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MXW-33753-52392

3 vaccinations 5 coded responses 14 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
030 / NH
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-27
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-28
    Registered in v-safe
  4. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-07-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-10-26
    Survey response — 6 months, dose 2
    MedDRA: Cholelithiasis, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Symptoms: Gall stones · Healthcare visit (other): Just overnight to make sure not infection. 36 weeks pregnant
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-10-26
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  8. 2021-10-27
    Dose 3 — Pfizer-BioNTech
  9. 2021-10-27
  10. 2021-10-28
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  11. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: 38 weeks pregnant
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-11-02
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-03
    Survey response — day 7, dose 3
    MedDRA: Pregnancy — Feeling: Good · Fatigue or tiredness
    Free text: Pregnant
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-12-01
    Survey response — day 35, dose 3
    MedDRA: Cholecystectomy, Cholelithiasis, Surgery — Feeling: Good · 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: Symptoms: Gallstones/gall bladder removal · Healthcare visit (other): Surgery to remove gallbladder
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-12-01
    Report sent to call center — day 35, dose 3
    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)
  20. 2021-12-02
    Call successful
    Participant prefers to complete VAERS report online
  21. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-04-27
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Pfizer-BioNTech
22021-04-27Pfizer-BioNTech
32021-10-27Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 10 — 6 months, dose 2

2021-10-26

Symptoms: Gall stones
Healthcare visit (other): Just overnight to make sure not infection. 36 weeks pregnant

Release 10 — days 1–6 daily, dose 3

2021-11-01

Systemic reaction (other): 38 weeks pregnant

2021-11-02

Systemic reaction (other): Pregnant

Release 10 — day 7, dose 3

2021-11-03

Systemic reaction (other): Pregnant

Release 10 — day 35, dose 3

2021-12-01

Symptoms: Gallstones/gall bladder removal
Healthcare visit (other): Surgery to remove gallbladder

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
HCVOCholecystectomy · · ✓
HCVOPregnancy · · ✓
HCVOSurgery · · ✓
SDCholecystectomy · · ✓
SDCholelithiasis · · ✓
SROPregnancy · · ✓

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