V8M-14179-19803
3 vaccinations
5 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 840 / UT
- Registered
- 2021-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Pfizer-BioNTech
-
2021-03-22
Dose 2 — Pfizer-BioNTech
-
2021-12-17
Registered in v-safe
-
2021-12-17
Dose 3 — Moderna
-
2021-12-17
Survey response — day 0, dose 3MedDRA: Pain in extremity — Feeling: GoodFree text: Arm is really sore where I got the shot.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Severe night sweatsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-22
- 2021-12-23
- 2021-12-24
-
2021-12-31
Survey response — day 14, dose 3MedDRA: Cough, Fatigue, Nasopharyngitis, Night sweats, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cold symptoms (tested negative for COVID) of congestion, runny nose, cough, fatigue, mild fever, night sweats, cough, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — day 14, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-01-05
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-07
- 2022-01-14
-
2022-01-21
Survey response — day 35, dose 3MedDRA: Cough, Delivery, Stress — Feeling: GoodFree text: Cough - likely due to stress, however, because I just gave birth on 1/16/22 to my babyMedDRA releases: 2024-11 · check-in free text available
- 2022-01-28
- 2022-03-18
- 2022-06-17
-
2022-12-17
Survey response — 12 months, dose 3MedDRA: Anxiety, COVID-19, Contusion, Laboratory test abnormal, Liver disorder — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Easy bruising, some slightly abnormal tests related to my liver for unexplainable reasons, anxiety from unexplained bruising, COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-12-17
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Pfizer-BioNTech | No |
| 2 | 2021-03-22 | Pfizer-BioNTech | No |
| 3 | 2021-12-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-31 | Successful 2022-01-05 |
Participant prefers to complete VAERS report online |
| 2022-12-17 | Unsuccessful |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Arm is really sore where I got the shot.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Severe night sweats
Release 10 — day 14, dose 3
Symptoms: Cold symptoms (tested negative for COVID) of congestion, runny nose, cough, fatigue, mild fever, night sweats, cough, sore throat
Release 11 — day 35, dose 3
Symptoms: Cough - likely due to stress, however, because I just gave birth on 1/16/22 to my baby
Release 12 — 12 months, dose 3
Symptoms: Easy bruising, some slightly abnormal tests related to my liver for unexplainable reasons, anxiety from unexplained bruising, COVID
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 | Anxiety | · | · | ✓ |
| SD | Contusion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Liver disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release