R9U-12082-19445
4 vaccinations
7 coded responses
53 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 547 / WI
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TFX-11534-57691
Child or adolescent in my care · Female · 2022-07-11
XLE-28958-56887
Child or adolescent in my care · Female · 2022-07-11
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Pfizer-BioNTech
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
-
2021-01-18
Dose 2 — Pfizer-BioNTech
- 2021-01-18
-
2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-20
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · Site: PainFree text: Night sweats mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-04-19
-
2021-07-19
Survey response — 6 months, dose 2MedDRA: Chills, Oropharyngeal pain — Feeling: FairFree text: Starting today, sore throat, and chills.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
-
2021-10-13
Survey response — day 14, dose 3MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive pregnancy testMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-10-27
- 2021-11-03
- 2021-11-10
-
2021-12-29
Survey response — 3 months, dose 3MedDRA: Nasal congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: Nasal congestion with negative covid testMedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous, Labour induction — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I had a 2nd trimester miscarriage · Healthcare visit (other): Labor induction for missed miscarriage at 17 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-03-30
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-04-01
-
2022-09-23
Dose 4 — Moderna
-
2022-09-24
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
-
2022-09-30
Survey response — day 7, dose 4MedDRA: Pregnancy test positive — Feeling: GoodFree text: Positive pregnancy test 9/29/22MedDRA releases: 2024-11 · check-in free text available
-
2022-10-07
Survey response — day 14, dose 4MedDRA: Cough, Nasal congestion, Pyrexia — Feeling: FairFree text: Cough, fever, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-12-23
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-18 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-30 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Night sweats mild
Release 9 — 6 months, dose 2
Symptoms: Starting today, sore throat, and chills.
Release 10 — day 14, dose 3
Symptoms: Positive pregnancy test
Release 10 — 3 months, dose 3
Symptoms: Nasal congestion with negative covid test
Release 11 — 6 months, dose 3
Symptoms: I had a 2nd trimester miscarriage
Healthcare visit (other): Labor induction for missed miscarriage at 17 weeks
Release 12 — day 7, dose 4
Systemic reaction (other): Positive pregnancy test 9/29/22
Release 12 — day 14, dose 4
Symptoms: Cough, fever, nasal congestion
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 | Abortion spontaneous | · | · | ✓ |
| HCVO | Labour induction | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy test positive | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pregnancy test positive | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release