GDA-19904-33316
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 338 / FL
- Registered
- 2021-05-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-22
Registered in v-safe
-
2021-05-22
Dose 1 — Pfizer-BioNTech
- 2021-05-22
-
2021-05-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-05-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest pain and short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Dose 2 — Pfizer-BioNTech
- 2021-06-14
-
2021-07-03
Survey response — day 21, dose 2MedDRA: Ectopic pregnancy, Surgery — Feeling: Poor · 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: Symptoms: Had ectopic pregnancy · Healthcare visit (other): SurgeryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-03
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-07
-
2021-07-26
Survey response — day 42, dose 2MedDRA: Ruptured ectopic pregnancy, Surgery — 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 · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Had ectopic pregnancy that ruptured and had emergency surgery · Healthcare visit (other): SurgeryMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-26
Report sent to call center — day 42, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-22 | Pfizer-BioNTech | |
| 2 | 2021-06-12 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-03 | Unsuccessful | |
| 2021-07-26 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Chest pain and short of breath
Release 9 — day 21, dose 2
Release 9 — day 42, dose 2
Symptoms: Had ectopic pregnancy that ruptured and had emergency surgery
Healthcare visit (other): 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 |
|---|---|---|---|---|
| HCVO | Surgery | ✓ | ✓ | ✓ |
| SD | Ectopic pregnancy | ✓ | ✓ | ✓ |
| SD | Ruptured ectopic pregnancy | ✓ | · | ✓ |
| SD | Surgery | ✓ | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release