ULV-16349-10206
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 956 / CA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Pfizer-BioNTech
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache · Be unable to do your normal daily activitiesFree text: Cough and sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: SARS-CoV-2 test — Feeling: Poor · Fever · Headache, Vomiting, Diarrhea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Was ordered a Covid test. I went today and had it done.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Report sent to call center — days 1–6 daily, dose 1Be 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 · 1 call case(s)
-
2021-02-09
Survey response — day 7, dose 1MedDRA: Cough, SARS-CoV-2 test negative — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Coughing (Covid negative)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-12
Dose 2 — Pfizer-BioNTech
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Diarrhea, Abdominal painAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-28
-
2021-04-02
Survey response — day 21, dose 2MedDRA: Cough, Fatigue, Ocular hyperaemia, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Goopy red eye and runny nose slight cough sore throat fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 28, dose 2MedDRA: Gastroenteritis viral, Vomiting — Feeling: FairFree text: Sick to stomach and throwing upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-11-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Pfizer-BioNTech | |
| 2 | 2021-03-12 | Pfizer-BioNTech |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Cough and sore throat
Healthcare visit (other): Was ordered a Covid test. I went today and had it done.
Release 3 — day 7, dose 1
Systemic reaction (other): Coughing (Covid negative)
Release 6 — day 21, dose 2
Symptoms: Goopy red eye and runny nose slight cough sore throat fatigue
Release 7 — day 28, dose 2
Symptoms: Sick to stomach and throwing up
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release