9RB-19351-51430
4 vaccinations
7 coded responses
44 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-03-13
Registered in v-safe
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Tenderness at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Pfizer-BioNTech
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-13
Survey response — day 42, dose 2MedDRA: Cough, Fatigue, Lacrimation increased, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, cough, watery eyes, tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-01
Survey response — 3 months, dose 2MedDRA: Extrasystoles, Fall — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Fell out of a chair onto concrete. Medical work-up so far negative. Not considered a syncopal episode. Cardiac monitoring -14 day- negative except for over 3,000 ectopic beats. Awaiting eeg. No pre-drop symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
-
2021-09-30
Survey response — 6 months, dose 2MedDRA: Implantable cardiac monitor insertion — Feeling: GoodFree text: Insertion of a loop recorder- cardiac monitorMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Pfizer-BioNTech
- 2021-10-29
- 2021-10-30
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen tender lymph node in axilla of affected armMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph node unchangedMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-12
- 2022-01-28
-
2022-04-05
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
- 2022-10-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-04-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-13 | Unsuccessful | |
| 2021-07-01 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Tenderness at injection site
Release 8 — day 42, dose 2
Symptoms: Sore throat, cough, watery eyes, tired
Release 9 — 3 months, dose 2
Symptoms: Fell out of a chair onto concrete. Medical work-up so far negative. Not considered a syncopal episode. Cardiac monitoring -14 day- negative except for over 3,000 ectopic beats. Awaiting eeg. No pre-drop symptoms.
Release 9 — 6 months, dose 2
Symptoms: Insertion of a loop recorder- cardiac monitor
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen tender lymph node in axilla of affected arm
Systemic reaction (other): Swollen lymph node unchanged
Systemic reaction (other): Swollen lymph node
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 | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Implantable cardiac monitor insertion | · | · | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release