9XG-51020-55304
4 vaccinations
3 coded responses
39 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 700 / LA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Pfizer-BioNTech
- 2021-01-15
- 2021-01-16
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Pfizer-BioNTech
-
2021-02-05
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-28
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-05-10
Survey response — 3 months, dose 2MedDRA: Cough, Malaise, Oropharyngeal pain, Respiratory tract congestion, Sinusitis — Feeling: Good · 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: April 23 got sick with a sinus infection. No fever but sore throat, cough and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-06
Dose 3 — Pfizer-BioNTech
-
2021-10-06
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Abdominal painAdult check-in
- 2021-10-12
- 2021-10-13
- 2021-10-20
-
2021-10-27
Survey response — day 21, dose 3MedDRA: Nasopharyngitis, Pyrexia — 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 · Outpatient clinic or urgent care clinic visitFree text: Cold with feverMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Report sent to call center — day 21, dose 3Be 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)
- 2021-10-28
- 2021-11-04
- 2021-11-12
- 2021-11-17
- 2022-01-07
- 2022-04-08
-
2022-09-14
Dose 4 — Pfizer-BioNTech
-
2022-09-14
Survey response — day 0, dose 4MedDRA: Immediate post-injection reaction, Syncope — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fainted 20 mins after receiving shotMedDRA releases: 2024-11 · check-in free text available
-
2022-09-14
Report sent to call center — day 0, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-15
- 2022-09-15
- 2022-09-15
-
2022-09-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-15
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-28
- 2022-10-19
- 2022-10-26
- 2022-12-15
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Pfizer-BioNTech | |
| 2 | 2021-02-05 | Pfizer-BioNTech | |
| 3 | 2021-10-06 | Pfizer-BioNTech | No |
| 4 | 2022-09-14 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 8 — 3 months, dose 2
Symptoms: April 23 got sick with a sinus infection. No fever but sore throat, cough and congestion
Release 10 — day 21, dose 3
Symptoms: Cold with fever
Release 12 — day 0, dose 4
Systemic reaction (other): Fainted 20 mins after receiving shot
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 | Malaise | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Syncope | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release