7FV-37961-21419
2 vaccinations
2 coded responses
8 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 641 / MO
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 2 — Pfizer-BioNTech
-
2021-01-13
Survey response — day 0, dose 2MedDRA: Chest discomfort, Cough — Feeling: Fair · Site: PainFree text: Mild cough/chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-15
- 2021-01-16
-
2021-01-17
Survey response — days 1–6 daily, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: GoodFree text: Results returned + for CV19 (my 2yo tested + on 1/14 and he had a known exposure last on 1/5)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
-
2021-02-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-17
- 2022-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-13 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | Successful 2021-02-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 0, dose 2
Systemic reaction (other): Mild cough/chest tightness
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Results returned + for CV19 (my 2yo tested + on 1/14 and he had a known exposure last on 1/5)
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 |
|---|---|---|---|---|
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release