QV7-12133-97683
3 vaccinations
10 coded responses
25 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 175 / PA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Dose 1 — Pfizer-BioNTech
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2021-04-09
Registered in v-safe
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-11
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Muscle or body achesFree text: LightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Oral pain — Feeling: Good · Muscle or body achesFree text: Sore in back of mouth near wisdom teethMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
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2021-04-22
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Dose 2 — Pfizer-BioNTech
- 2021-04-29
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fatigue — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue, Dizziness, lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Good · HeadacheFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 14, dose 2MedDRA: Abortion spontaneous, Haemorrhage, Muscle spasms, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a miscarriage. Bleeding and cramping. Likely unrelated but I wanted it recorded here just in case. · Healthcare visit (other): Fertility clinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-20
- 2021-05-27
- 2021-06-03
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2021-06-10
Survey response — day 42, dose 2MedDRA: Ovarian cyst — Feeling: GoodFree text: Ovarian cystMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
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2021-10-28
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Uterine leiomyoma, Uterine polyp — Feeling: GoodFree text: Uterine fibroids and polyps, a known issue and likely unrelated to the vaccine. Also an early miscarriage.MedDRA releases: 2024-11 · check-in free text available
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2021-12-15
Dose 3 — Pfizer-BioNTech
- 2022-04-17
- 2022-04-29
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2022-06-15
Survey response — 6 months, dose 3MedDRA: COVID-19, Limb injury — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Had covid, also injured left foot at gymMedDRA releases: 2024-11 · check-in free text available
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2022-06-15
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-16
- 2022-06-16
- 2022-12-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-29 | Pfizer-BioNTech | |
| 3 | 2021-12-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-13 | Unsuccessful | |
| 2022-06-15 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheadedness
Systemic reaction (other): Sore in back of mouth near wisdom teeth
Release 7 — day 14, dose 1
Symptoms: Fatigue
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Fatigue, Dizziness, lightheadedness
Systemic reaction (other): Cough
Release 8 — day 7, dose 2
Systemic reaction (other): Cough
Release 8 — day 14, dose 2
Symptoms: I had a miscarriage. Bleeding and cramping. Likely unrelated but I wanted it recorded here just in case.
Healthcare visit (other): Fertility clinic
Release 9 — day 42, dose 2
Symptoms: Ovarian cyst
Release 10 — 6 months, dose 2
Symptoms: Uterine fibroids and polyps, a known issue and likely unrelated to the vaccine. Also an early miscarriage.
Release 12 — 6 months, dose 3
Symptoms: Had covid, also injured left foot at gym
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Ovarian cyst | ✓ | ✓ | ✓ |
| SD | Uterine leiomyoma | · | · | ✓ |
| SD | Uterine polyp | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oral pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release