NRU-68158-57734
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 088 / NJ
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Skin burning sensation — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: Skin burns/mild to moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
- 2021-05-04
-
2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Neuralgia, Skin burning sensation — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Nerve pain:skin burning sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-18
- 2021-05-26
- 2021-06-01
- 2021-06-09
- 2021-06-15
- 2021-08-03
-
2022-05-04
Survey response — 12 months, dose 2MedDRA: Ectopic pregnancy, Fallopian tube operation — Feeling: Good · Be unable to work or attend school, 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: September/October 2021 ectopic pregnancy resulting in right tube removal.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-04
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-05-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-04 | Successful 2022-05-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Skin burns/mild to moderate
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Nerve pain:skin burning sensation
Release 11 — 12 months, dose 2
Symptoms: September/October 2021 ectopic pregnancy resulting in right tube removal.
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 | Ectopic pregnancy | · | · | ✓ |
| SD | Fallopian tube operation | · | · | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release