JQT-75898-38676
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 117 / NY
- Registered
- 2021-11-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-14
Dose 1 — Pfizer-BioNTech
-
2021-11-18
Registered in v-safe
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-28
-
2021-12-05
Dose 2 — Pfizer-BioNTech
- 2021-12-05
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-19
- 2021-12-26
- 2022-01-03
- 2022-01-09
-
2022-01-16
Survey response — day 42, dose 2MedDRA: Chills, Cough, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Body aches, headache, cough, fever, chillsMedDRA releases: 2024-11 · check-in free text available
- 2022-03-08
-
2022-06-05
Survey response — 6 months, dose 2MedDRA: Injection site reaction, Menstrual disorder, Muscle twitching — Feeling: GoodFree text: Arm twitches occasionally near injection site. Changes in menstrual cycle.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-05
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Miscarriage · Healthcare visit (other): Office visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-12-05
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-14 | Pfizer-BioNTech | No |
| 2 | 2021-12-05 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-05 | Unsuccessful |
Free text
Release 10 — day 42, dose 2
Symptoms: Body aches, headache, cough, fever, chills
Release 11 — 6 months, dose 2
Symptoms: Arm twitches occasionally near injection site. Changes in menstrual cycle.
Release 12 — 12 months, dose 2
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 | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site reaction | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release