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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

  1. 2021-12-07
    Dose 1 — Pfizer-BioNTech
  2. 2021-12-11
    Registered in v-safe
  3. 2021-12-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-12-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-12-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  6. 2021-12-14
    Survey response — day 7, dose 1
    MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-12-22
    Survey response — day 14, dose 1
    MedDRA: Headache — Feeling: Fair
    Free text: Headache on left side of my head.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-03-01
    Dose 2 — Pfizer-BioNTech
  9. 2022-03-08
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  10. 2022-03-08
    Health check-in — day 7, dose 2
    Feeling: Fair · Diarrhea
    Adult check-in
  11. 2022-03-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2022-03-22
    Survey response — day 21, dose 2
    MedDRA: 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, Hospitalization
    Free text: I had a late term stillborn child on (b)(6)
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-22
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  14. 2022-03-23
  15. 2022-03-29
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2022-04-13
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  17. 2022-06-07
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-09-01
    Survey response — 6 months, dose 2
    MedDRA: Depression — Feeling: Fair
    Free text: Worsened depression.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2023-03-08
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-12-07Pfizer-BioNTech No
22022-03-01Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-03-22 Unsuccessful

Free text

Release 10 — day 7, dose 1

2021-12-14

Systemic reaction (other): No

Release 10 — day 14, dose 1

2021-12-22

Symptoms: Headache on left side of my head.

Release 11 — day 21, dose 2

2022-03-22

Symptoms: I had a late term stillborn child on (b)(6)
redacted (b)(6)

Release 12 — 6 months, dose 2

2022-09-01

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

FieldPreferred term2021-092023-042024-11
SDDepression · · ✓
SDHeadache · · ✓
SDStillbirth · · ✓
SRONo adverse event · · ✓

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