UJ4-88998-54802
4 vaccinations
8 coded responses
41 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Pfizer-BioNTech
- 2021-03-11
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Pre-existing disease — Feeling: Fair · Abdominal painFree text: the ab pain was occurring before i had vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Office visit, Pain — Feeling: Fair · Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): this pain started before vaccine · Healthcare visit (other): in office visit with my MDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Diverticulitis — Feeling: Fair · Site: Pain · Abdominal painFree text: diagnosed with diverticulitis on 3/15/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
-
2021-03-18
Survey response — day 7, dose 1MedDRA: Diverticulitis — Feeling: Fair · Diarrhea, Abdominal painFree text: due to diverticulitis and medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-04-01
Dose 2 — Pfizer-BioNTech
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2021-04-01
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: GoodFree text: a bit fatigued recovering from diverticulisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Hysteroscopy, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: had a hysteroscopy and d&cMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-01
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-05
- 2021-09-30
-
2021-10-09
Dose 3 — Pfizer-BioNTech
- 2022-04-02
-
2022-04-27
Dose 4 — Pfizer-BioNTech
- 2022-04-27
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-26
- 2022-06-01
- 2022-06-09
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2022-07-27
Survey response — 3 months, dose 4MedDRA: Gastroenteritis viral, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: i had a stomach virus but tested negative for covid (home test)MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Survey response — 6 months, dose 4MedDRA: Cough, Nasopharyngitis — Feeling: GoodFree text: i had a mild cold and coughMedDRA releases: 2024-11 · check-in free text available
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-15 | Unsuccessful | |
| 2021-07-01 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): the ab pain was occurring before i had vaccine
Systemic reaction (other): this pain started before vaccine
Healthcare visit (other): in office visit with my MD
Systemic reaction (other): diagnosed with diverticulitis on 3/15/2021
Release 5 — day 7, dose 1
Systemic reaction (other): due to diverticulitis and meds
Release 6 — day 0, dose 2
Systemic reaction (other): a bit fatigued recovering from diverticulis
Release 9 — 3 months, dose 2
Symptoms: had a hysteroscopy and d&c
Release 12 — 3 months, dose 4
Symptoms: i had a stomach virus but tested negative for covid (home test)
Release 12 — 6 months, dose 4
Symptoms: i had a mild cold and cough
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 | Cough | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Hysteroscopy | ○ | ✓ | ○ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Uterine dilation and curettage | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Diverticulitis | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release