AF6-16812-33548
5 vaccinations
3 coded responses
58 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 800 / CO
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KMA-31334-37734
Child or adolescent in my care · Male · 2022-06-22
Timeline
-
2021-02-01
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Pfizer-BioNTech
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-26
- 2021-08-23
-
2021-09-15
Dose 3 — Pfizer-BioNTech
- 2021-09-15
-
2021-09-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-09-17
- 2021-09-18
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-10-27
- 2021-12-15
- 2022-03-16
-
2022-04-21
Dose 4 — Pfizer-BioNTech
- 2022-04-21
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-23
- 2022-04-24
- 2022-04-25
-
2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Uterine contractions during pregnancy — Feeling: Good · DiarrheaFree text: Contractions, 31 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-04-28
-
2022-05-05
Survey response — day 14, dose 4MedDRA: Hospitalisation, Premature labour — Feeling: Poor · Get care from a doctor or other healthcare professional · HospitalizationFree text: Hospitalized for preterm laborMedDRA releases: 2024-11 · check-in free text available
-
2022-05-05
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-05-06
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-04
- 2022-07-23
- 2022-07-27
-
2022-10-21
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-22
-
2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness · Fever · Chills, Fatigue or tirednessAdult check-in
- 2022-10-23
- 2022-10-28
- 2022-11-05
-
2022-11-13
Survey response — day 21, dose 5MedDRA: Respiratory syncytial virus infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-13
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-11-14
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-02
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Pfizer-BioNTech | |
| 2 | 2021-02-22 | Pfizer-BioNTech | |
| 3 | 2021-09-15 | Pfizer-BioNTech | No |
| 4 | 2022-04-21 | Pfizer-BioNTech | No |
| 5 | 2022-10-21 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Contractions, 31 weeks pregnant
Release 11 — day 14, dose 4
Symptoms: Hospitalized for preterm labor
Release 12 — day 21, dose 5
Symptoms: RSV
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 | Hospitalisation | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SRO | Uterine contractions during pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release