BKQ-25681-01531
3 vaccinations
6 coded responses
20 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 462 / IN
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Registered in v-safe
- 2021-04-01
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Panic attack — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Panic attack, anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
-
2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-08
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
-
2021-04-22
Dose 2 — Pfizer-BioNTech
- 2021-04-22
- 2021-04-28
-
2021-05-01
Health check-in — day 7, dose 2Feeling: Fair · Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Decreased appetite — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lack of appetite, stomach issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Survey response — day 21, dose 2MedDRA: Decreased appetite, Weight decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lack of appetite, weight loss, stomach issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-28
- 2021-06-04
-
2021-07-22
Survey response — 3 months, dose 2MedDRA: Menstruation irregular — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Irregular menstrual cycleMedDRA releases: 2024-11 · check-in free text available
-
2021-07-22
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
- 2021-10-23
-
2021-12-14
Dose 3 — Pfizer-BioNTech
- 2022-04-22
- 2022-06-14
-
2022-12-14
Survey response — 12 months, dose 3MedDRA: Biochemical pregnancy, Failed in vitro fertilisation, Herpes zoster — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Shingles - 6/22 Chemical pregnancy - 4/22 Failed frozen embryo transfer - 9/22MedDRA releases: 2024-11 · check-in free text available
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2022-12-14
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-12-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech | |
| 3 | 2021-12-14 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-22 | Successful 2022-12-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-14 | Successful 2022-12-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Panic attack, anxiety
Release 7 — day 7, dose 1
Systemic reaction (other): Dizziness
Release 8 — day 14, dose 2
Symptoms: Lack of appetite, stomach issues
Release 8 — day 21, dose 2
Symptoms: Lack of appetite, weight loss, stomach issues
Release 9 — 3 months, dose 2
Symptoms: Irregular menstrual cycle
Release 12 — 12 months, dose 3
Symptoms: Shingles - 6/22 Chemical pregnancy - 4/22 Failed frozen embryo transfer - 9/22
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Biochemical pregnancy | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Failed in vitro fertilisation | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Panic attack | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release