BXQ-56743-46570
3 vaccinations
7 coded responses
35 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 077 / NJ
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Pfizer-BioNTech
- 2020-12-24
- 2020-12-28
- 2020-12-30
- 2020-12-31
- 2021-01-07
-
2021-01-14
Dose 2 — Pfizer-BioNTech
-
2021-01-14
Survey response — day 0, dose 2MedDRA: Dry mouth — Feeling: Good · Site: Pain · HeadacheFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Neuropathy peripheral, Paraesthesia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bone pain, skin tingling/neuropathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-16
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Good · Site: PainFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-13
- 2021-02-18
- 2021-02-25
- 2021-04-15
- 2021-07-15
-
2021-08-31
Dose 3 — Pfizer-BioNTech
- 2021-08-31
-
2021-09-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-02
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Pain, Redness, SwellingFree text: Pain to axilla of injection siteMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Redness, SwellingFree text: Axilla pain and swelling on injection site armMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-09-05
- 2021-09-07
- 2021-09-14
- 2021-09-21
- 2021-09-28
-
2021-10-05
Survey response — day 35, dose 3MedDRA: Abortion spontaneous — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pregnancy and now probable miscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-10-05
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-10-12
Survey response — day 42, dose 3MedDRA: Emergency care, Ruptured ectopic pregnancy, Surgery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I had a ruptured ectopic pregnancy with emergency surgery.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-10-13
- 2021-11-30
- 2022-03-02
- 2022-08-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Pfizer-BioNTech | |
| 2 | 2021-01-14 | Pfizer-BioNTech | |
| 3 | 2021-08-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-15 | priority 2/3 | |
| 2021-10-05 | Successful 2021-10-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-12 | Unsuccessful |
Free text
Release 2 — day 0, dose 2
Systemic reaction (other): Dry mouth
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Bone pain, skin tingling/neuropathy
Systemic reaction (other): Hot flashes
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Pain to axilla of injection site
Systemic reaction (other): Axilla pain and swelling on injection site arm
Release 10 — day 35, dose 3
Symptoms: Pregnancy and now probable miscarriage
Release 10 — day 42, dose 3
Symptoms: I had a ruptured ectopic pregnancy with emergency surgery.
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 | Emergency care | · | · | ✓ |
| SD | Ruptured ectopic pregnancy | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SRO | Axillary pain | ✓ | · | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release