R49-74212-40918
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 109 / NY
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Registered in v-safe
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2021-01-10
Dose 1 — Pfizer-BioNTech
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Disorientation, Dizziness — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Lightheadedness, disorientation, dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Agitation, Disorientation, Dizziness — Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Disorientation, dizziness, agitation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Nonspecific reaction — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Starting to feel betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-19
- 2021-01-24
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2021-01-31
Dose 2 — Pfizer-BioNTech
- 2021-01-31
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-07
- 2021-02-14
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2021-02-21
Survey response — day 21, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I had a miscarriage at 8 weeks and 6 days of pregnancy. I received both shots while pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Symptoms from a miscarriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Pfizer-BioNTech | |
| 2 | 2021-01-31 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | priority 2/3 | |
| 2021-01-13 | priority 2/3 | |
| 2021-01-15 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheadedness, disorientation, dizziness
Systemic reaction (other): Disorientation, dizziness, agitation.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Starting to feel better
Release 4 — day 21, dose 2
Symptoms: I had a miscarriage at 8 weeks and 6 days of pregnancy. I received both shots while pregnant.
Release 4 — day 28, dose 2
Symptoms: Symptoms from a miscarriage
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 | Abortion spontaneous | ✓ | ✓ | ✓ |
| SRO | Agitation | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nonspecific reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release