SV4-12834-25144
1 vaccination
2 coded responses
9 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 662 / KS
- Registered
- 2021-08-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-27
Registered in v-safe
-
2021-08-27
Dose 1 — Pfizer-BioNTech
- 2021-08-27
-
2021-08-28
Survey response — days 1–6 daily, dose 1MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Foggy headednessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-08-30
- 2021-08-31
-
2021-09-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-09-01
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-02
Survey response — days 1–6 daily, dose 1MedDRA: Placenta praevia haemorrhage, Rest regimen — Feeling: Fair · Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Placenta bleeding · Healthcare visit (other): Put on bedrestMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
-
2021-09-07
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-10
- 2021-09-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-27 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Foggy headedness
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 | Rest regimen | ✓ | · | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Placenta praevia haemorrhage | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release