7P5-18066-97703
4 vaccinations
3 coded responses
47 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 208 / MD
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Pfizer-BioNTech
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-22
Dose 2 — Pfizer-BioNTech
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-04-25
-
2021-07-23
Survey response — 6 months, dose 2MedDRA: Ear infection, Vertigo — Feeling: Poor · 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: Vertigo, unilateral otitisMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-23
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)
- 2021-07-29
-
2021-10-30
Dose 3 — ModernaCo-administered: Flu
- 2021-10-31
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: FairFree text: Ipsilateral axillary tenderness and swellingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-04-30
-
2022-05-23
Dose 4 — ModernaCo-administered: Tetanus
-
2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-05-29
- 2022-06-01
- 2022-06-06
-
2022-06-13
Survey response — day 21, dose 4MedDRA: Gestational hypertension, Pre-eclampsia — 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 · HospitalizationFree text: Pregnancy-induced hypertension/preeclampsia with severe featuresMedDRA releases: 2024-11 · check-in free text available
-
2022-06-13
Report sent to call center — day 21, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-06-14
- 2022-06-14
- 2022-06-20
- 2022-06-27
- 2022-07-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech | |
| 3 | 2021-10-30 | Moderna | Flu |
| 4 | 2022-05-23 | Moderna | Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-23 | Unsuccessful | |
| 2022-06-13 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Vertigo, unilateral otitis
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Ipsilateral axillary tenderness and swelling
Release 12 — day 21, dose 4
Symptoms: Pregnancy-induced hypertension/preeclampsia with severe features
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 | Ear infection | ✓ | · | ✓ |
| SD | Gestational hypertension | · | · | ✓ |
| SD | Pre-eclampsia | · | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release