7UE-17103-39711
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 925 / CA
- Registered
- 2021-05-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-05-28
Registered in v-safe
-
2021-05-28
Dose 1 — Pfizer-BioNTech
- 2021-05-28
- 2021-05-29
- 2021-05-30
-
2021-05-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-06-01
- 2021-06-02
- 2021-06-03
- 2021-06-04
- 2021-06-11
-
2021-06-18
Dose 2 — Pfizer-BioNTech
- 2021-06-18
-
2021-06-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-06-21
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Fatigue or tirednessFree text: Swollen and painful armpit lymph-node same side as vaccine armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-06-24
- 2021-06-25
- 2021-07-02
- 2021-07-09
- 2021-07-16
- 2021-07-23
- 2021-07-30
- 2021-09-17
-
2021-12-17
Dose 3 — Moderna
- 2021-12-17
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph node and painMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness, DiarrheaFree text: Swollen and painful lymph node on same side as injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-12-26
- 2021-12-31
- 2022-01-07
- 2022-01-14
-
2022-01-21
Survey response — day 35, dose 3MedDRA: Headache, Pharyngeal ulceration, Rhinorrhoea — Feeling: FairFree text: Sores back of throat headache runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
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2022-03-18
Survey response — 3 months, dose 3MedDRA: Cough, Hypoaesthesia, Limb discomfort, Pneumonia — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pneumonia (not covid related), numbness on right foot all toes and discomfort right side of calf, coughMedDRA releases: 2024-11 · check-in free text available
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2022-03-18
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-22
- 2022-06-17
-
2022-12-17
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis — Feeling: Good · 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: ColdMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-20
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-28 | Pfizer-BioNTech | |
| 2 | 2021-06-18 | Pfizer-BioNTech | |
| 3 | 2021-12-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-18 | Unsuccessful | |
| 2022-12-17 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen and painful armpit lymph-node same side as vaccine arm
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node and pain
Systemic reaction (other): Swollen and painful lymph node on same side as injection
Release 11 — day 35, dose 3
Symptoms: Sores back of throat headache runny nose
Release 11 — 3 months, dose 3
Symptoms: Pneumonia (not covid related), numbness on right foot all toes and discomfort right side of calf, cough
Release 12 — 12 months, dose 3
Symptoms: Cold
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Limb discomfort | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngeal ulceration | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release