 — day 42, dose 2
Symptoms: Chest pains
Release 10 — 6 months, dose 2
Symptoms: I tested positive again.
Release 11 — 12 months, dose 2
Symptoms: I've had Covid again and sinus infections and head colds in between.
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 | Chest pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release