MCR-17177-68700
2 vaccinations
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 782 / TX
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
G28-16882-25611
Child or adolescent in my care · Female · 2021-09-29
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Good · Site: Pain · HeadacheFree text: Injection site warm to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-23
- 2020-12-24
- 2020-12-26
- 2020-12-27
- 2020-12-28
-
2021-01-04
Survey response — day 14, dose 1MedDRA: Dyspnoea, Insomnia, Pain, Palpitations — Feeling: GoodFree text: Unable to sleep last night due to being unable to take deep breaths. Dull pain near clavicle bone. Had some palpitations as well. Still there on/off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Dose 2 — Pfizer-BioNTech
-
2021-01-25
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Headache, Lymphadenopathy, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: After second vaccine. Fatigue. Fever. Chills. Axillary Lymph node swelling. Headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Headaches on/offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-22
Survey response — day 42, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-12
-
2022-01-11
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 professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Loss of Pregnancy · Healthcare visit (other): Ob/GynMedDRA releases: 2024-11 · check-in free text available
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2022-01-11
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-11 | Successful 2022-01-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site warm to touch
Release 1 — day 14, dose 1
Symptoms: Unable to sleep last night due to being unable to take deep breaths. Dull pain near clavicle bone. Had some palpitations as well. Still there on/off.
Release 2 — day 14, dose 2
Symptoms: After second vaccine. Fatigue. Fever. Chills. Axillary Lymph node swelling. Headaches.
Release 3 — day 21, dose 2
Symptoms: Headaches on/off
Release 4 — day 42, dose 2
Symptoms: Brain fog
Release 10 — 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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release