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KLM-35291-01911

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
958 / CA
Registered
2021-06-19
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-18
    Dose 1 — Pfizer-BioNTech
  2. 2021-06-19
    Registered in v-safe
  3. 2021-06-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Haemorrhoids, Pelvic pain — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Hemorrhoids and pelvic pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-06-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Haemorrhoids — Feeling: Fair · Site: Pain · Be unable to do your normal daily activities
    Free text: Hemorrhoids
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-06-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Haemorrhoids — Feeling: Good
    Free text: Hemorrhoids
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-06-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-06-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-06-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-06-27
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-07-02
    Survey response — day 14, dose 1
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-09
    Dose 2 — Pfizer-BioNTech
  12. 2021-07-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-07-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  14. 2021-07-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-07-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-07-23
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Fatigue
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-07-30
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extreme fatigue
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-07-13
    Survey response — 12 months, dose 2
    MedDRA: Benign hepatic neoplasm, Hepatic enzyme increased, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Elevated liver enzymes and >5cm FNH liver tumor discovered · Healthcare visit (other): Outpatient surgery - biopsy
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-07-13
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  24. 2022-07-13
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-06-18Pfizer-BioNTech No
22021-07-09Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-06-19

Systemic reaction (other): Hemorrhoids and pelvic pain

2021-06-20

Systemic reaction (other): Hemorrhoids

2021-06-21

Systemic reaction (other): Hemorrhoids

Release 9 — day 14, dose 1

2021-07-02

Symptoms: Fatigue

Release 9 — day 14, dose 2

2021-07-23

Symptoms: Fatigue

Release 9 — day 21, dose 2

2021-07-30

Symptoms: Extreme fatigue

Release 12 — 12 months, dose 2

2022-07-13

Symptoms: Elevated liver enzymes and >5cm FNH liver tumor discovered
Healthcare visit (other): Outpatient surgery - biopsy

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
HCVOSurgery · · ✓
SDBenign hepatic neoplasm · · ✓
SDFatigue ✓ ✓ ✓
SDHepatic enzyme increased · · ✓
SROHaemorrhoids ✓ ✓ ✓
SROPelvic pain ✓ ✓ ✓

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