7X3-16130-49486
4 vaccinations
7 coded responses
45 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 802 / CO
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-20
Dose 1 — Pfizer-BioNTech
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 2 — Pfizer-BioNTech
- 2021-01-09
- 2021-01-09
-
2021-01-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-10
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-11
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-04-10
- 2021-07-10
-
2021-09-08
Dose 3 — Pfizer-BioNTech
- 2021-09-08
-
2021-09-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
-
2021-09-10
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Tenderness — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesFree text: Ipsilateral axillary pain and tenderness without any palpable axillary lymphadenopathy or swelling.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Tenderness — Feeling: Good · Site: Pain, Redness, ItchingFree text: Axillary lymphadenopathy and tendernessMedDRA releases: 2024-11 · check-in free text available
-
2021-09-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain, RednessFree text: Axillary lymphadenopathy and tenderness, mildMedDRA releases: 2024-11 · check-in free text available
- 2021-09-14
-
2021-09-15
Survey response — day 7, dose 3MedDRA: Dysuria, Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Dysuria · Healthcare visit (other): Given prescription for antibiotics for UTIMedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
- 2021-09-21
- 2021-09-22
- 2021-09-29
- 2021-10-06
-
2021-10-13
Survey response — day 35, dose 3MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive pregnancy testMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-12-08
- 2022-03-09
- 2022-09-08
-
2022-09-30
Dose 4 — Pfizer-BioNTech
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
-
2022-10-21
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Developed some kind of cold over the last 5 days. Tested negative for Covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-13
-
2022-12-30
Survey response — 3 months, dose 4MedDRA: Cholecystitis acute — 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 · Emergency room or emergency department visit, HospitalizationFree text: Acute cholecystitisMedDRA releases: 2024-11 · check-in free text available
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2022-12-30
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 prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2023-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-01-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-20 | Pfizer-BioNTech | |
| 2 | 2021-01-09 | Pfizer-BioNTech | |
| 3 | 2021-09-08 | Pfizer-BioNTech | No |
| 4 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-10 | priority 2/3 | |
| 2021-09-15 | Successful 2023-01-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-30 | Successful 2023-01-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Ipsilateral axillary pain and tenderness without any palpable axillary lymphadenopathy or swelling.
Systemic reaction (other): Axillary lymphadenopathy and tenderness
Systemic reaction (other): Axillary lymphadenopathy and tenderness, mild
Release 9 — day 7, dose 3
Systemic reaction (other): Dysuria
Healthcare visit (other): Given prescription for antibiotics for UTI
Release 10 — day 35, dose 3
Symptoms: Positive pregnancy test
Release 12 — day 21, dose 4
Symptoms: Developed some kind of cold over the last 5 days. Tested negative for Covid.
Release 12 — 3 months, dose 4
Symptoms: Acute cholecystitis
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 |
|---|---|---|---|---|
| HCVO | Urinary tract infection | · | · | ✓ |
| SD | Cholecystitis acute | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dysuria | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release