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AGX-18037-48692

4 vaccinations 3 coded responses 33 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
871 / NM
Registered
2020-12-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
YNR-18489-14916 Child or adolescent in my care · Male · 2022-11-06

Timeline

  1. 2020-12-17
    Registered in v-safe
  2. 2020-12-17
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-17
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2020-12-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-07
    Dose 2 — Pfizer-BioNTech
  12. 2021-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-01-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good
    Free text: Pain in muscle of right bicept
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-01-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-01-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-09
    Survey response — 6 months, dose 2
    MedDRA: Abortion spontaneous, Pregnancy — 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 · Emergency room or emergency department visit
    Free text: I became pregnant and then had a miscarriage at 6weeks pregnant.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-09
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  25. 2021-07-13
  26. 2021-08-16
    Call successful
    Participant prefers to complete VAERS report online
  27. 2021-11-05
    Dose 3 — Pfizer-BioNTech
  28. 2022-01-07
    Survey response — 12 months, dose 2
    MedDRA: 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 · Emergency room or emergency department visit
    Free text: I was Pregnant, but I miscarried on 4/29/21
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-01-07
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  30. 2022-01-10
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  31. 2022-11-04
    Dose 4 — Pfizer-BioNTech
  32. 2022-11-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-11-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  34. 2022-11-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-11-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  36. 2022-11-11
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  37. 2022-11-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-25
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-12-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-12-09
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-12-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-02-05
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  43. 2023-05-05
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-17Pfizer-BioNTech
22021-01-07Pfizer-BioNTech
32021-11-05Pfizer-BioNTech No
42022-11-04Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-07-09 Successful
2021-08-16
Participant prefers to complete VAERS report online
2022-01-07 Successful
2022-01-10
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-10

Systemic reaction (other): Pain in muscle of right bicept

Release 9 — 6 months, dose 2

2021-07-09

Symptoms: I became pregnant and then had a miscarriage at 6weeks pregnant.

Release 10 — 12 months, dose 2

2022-01-07

Symptoms: I was Pregnant, but I miscarried on 4/29/21

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

FieldPreferred term2021-092023-042024-11
SDAbortion spontaneous ✓ ✓ ✓
SDPregnancy ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release