774-13289-61190
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 988 / WA
- Registered
- 2020-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-19
Registered in v-safe
-
2020-12-19
Dose 1 — Pfizer-BioNTech
- 2020-12-20
-
2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · Site: Pain · FeverFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-26
- 2021-01-02
- 2021-01-09
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-04-12
-
2021-07-12
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Pregnancy — 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 visitFree text: Pregnancy and subsequent miscarriage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-12
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 pr1 call case(s)
- 2021-07-14
-
2021-10-02
Dose 3 — Pfizer-BioNTech
-
2021-10-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-05
- 2021-10-07
- 2021-10-08
- 2021-10-09
- 2021-10-17
- 2021-10-23
- 2021-10-30
- 2021-11-06
- 2022-01-03
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2022-04-02
Survey response — 6 months, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, nasal congestion, mild cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Fair · 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: Covid infection 8/31/22 PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-04
Report sent to call center — 12 months, dose 3Be 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)
- 2022-10-05
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-10-02 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | priority 2/3 | |
| 2021-07-12 | Unsuccessful | |
| 2022-10-04 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Insomnia
Release 9 — 6 months, dose 2
Symptoms: Pregnancy and subsequent miscarriage.
Release 11 — 6 months, dose 3
Symptoms: Sore throat, nasal congestion, mild cough.
Release 12 — 12 months, dose 3
Symptoms: Covid infection 8/31/22 Pregnancy
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 | Abortion spontaneous | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release