V2T-20164-37530
3 vaccinations
1 coded response
13 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Registered in v-safe
-
2021-03-21
Dose 2 — Pfizer-BioNTech
-
2021-10-09
Dose 3 — Pfizer-BioNTech
-
2021-10-09
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-10-15
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-11-08
- 2021-11-13
- 2021-11-21
-
2022-01-10
Survey response — 3 months, dose 3MedDRA: Upper limb fracture — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Broken arm at elbowMedDRA releases: 2024-11 · check-in free text available
-
2022-01-10
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-01-11
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Pfizer-BioNTech | No |
| 2 | 2021-03-21 | Pfizer-BioNTech | No |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-10 | Successful 2022-01-11 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 10 — 3 months, dose 3
Symptoms: Broken arm at elbow
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 |
|---|---|---|---|---|
| SD | Upper limb fracture | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release