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SHG-33012-29768

3 vaccinations 2 coded responses 6 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
117 / NY
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-14
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-04
    Dose 2 — Pfizer-BioNTech
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  5. 2021-10-05
    Dose 3 — Pfizer-BioNTech
  6. 2021-10-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-10-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Lightheaded
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-10-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  9. 2021-10-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abortion spontaneous incomplete, Emergency care, Heavy menstrual bleeding, Surgery — Feeling: Poor · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Systemic reaction (other): Not today but yesterday I was in the hospital for very heavy menstrual bleeding related to an incomplete miscarriage 2 months ago. Unclear if related to the vaccine but wanted to mention it. · Healthcare visit (other): And surgery
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-09
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  11. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  12. 2021-10-14
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-14Pfizer-BioNTech
22021-04-04Pfizer-BioNTech
32021-10-05Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-09 Successful
2021-10-14
Participant prefers to complete VAERS report online

Free text

Release 10 — days 1–6 daily, dose 3

2021-10-06

Systemic reaction (other): Lightheaded

2021-10-09

Systemic reaction (other): Not today but yesterday I was in the hospital for very heavy menstrual bleeding related to an incomplete miscarriage 2 months ago. Unclear if related to the vaccine but wanted to mention it.
Healthcare visit (other): And surgery

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
HCVOSurgery · · ✓
SROAbortion spontaneous incomplete · · ✓
SRODizziness · · ✓
SROEmergency care · · ✓
SROHeavy menstrual bleeding · · ✓

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