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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

  1. 2020-12-19
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-09
    Dose 2 — Pfizer-BioNTech
  3. 2021-01-11
    Registered in v-safe
  4. 2021-01-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Moderate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-11
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-01-12
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  8. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-13
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities
    1 call case(s)
  10. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-01-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-01-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-02
    Call successful
    Participant prefers to complete VAERS report online
  14. 2021-10-04
    Dose 3 — Pfizer-BioNTech

Vaccinations

DoseDateManufacturerCo-administered
12020-12-19Pfizer-BioNTech
22021-01-09Pfizer-BioNTech
32021-10-04Pfizer-BioNTech No

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 2

2021-01-11

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

FieldPreferred term2021-092023-042024-11
SROAdverse reaction ✓ ✓ ✓
SROGeneral symptom ○ ○ ○

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