AMV-61731-97757
4 vaccinations
2 coded responses
34 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Pfizer-BioNTech
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-26
- 2021-02-01
-
2021-02-02
Dose 2 — Pfizer-BioNTech
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-18
- 2021-05-04
- 2021-08-03
-
2021-10-04
Dose 3 — Pfizer-BioNTech
- 2022-02-04
-
2022-11-04
Dose 4 — Pfizer-BioNTech
- 2022-11-04
- 2022-11-05
- 2022-11-06
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-11
- 2022-11-19
-
2022-11-25
Survey response — day 21, dose 4MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach fluMedDRA releases: 2024-11 · check-in free text available
- 2022-12-03
- 2022-12-09
- 2022-12-16
-
2023-02-03
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Pharyngitis streptococcal — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-03
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-02-06
Call successfulParticipant prefers to complete VAERS report online
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Pfizer-BioNTech | |
| 2 | 2021-02-02 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
| 4 | 2022-11-04 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 12 — day 21, dose 4
Symptoms: Stomach flu
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 | Gastroenteritis viral | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release