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J39-14941-02105

3 vaccinations 2 coded responses 27 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
150 / PA
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Pfizer-BioNTech
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Very mild sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-01-29
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-29
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  17. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  18. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  19. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-11-02
    Dose 3 — Moderna
  29. 2022-01-29
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-05-03
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  31. 2022-11-02
    Survey response — 12 months, dose 3
    MedDRA: Ectopic pregnancy — 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, Hospitalization
    Free text: Ectopic pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-11-02
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  33. 2022-11-03
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Pfizer-BioNTech
22021-01-29Pfizer-BioNTech
32021-11-02Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-11-02 Successful
2022-11-03
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Very mild sore throat

Release 12 — 12 months, dose 3

2022-11-02

Symptoms: Ectopic 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

FieldPreferred term2021-092023-042024-11
SDEctopic pregnancy · · ✓
SROOropharyngeal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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