9W9-39893-72929
4 vaccinations
3 coded responses
46 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 014 / MA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Dizziness, Paraesthesia oral — Feeling: Good · Site: Pain · HeadacheFree text: Dizziness and lip tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-02
Health check-in — day 7, dose 2Feeling: Fair · Chills, Headache, Diarrhea · Be unable to workAdult check-in
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-14
Dose 3 — Moderna
- 2021-11-14
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Chills, HeadacheAdult check-in
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body aches, NauseaAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-23
- 2021-11-28
- 2021-12-05
-
2021-12-12
Survey response — day 28, dose 3MedDRA: Abortion spontaneous, Ultrasound scan abnormal — Feeling: Fair · Be unable to work or attend schoolFree text: Miscarriage at 9 weeks. Ultrasound imaging suggests stopped growing at 5 weeks.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2021-12-26
- 2022-02-13
- 2022-05-15
-
2022-09-12
Dose 4 — Moderna
- 2022-09-27
- 2022-10-03
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-12-12
Survey response — 3 months, dose 4MedDRA: Abortion spontaneous — 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 · HospitalizationFree text: Miscarriage, 7.5 weeksMedDRA releases: 2024-11 · check-in free text available
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2022-12-12
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 prHospitalization · 1 call case(s)
-
2022-12-14
Call successfulCompleted over the phone
- 2023-03-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-11-14 | Moderna | No |
| 4 | 2022-09-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-12 | Successful 2022-12-14 |
Completed over the phone |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Dizziness and lip tingling
Release 10 — day 28, dose 3
Symptoms: Miscarriage at 9 weeks. Ultrasound imaging suggests stopped growing at 5 weeks.
Release 12 — 3 months, dose 4
Symptoms: Miscarriage, 7.5 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 | Ultrasound scan abnormal | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release