HK4-17389-87086
3 vaccinations
5 coded responses
18 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 559 / MN
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Pfizer-BioNTech
-
2021-01-25
Registered in v-safe
- 2021-01-25
-
2021-01-26
Survey response — day 14, dose 1MedDRA: Dyspepsia, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea. I dont think it has anything to do with the vaccination, I think Im getting heartburn from food but mine ends up being strong nausea, rarely happens but this is how it happens to me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Dose 2 — Pfizer-BioNTech
-
2021-02-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Insomnia — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Overnight had some chills but never got fever, difficulty falling asleep although really tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-12
- 2021-03-18
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2021-05-05
Survey response — 3 months, dose 2MedDRA: Respiratory tract congestion — Feeling: FairFree text: Little congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-05
Survey response — 6 months, dose 2MedDRA: Cough, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Runny nose, coughMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-07
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2022-02-03
Survey response — 12 months, dose 2MedDRA: Aborted pregnancy, Complication of pregnancy, Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: First unviable pregnancy that needed to be ended and then new, now ongoing pregnancy after booster shot · Healthcare visit (other): Need to abort unviable pregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-02-03
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Pfizer-BioNTech | |
| 2 | 2021-02-03 | Pfizer-BioNTech | |
| 3 | 2021-10-07 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-03 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Nausea. I dont think it has anything to do with the vaccination, I think Im getting heartburn from food but mine ends up being strong nausea, rarely happens but this is how it happens to me.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Overnight had some chills but never got fever, difficulty falling asleep although really tired
Release 8 — 3 months, dose 2
Symptoms: Little congestion
Release 9 — 6 months, dose 2
Symptoms: Runny nose, cough
Release 11 — 12 months, dose 2
Symptoms: First unviable pregnancy that needed to be ended and then new, now ongoing pregnancy after booster shot
Healthcare visit (other): Need to abort unviable pregnancy
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 | Complication of pregnancy | · | · | ✓ |
| SD | Aborted pregnancy | · | · | ✓ |
| SD | Complication of pregnancy | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release