V8Z-13993-80683
3 vaccinations
5 coded responses
34 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 390 / MS
- Registered
- 2020-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
- 2020-12-21
-
2020-12-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-04
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 2Feeling: 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
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
-
2021-01-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-08
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Nausea, epigastric painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-23
-
2021-04-12
Survey response — 3 months, dose 2MedDRA: Abdominal pain upper, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Persistent nausea and epigastric painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-14
-
2021-09-16
Dose 3 — Pfizer-BioNTech
-
2021-09-29
Survey response — day 7, dose 3MedDRA: Pain — Feeling: GoodFree text: Severe body aches on 9/17, day after vaccinationMedDRA releases: 2024-11 · check-in free text available
- 2021-09-30
-
2021-10-07
Survey response — day 21, dose 3MedDRA: Gastroenteritis viral — 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: Stomach virus unrelated to vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Report sent to call center — day 21, 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)
- 2021-10-08
- 2021-10-14
- 2021-10-21
- 2021-10-29
- 2021-12-17
- 2022-03-17
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2022-09-16
Survey response — 12 months, dose 3MedDRA: Nausea, Office visit, Vomiting — 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: Symptoms: Frequent nausea; vomiting · Healthcare visit (other): GI specialist with unremarkable EGD and colonoscopyMedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-19
- 2022-09-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-09-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | priority 2/3 | |
| 2021-10-07 | Unsuccessful | |
| 2022-09-16 | Unsuccessful |
Free text
Release 3 — day 28, dose 2
Symptoms: Nausea, epigastric pain
Release 7 — 3 months, dose 2
Symptoms: Persistent nausea and epigastric pain
Release 9 — day 7, dose 3
Systemic reaction (other): Severe body aches on 9/17, day after vaccination
Release 10 — day 21, dose 3
Symptoms: Stomach virus unrelated to vaccine
Release 12 — 12 months, dose 3
Symptoms: Frequent nausea; vomiting
Healthcare visit (other): GI specialist with unremarkable EGD and colonoscopy
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release