SEM-93221-10285
4 vaccinations
5 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 917 / CA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
6JB-13838-47900
Child or adolescent in my care · Male · 2022-06-24
Timeline
-
2021-01-14
Dose 1 — Pfizer-BioNTech
-
2021-02-04
Dose 2 — Pfizer-BioNTech
-
2021-02-18
Registered in v-safe
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-06
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Neck pain — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Sore neck on side of injected armMedDRA releases: 2024-11 · check-in free text available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Neck pain — Feeling: Fair · Fatigue or tirednessFree text: Sore neck on side of injection site, but less so than yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: Swelling near collarbone on side of injection arm, but minor and subsidingMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-30
- 2021-11-05
- 2021-11-12
- 2021-12-31
- 2022-04-01
-
2022-10-01
Survey response — 12 months, dose 3MedDRA: Pregnancy — Feeling: Good · Be unable to do your normal daily activitiesFree text: I am 6 weeks pregnant, so feeling typical first trimester symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
Dose 4 — Moderna
-
2022-11-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-13
- 2022-11-14
- 2022-11-16
- 2022-11-17
- 2022-11-19
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-10
-
2023-05-12
Survey response — 6 months, dose 4MedDRA: Pregnancy — 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 professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-12
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-15
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Pfizer-BioNTech | |
| 2 | 2021-02-04 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-11-11 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Sore neck on side of injected arm
Systemic reaction (other): Sore neck on side of injection site, but less so than yesterday
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling near collarbone on side of injection arm, but minor and subsiding
Release 12 — 12 months, dose 3
Symptoms: I am 6 weeks pregnant, so feeling typical first trimester symptoms
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 | Pregnancy | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release