742-88074-16815
3 vaccinations
4 coded responses
29 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 076 / NJ
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Dose 1 — Pfizer-BioNTech
-
2021-03-07
Registered in v-safe
-
2021-03-07
Dose 2 — Pfizer-BioNTech
-
2021-03-07
Health check-in — day 0, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-06
- 2021-04-11
-
2021-04-18
Survey response — day 42, dose 2MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Congestion, sore throat, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
-
2021-09-05
Survey response — 6 months, dose 2MedDRA: Chills, Diarrhoea, Gastrointestinal disorder, Pain, Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: GI issues, diarrhea, fever, chills, achesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-05
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-10-06
- 2021-10-08
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
-
2021-10-19
Survey response — day 14, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: ColdMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2022-01-04
- 2022-04-05
-
2022-10-05
Survey response — 12 months, dose 3MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnant · Healthcare visit (other): Doctor apptMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-10-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Pfizer-BioNTech | |
| 2 | 2021-03-07 | Pfizer-BioNTech | |
| 3 | 2021-10-05 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-05 | Successful 2022-10-06 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — day 42, dose 2
Symptoms: Congestion, sore throat, headache
Release 9 — 6 months, dose 2
Symptoms: GI issues, diarrhea, fever, chills, aches
Release 10 — day 14, dose 3
Symptoms: Cold
Release 12 — 12 months, dose 3
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 | Chills | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release