FM2-78180-27114
4 vaccinations
4 coded responses
40 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 490 / MI
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Pfizer-BioNTech
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-27
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Pfizer-BioNTech
- 2021-02-11
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Good · Site: ItchingFree text: Keep be getting f upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 28, dose 2MedDRA: Extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased ectopic heart beats. PAC PVCMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-11-28
Dose 3 — Pfizer-BioNTech
-
2021-12-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-02-11
-
2022-04-28
Dose 4 — Pfizer-BioNTech
-
2022-04-28
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NiMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
-
2022-05-12
Survey response — day 14, dose 4MedDRA: Feeling hot, Flushing, Malaise — Feeling: GoodFree text: 2 days of feeling warm/flushed no temp. Just blah feeling. Then went awayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-30
- 2022-10-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Pfizer-BioNTech | |
| 2 | 2021-02-11 | Pfizer-BioNTech | |
| 3 | 2021-11-28 | Pfizer-BioNTech | No |
| 4 | 2022-04-28 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-11 | Successful 2021-12-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Keep be getting f upset stomach
Release 5 — day 28, dose 2
Symptoms: Increased ectopic heart beats. PAC PVC
Release 11 — day 0, dose 4
Systemic reaction (other): Ni
Release 11 — day 14, dose 4
Symptoms: 2 days of feeling warm/flushed no temp. Just blah feeling. Then went away
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 | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Flushing | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release