77C-28331-55165
4 vaccinations
4 coded responses
30 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 373 / TN
- Registered
- 2021-04-24
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Pfizer-BioNTech
-
2021-04-22
Dose 2 — Pfizer-BioNTech
-
2021-04-24
Registered in v-safe
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Vomiting, DiarrheaAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
-
2021-05-13
Survey response — day 21, dose 2MedDRA: Feeling hot, Pyrexia — Feeling: GoodFree text: Feeling my body as I have a low fever most part of the day. But my body temperature is normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — day 28, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: Abnormal period time and flow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-03
- 2021-07-24
- 2021-10-21
-
2021-11-30
Dose 3 — Pfizer-BioNTech
-
2021-12-01
Survey response — days 1–6 daily, dose 3MedDRA: Disorientation — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesFree text: Time DisorientedMedDRA releases: 2024-11 · check-in free text available
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-03-01
- 2022-05-31
-
2022-10-21
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-30
-
2023-01-20
Survey response — 3 months, dose 4MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-01-20
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-23
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-11-30 | Pfizer-BioNTech | No |
| 4 | 2022-10-21 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-01-20 | Unsuccessful |
Free text
Release 8 — day 21, dose 2
Symptoms: Feeling my body as I have a low fever most part of the day. But my body temperature is normal.
Release 8 — day 28, dose 2
Symptoms: Abnormal period time and flow.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Time Disoriented
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 | COVID-19 | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Menstruation irregular | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ○ |
| SRO | Disorientation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release