ULL-22920-72468
3 vaccinations
7 coded responses
32 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
- 2020-07-22
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Pfizer-BioNTech
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-04-08
-
2021-04-15
Dose 2 — Pfizer-BioNTech
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-24
- 2021-04-29
-
2021-05-06
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Mild headache todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 28, dose 2MedDRA: Menstruation delayed — Feeling: GoodFree text: Missed period (53 day cycle)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
-
2021-05-27
Survey response — day 42, dose 2MedDRA: Dizziness, Heart rate decreased, Hypotension, Office visit, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had a bad reaction to a hysteroscopy procedure. Low pulse, low blood pressure, vomiting, dizziness. Only lasted a couple hours. Probably not related to the vaccine at all. · Healthcare visit (other): I was already with the doctor when I had the reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Menstruation delayed, Periarthritis — 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 · Outpatient clinic or urgent care clinic visitFree text: Frozen shoulder. Extremely delayed period.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-15
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-22
-
2021-10-18
Dose 3 — Pfizer-BioNTech
- 2021-10-20
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2021-10-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body achesFree text: Swollen lymph node in left armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
- 2021-10-24
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
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2021-11-22
Survey response — day 35, dose 3MedDRA: Fatigue, Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, likely due to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 42, dose 3MedDRA: Abortion missed, Dizziness, Fatigue, Nausea, Pregnancy — 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 · Outpatient clinic or urgent care clinic visitFree text: Fatigue, dizziness, nausea. Likely caused by pregnancy. Also had a missed miscarriage.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-01
- 2022-01-17
- 2022-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Pfizer-BioNTech | |
| 2 | 2021-04-15 | Pfizer-BioNTech | |
| 3 | 2021-10-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-27 | Unsuccessful | |
| 2021-07-15 | Unsuccessful | |
| 2021-11-29 | Unsuccessful |
Free text
Release 8 — day 21, dose 2
Symptoms: Mild headache today
Release 8 — day 28, dose 2
Symptoms: Missed period (53 day cycle)
Release 8 — day 42, dose 2
Symptoms: I had a bad reaction to a hysteroscopy procedure. Low pulse, low blood pressure, vomiting, dizziness. Only lasted a couple hours. Probably not related to the vaccine at all.
Healthcare visit (other): I was already with the doctor when I had the reaction.
Release 9 — 3 months, dose 2
Symptoms: Frozen shoulder. Extremely delayed period.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node in left armpit
Release 10 — day 35, dose 3
Symptoms: Fatigue, likely due to pregnancy
Release 10 — day 42, dose 3
Symptoms: Fatigue, dizziness, nausea. Likely caused by pregnancy. Also had a missed miscarriage.
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 missed | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate decreased | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Periarthritis | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release