R4F-14421-35686
3 vaccinations
2 coded responses
15 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 372 / TN
- Registered
- 2021-11-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Dose 1 — Pfizer-BioNTech
-
2021-03-31
Dose 2 — Pfizer-BioNTech
-
2021-11-07
Dose 3 — Pfizer-BioNTech
-
2021-11-08
Registered in v-safe
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Foggy headMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-16
- 2021-11-21
- 2021-11-29
- 2021-12-05
- 2021-12-15
- 2021-12-19
- 2022-02-06
- 2022-05-08
-
2022-11-07
Survey response — 12 months, dose 3MedDRA: COVID-19, Office visit, SARS-CoV-2 test negative — 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 professionalFree text: Symptoms: I had Covid in August/Sept. · Healthcare visit (other): Dr visit after neg test for coughMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-11-08
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Pfizer-BioNTech | No |
| 2 | 2021-03-31 | Pfizer-BioNTech | No |
| 3 | 2021-11-07 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Foggy head
Release 12 — 12 months, dose 3
Symptoms: I had Covid in August/Sept.
Healthcare visit (other): Dr visit after neg test for 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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release