UZ3-24893-97458
3 vaccinations
5 coded responses
18 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 539 / WI
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Pfizer-BioNTech
- 2021-02-18
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-22
- 2021-02-24
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Pfizer-BioNTech
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-14
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: GoodFree text: Shingles right flankMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — day 7, dose 2MedDRA: Herpes zoster, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Shingles right side · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-26
- 2021-04-10
- 2021-04-16
-
2021-04-22
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constant headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
-
2021-09-09
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fever sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-09-09
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
-
2022-03-13
Survey response — 12 months, dose 2MedDRA: Premature labour — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Pre term labor at 32 weeks.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-13
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-03-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-08
Dose 3 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Pfizer-BioNTech | |
| 2 | 2021-03-11 | Pfizer-BioNTech | |
| 3 | 2022-04-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-22 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-09-09 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-13 | Successful 2022-03-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Shingles right flank
Release 5 — day 7, dose 2
Release 7 — day 42, dose 2
Symptoms: Constant headaches
Release 9 — 6 months, dose 2
Symptoms: Fever sore throat
Release 11 — 12 months, dose 2
Symptoms: Pre term labor at 32 weeks.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release