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RSA-12623-56676

2 vaccinations 3 coded responses 4 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
104 / NY
Registered
2021-11-10
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-10-20
    Dose 1 — Pfizer-BioNTech
  2. 2021-11-10
    Registered in v-safe
  3. 2021-11-10
    Dose 2 — Pfizer-BioNTech
  4. 2021-11-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pregnancy — Feeling: Good · Site: Pain
    Free text: I am 7wks pregnant
    MedDRA releases: 2024-11 · check-in free text available
  5. 2021-11-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-11-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Chest pain, Dyspnoea — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Chest pain/ tightening and shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  7. 2021-11-15
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  8. 2021-11-16
  9. 2021-11-17
    Survey response — day 7, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Fever · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Chest pain and shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-11-17
    Report sent to call center — day 7, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  11. 2021-11-18
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-10-20Pfizer-BioNTech No
22021-11-10Pfizer-BioNTech No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 10 — days 1–6 daily, dose 2

2021-11-11

Systemic reaction (other): I am 7wks pregnant

2021-11-15

Systemic reaction (other): Chest pain/ tightening and shortness of breath

Release 10 — day 7, dose 2

2021-11-17

Systemic reaction (other): Chest pain and shortness of breath

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

FieldPreferred term2021-092023-042024-11
SROChest discomfort · · ✓
SROChest pain · · ✓
SRODyspnoea · · ✓
SROPregnancy · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release