J4F-33938-43593
2 vaccinations
2 coded responses
2 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 154 / PA
- Registered
- 2021-02-14
- Relationship
- Self
Timeline
-
2021-01-22
Dose 1 — Pfizer-BioNTech
-
2021-02-12
Dose 2 — Pfizer-BioNTech
-
2021-02-14
Registered in v-safe
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: FlushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-14
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Experienced miscarriage starting this morning at 8 weeks pregnant · Healthcare visit (other): Ultrasound at OB to verify miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Pfizer-BioNTech | |
| 2 | 2021-02-12 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-14 | Unsuccessful | |
| 2021-02-15 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Flushing
Systemic reaction (other): Experienced miscarriage starting this morning at 8 weeks pregnant
Healthcare visit (other): Ultrasound at OB to verify miscarriage
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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release