SQC-84217-84859
4 vaccinations
3 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 170 / PA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
YQ7-12736-49777
Child or adolescent in my care · Female · 2022-06-27
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Pfizer-BioNTech
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-26
- 2021-03-28
- 2021-03-29
- 2021-04-02
- 2021-04-07
- 2021-04-14
-
2021-04-15
Dose 2 — Pfizer-BioNTech
- 2021-04-21
- 2021-04-22
- 2021-04-29
-
2021-05-08
Survey response — 21 day, dose 2MedDRA: Dysmenorrhoea, Fatigue, Heavy menstrual bleeding, Nausea — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-13
- 2021-05-20
- 2021-05-27
-
2021-07-15
Survey response — 3 month, dose 2MedDRA: Office visit, Pregnancy — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-07-15
Report sent to call center — 3 month, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-20
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-14
-
2021-12-31
Dose 3 — Moderna
- 2022-04-15
-
2022-06-24
Dose 4 — Moderna
- 2022-06-27
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-10
-
2022-07-22
Survey response — 28 day, dose 4MedDRA: Abdominal discomfort, Brain fog, Fatigue, Headache, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2023-06-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-12-31 | Moderna | No |
| 4 | 2022-06-24 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-15 | Successful 2021-07-20 |
Participant prefers to complete VAERS report online |
Free text
Release 8
Symptoms: Having a much heavier than normal period with more cramping, fatigue, and nausea.
Release 9
Symptoms: Pregnancy - possible ectopic or miscarriage
Healthcare visit (other): In person doctor visits
Release 12
Symptoms: Sore throat, fatigue, brain fog, nausea/upset stomach, headache
Free-text releases are not linked to a specific 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 | ✓ | · | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release