G9K-12640-11420
2 vaccinations
5 coded responses
17 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 207 / MD
- Registered
- 2021-05-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-11
Registered in v-safe
-
2021-05-11
Dose 1 — Pfizer-BioNTech
-
2021-05-11
Survey response — day 0, dose 1MedDRA: Chest pain, Flatulence — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Gas, chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body achesFree text: Chest pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-17
- 2021-05-20
- 2021-05-28
-
2021-06-01
Dose 2 — Pfizer-BioNTech
-
2021-06-01
Survey response — day 0, dose 2MedDRA: Chest pain — Feeling: Fair · Site: Pain · HeadacheFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Diarrhea, Abdominal pain · Be unable to workAdult check-in
- 2021-06-05
- 2021-06-06
- 2021-06-07
- 2021-06-10
- 2021-06-17
- 2021-07-15
- 2021-08-31
-
2021-11-30
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Heavy menstrual bleeding — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Multiple miscarriages and heavy periodsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-12-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-11 | Pfizer-BioNTech | |
| 2 | 2021-06-01 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-30 | Successful 2021-12-01 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Gas, chest pain
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain.
Release 8 — day 0, dose 2
Systemic reaction (other): Chest pain
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain
Release 10 — 6 months, dose 2
Symptoms: Multiple miscarriages and heavy periods
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 | Heavy menstrual bleeding | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release