8W6-15551-67716
5 vaccinations
5 coded responses
53 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 605 / IL
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
9CU-27711-89179
Child or adolescent in my care · Female · 2022-06-30
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
- 2021-05-04
- 2021-05-05
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-11
Health check-in — day 7, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
-
2021-10-27
Dose 3 — Pfizer-BioNTech
- 2021-11-02
- 2021-11-02
-
2021-11-03
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2022-01-26
Survey response — 3 months, dose 3MedDRA: Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Slowly spreading pruritic rash began early January, now ~80% coverage. Possibly due to bug bite or allergic contact dermatitis. No other symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-26
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-09
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-01
- 2022-04-02
- 2022-04-03
- 2022-04-05
- 2022-04-06
- 2022-04-08
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
-
2022-09-08
Dose 5 — Moderna
- 2022-09-08
-
2022-09-09
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-09-10
- 2022-09-11
-
2022-09-12
Survey response — days 1–6 daily, dose 5MedDRA: Pregnancy — Feeling: GoodFree text: Previously answered "don't know" to the pregnancy question; now confirmed to be "yes"MedDRA releases: 2024-11 · check-in free text available
-
2022-09-17
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: GoodFree text: No symptoms, but V-safe has stopped sending text reminders for daily check-insMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Survey response — day 14, dose 5MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative, Sinus congestion, Upper respiratory tract infection — Feeling: FairFree text: I caught an upper respiratory infection from my daughter (who caught it at the playground). Home covid test is negative today; will retest tomorrow and the next day. Main symptoms are sinus congestion and sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-29
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2022-10-13
Survey response — day 35, dose 5MedDRA: Abortion spontaneous — Feeling: FairFree text: Miscarriage at 7 weeksMedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
| 5 | 2022-09-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-26 | Successful 2022-02-09 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 11 — 3 months, dose 3
Symptoms: Slowly spreading pruritic rash began early January, now ~80% coverage. Possibly due to bug bite or allergic contact dermatitis. No other symptoms.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Previously answered "don't know" to the pregnancy question; now confirmed to be "yes"
Release 12 — day 7, dose 5
Systemic reaction (other): No symptoms, but V-safe has stopped sending text reminders for daily check-ins
Release 12 — day 14, dose 5
Symptoms: I caught an upper respiratory infection from my daughter (who caught it at the playground). Home covid test is negative today; will retest tomorrow and the next day. Main symptoms are sinus congestion and sore throat.
Release 12 — day 35, dose 5
Symptoms: Miscarriage at 7 weeks
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 | Abortion spontaneous | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Unevaluable event | · | · | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release