T9M-11751-44139
4 vaccinations
3 coded responses
39 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 535 / WI
- Registered
- 2021-04-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Dose 1 — Pfizer-BioNTech
-
2021-04-16
Registered in v-safe
- 2021-04-16
- 2021-04-24
-
2021-04-30
Dose 2 — Pfizer-BioNTech
-
2021-04-30
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I am going through IVF FET prep so other meds are involved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-15
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Lymph node swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-08-01
- 2021-10-29
-
2021-10-30
Dose 3 — Pfizer-BioNTech
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-10-31
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-04
Call successfulDoes not wish to fill out VAERS report
- 2021-11-05
- 2021-11-08
- 2021-11-14
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
-
2022-01-29
Survey response — 3 months, dose 3MedDRA: Complication of pregnancy, Delivery, Haemorrhage in pregnancy — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Pregnancy complication: repeated bleeding/potential chronic marginal abruption · Healthcare visit (other): labor and deliveryMedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
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2022-02-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-30
-
2022-09-19
Dose 4 — Pfizer-BioNTech
- 2022-09-25
- 2022-09-29
- 2022-10-05
- 2022-10-25
- 2022-10-31
- 2022-12-21
- 2023-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Pfizer-BioNTech | |
| 2 | 2021-04-30 | Pfizer-BioNTech | |
| 3 | 2021-10-30 | Pfizer-BioNTech | No |
| 4 | 2022-09-19 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): I am going through IVF FET prep so other meds are involved.
Release 8 — day 21, dose 2
Symptoms: Lymph node swelling
Release 11 — 3 months, dose 3
Symptoms: Pregnancy complication: repeated bleeding/potential chronic marginal abruption
Healthcare visit (other): labor and delivery
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 | Delivery | · | · | ✓ |
| SD | Complication of pregnancy | · | · | ✓ |
| SD | Haemorrhage in pregnancy | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release