FR3-15844-92094
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 554 / MN
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Pfizer-BioNTech
-
2020-12-22
Survey response — day 0, dose 1MedDRA: Ocular discomfort, Vision blurred — Feeling: GoodFree text: Blurry vision and uncomfortable when looking at screenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2021-01-05
-
2021-01-14
Dose 2 — Pfizer-BioNTech
-
2021-01-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-17
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-20
- 2021-01-21
- 2021-01-30
- 2021-02-04
-
2021-02-11
Survey response — day 28, dose 2MedDRA: Back pain, Chest pain — Feeling: FairFree text: Having left chest and back painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Survey response — day 42, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: My left arm hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
-
2022-01-16
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: FairFree text: I had my booster on 12/19/2021 and after couple weeks I hand miscarriage. I was in between 5-8 weeksMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Pfizer-BioNTech | |
| 2 | 2021-01-14 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-17 | priority 2/3 |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Blurry vision and uncomfortable when looking at screen
Release 4 — day 28, dose 2
Symptoms: Having left chest and back pain
Release 4 — day 42, dose 2
Symptoms: My left arm hurts
Release 10 — 12 months, dose 2
Symptoms: I had my booster on 12/19/2021 and after couple weeks I hand miscarriage. I was in between 5-8 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 | Back pain | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release