AXZ-52668-05005
3 vaccinations
1 coded response
6 check-ins
1 free-text entry
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 801 / CO
- Registered
- 2021-01-11
- Relationship
- Self
Timeline
-
2020-12-19
Dose 1 — Pfizer-BioNTech
-
2021-01-09
Dose 2 — Pfizer-BioNTech
-
2021-01-11
Registered in v-safe
-
2021-01-11
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: ModerateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-14
- 2021-01-18
- 2021-01-25
-
2021-02-02
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-04
Dose 3 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-19 | Pfizer-BioNTech | |
| 2 | 2021-01-09 | Pfizer-BioNTech | |
| 3 | 2021-10-04 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 1 — days 1–6 daily, dose 2
Systemic reaction (other): Moderate
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | General symptom | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release