P6R-20356-71176
2 vaccinations
2 coded responses
21 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Pfizer-BioNTech
- 2020-12-30
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-08
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Abnormal dreams, Headache — Feeling: GoodFree text: Vivid dreams. Occasional strong headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-20
Dose 2 — Pfizer-BioNTech
-
2021-01-20
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Abdominal painAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-01-23
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-26
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-26
- 2021-03-03
-
2021-04-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-04-21
- 2021-07-21
-
2022-01-22
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, COVID-19, Cough, Pain, Sinusitis — 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 · Outpatient clinic or urgent care clinic visitFree text: COVID positive, miscarriage, body aches, sinus infection, coughMedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech | |
| 2 | 2021-01-20 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-23 | Successful 2021-04-01 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-22 | Successful 2022-01-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 14, dose 1
Symptoms: Vivid dreams. Occasional strong headaches.
Release 11 — 12 months, dose 2
Symptoms: COVID positive, miscarriage, body aches, sinus infection, cough
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 | Abnormal dreams | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release