9DV-68076-66787
2 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 12-15
- ZIP prefix
- 840 / UT
- Registered
- 2021-10-17
- Relationship
- Child or adolescent in my care
- Guardian
- YK9-64796-40557
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-06
Dose 1 — Pfizer-BioNTech
-
2021-10-17
Registered in v-safe
- 2021-10-17
- 2021-10-22
-
2021-10-28
Dose 2 — Pfizer-BioNTech
-
2021-10-29
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 2, dependentMedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-04
-
2021-11-11
Survey response — day 14, dose 2, dependentMedDRA: Vertigo — 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 · Outpatient clinic or urgent care clinic visitFree text: Severe vertigoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — day 14, dose 2, dependentBe unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-20
- 2021-11-25
- 2021-12-04
- 2021-12-09
- 2022-01-27
- 2022-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-06 | Pfizer-BioNTech | No |
| 2 | 2021-10-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-11 | Successful 2021-11-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — days 1–6 daily, dose 2, dependent
Systemic reaction (other): Swollen lymph nodes
Release 10 — day 14, dose 2, dependent
Symptoms: Severe vertigo
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 | Vertigo | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release