LEG-15296-81749
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 853 / AZ
- Registered
- 2021-12-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-07
Dose 1 — Pfizer-BioNTech
-
2021-12-11
Registered in v-safe
- 2021-12-11
- 2021-12-12
- 2021-12-13
-
2021-12-14
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: Headache on left side of my head.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-01
Dose 2 — Pfizer-BioNTech
- 2022-03-08
- 2022-03-08
- 2022-03-15
-
2022-03-22
Survey response — day 21, dose 2MedDRA: Stillbirth — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: I had a late term stillborn child on (b)(6)MedDRA releases: 2024-11 · check-in free text available
-
2022-03-22
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-23
- 2022-03-29
- 2022-04-13
- 2022-06-07
-
2022-09-01
Survey response — 6 months, dose 2MedDRA: Depression — Feeling: FairFree text: Worsened depression.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-07 | Pfizer-BioNTech | No |
| 2 | 2022-03-01 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-22 | Unsuccessful |
Free text
Release 10 — day 7, dose 1
Systemic reaction (other): No
Release 10 — day 14, dose 1
Symptoms: Headache on left side of my head.
Release 11 — day 21, dose 2
Release 12 — 6 months, dose 2
Symptoms: Worsened depression.
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 | Depression | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Stillbirth | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release