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73U-17121-34870

3 vaccinations 4 coded responses 19 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
604 / IL
Registered
2021-04-23
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-23
    Registered in v-safe
  3. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-04-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness
    Free text: Sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-04-28
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-05-05
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Heart rate increased, Pain in extremity — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Increased heart rate, pain in arm and chest. Happened on Monday for about 30 minutes then stopped.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-05
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-05-10
    Dose 2 — Pfizer-BioNTech
  10. 2021-05-10
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  11. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  13. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-24
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-09
    Survey response — 3 months, dose 2
    MedDRA: Bronchitis, Cerebrospinal fluid leakage — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Csf leakAcute bronchitis
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  23. 2021-08-09
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  24. 2021-08-11
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  25. 2021-11-08
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-11-16
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Pfizer-BioNTech
22021-05-10Pfizer-BioNTech
32021-11-16Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-05 Successful Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-08-09 Successful
2021-08-11
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-24

Systemic reaction (other): Sweating

Release 8 — day 14, dose 1

2021-05-05

Symptoms: Increased heart rate, pain in arm and chest. Happened on Monday for about 30 minutes then stopped.

Release 8 — day 14, dose 2

2021-05-24

Symptoms: Headache

Release 9 — 3 months, dose 2

2021-08-09

Symptoms: Csf leakAcute bronchitis

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

FieldPreferred term2021-092023-042024-11
SDBronchitis ✓ · ✓
SDCerebrospinal fluid leakage ✓ · ✓
SDChest pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release