T6Z-33692-28691
3 vaccinations
6 coded responses
20 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 480 / MI
- Registered
- 2021-05-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
5VU-18380-69548
Child or adolescent in my care · Male · 2021-12-02
UXV-10159-75433
Child or adolescent in my care · Female · 2021-12-02
Timeline
-
2021-05-07
Dose 1 — Pfizer-BioNTech
-
2021-05-24
Registered in v-safe
-
2021-05-24
Survey response — day 14, dose 1MedDRA: Anxiety, Dyspepsia, Gastrointestinal disorder, Insomnia, Lymphadenopathy — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Insomnia, swollen lymphs neck and behind ears, digestive issues, anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-24
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-28
Dose 2 — Pfizer-BioNTech
-
2021-05-29
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
-
2021-06-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
- 2021-06-20
- 2021-06-25
-
2021-07-04
Survey response — day 35, dose 2MedDRA: Abdominal discomfort, Blood pressure increased, Insomnia — Feeling: FairFree text: Stomach discomfort , high BP, trouble sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-09
- 2021-11-26
-
2022-01-08
Dose 3 — Pfizer-BioNTech
-
2022-01-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
-
2022-01-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-01-15
- 2022-01-22
- 2022-01-29
- 2022-02-05
- 2022-02-12
- 2022-02-19
-
2022-04-09
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-04-09
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
- 2022-04-12
-
2022-07-11
Survey response — 6 months, dose 3MedDRA: Drug hypersensitivity — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Allergic reaction to antibioticsMedDRA releases: 2024-11 · check-in free text available
-
2022-07-11
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-07-12
- 2022-07-12
- 2022-07-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-07 | Pfizer-BioNTech | |
| 2 | 2021-05-28 | Pfizer-BioNTech | |
| 3 | 2022-01-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-24 | Unsuccessful | |
| 2022-04-09 | Unsuccessful | |
| 2022-07-11 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: Insomnia, swollen lymphs neck and behind ears, digestive issues, anxiety
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Ear ache
Systemic reaction (other): Swollen lymph shoulder
Release 9 — day 35, dose 2
Symptoms: Stomach discomfort , high BP, trouble sleeping
Release 11 — 3 months, dose 3
Symptoms: Miscarriage
Release 12 — 6 months, dose 3
Symptoms: Allergic reaction to antibiotics
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Anxiety | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Drug hypersensitivity | · | · | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ○ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release