HKH-21781-63007
3 vaccinations
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 140 / NY
- Registered
- 2021-11-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Dose 1 — Pfizer-BioNTech
-
2021-04-13
Dose 2 — Pfizer-BioNTech
-
2021-11-18
Dose 3 — Pfizer-BioNTech
-
2021-11-23
Registered in v-safe
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Abortion spontaneous, Lymphadenopathy — Feeling: Fair · 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 visitFree text: Pregnancy Miscarriage, swollen lymph nodes in armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-11-24
-
2021-11-24
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-25
-
2021-12-02
Survey response — day 14, dose 3MedDRA: Headache, Neck pain — Feeling: GoodFree text: Pain in head and neckMedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
-
2021-12-30
Survey response — day 42, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: I have a cold, but it is not covid.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Pfizer-BioNTech | No |
| 2 | 2021-04-13 | Pfizer-BioNTech | No |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-23 | Successful 2021-11-24 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pregnancy Miscarriage, swollen lymph nodes in armpit
Release 10 — day 14, dose 3
Symptoms: Pain in head and neck
Release 10 — day 42, dose 3
Symptoms: I have a cold, but it is not covid.
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SRO | Abortion spontaneous | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release