B3A-31094-09941
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 280 / NC
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Dose 2 — Pfizer-BioNTech
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · DiarrheaAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-04
- 2021-04-09
- 2021-04-17
- 2021-04-23
- 2021-04-30
- 2021-05-07
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Skin discolouration — Feeling: GoodFree text: Dark spots appearing on forearm for days and then disappearing. Occurred twice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-25
Survey response — 6 months, dose 2MedDRA: Contusion, Tenderness — Feeling: GoodFree text: Ive had a bruise a little larger in size than a half dollar, appear on each underside of the arm about every 4-6 weeks post second vaccination. The first two times they were not painful to touch, but more recently painful when touched.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pregnancy and miscarriage at 11 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-03-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-26 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Insomnia
Release 9 — 3 months, dose 2
Symptoms: Dark spots appearing on forearm for days and then disappearing. Occurred twice.
Release 9 — 6 months, dose 2
Symptoms: Ive had a bruise a little larger in size than a half dollar, appear on each underside of the arm about every 4-6 weeks post second vaccination. The first two times they were not painful to touch, but more recently painful when touched.
Release 11 — 12 months, dose 2
Symptoms: Pregnancy and miscarriage at 11 weeks
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 | Abortion spontaneous | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release