U6Y-28017-45149
4 vaccinations
5 coded responses
49 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 553 / MN
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Pfizer-BioNTech
-
2021-03-26
Registered in v-safe
-
2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia oral — Feeling: Good · Fever · HeadacheFree text: Tingling lips (briefly - under 10 minutes in duration)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Dizziness postural — Feeling: GoodFree text: Fleeting dizziness while sitting, less than 1 minute in duration.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-16
Dose 2 — Pfizer-BioNTech
- 2021-04-16
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fever · Fatigue or tirednessAdult check-in
-
2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fever · NoneAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fever · NoneAdult check-in
- 2021-04-22
- 2021-04-23
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Headache, Injection site pruritus, Pruritus — Feeling: FairFree text: Low-grade headache for the last three days, though that could be attributable to other possible causes.Intermittent itching over the past week to the area near and including the injection site (no redness, rash, or swelling present).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
-
2021-10-15
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Became pregnant, but miscarried. · Healthcare visit (other): OB/GYN care in outpatient setting, and outpatient surgery for D&CMedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-20
-
2021-11-07
Dose 3 — Moderna
- 2021-11-07
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2021-12-20
- 2022-02-06
- 2022-05-10
-
2022-09-23
Dose 4 — Pfizer-BioNTech
-
2022-09-24
Survey response — days 1–6 daily, dose 4MedDRA: Dry eye, Eye pain — Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Dry eyes/bilateral eye pain (for a short time).MedDRA releases: 2024-11 · check-in free text available
-
2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-26
- 2022-09-27
- 2022-09-29
- 2022-10-02
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-30
- 2022-11-04
- 2022-12-25
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-16 | Pfizer-BioNTech | |
| 3 | 2021-11-07 | Moderna | No |
| 4 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-15 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling lips (briefly - under 10 minutes in duration)
Systemic reaction (other): Fleeting dizziness while sitting, less than 1 minute in duration.
Release 8 — day 14, dose 2
Symptoms: Low-grade headache for the last three days, though that could be attributable to other possible causes.Intermittent itching over the past week to the area near and including the injection site (no redness, rash, or swelling present).
Release 10 — 6 months, dose 2
Symptoms: Became pregnant, but miscarried.
Healthcare visit (other): OB/GYN care in outpatient setting, and outpatient surgery for D&C
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Dry eyes/bilateral eye pain (for a short time).
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 | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dizziness | ○ | ✓ | ○ |
| SRO | Dizziness postural | ✓ | · | ✓ |
| SRO | Dry eye | · | · | ✓ |
| SRO | Eye pain | · | · | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release