VCV-29645-99269
4 vaccinations
6 coded responses
23 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 924 / CA
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
NRH-25627-53543
Child or adolescent in my care · Female · 2021-12-09
Timeline
-
2021-02-26
Dose 1 — Pfizer-BioNTech
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-03-29
Registered in v-safe
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Muscle twitching — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: twitching in the muscle where I received the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Memory impairment — Feeling: Fair · Headache, Fatigue or tirednessFree text: Memory issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-09
Dose 3 — Moderna
- 2021-12-14
-
2021-12-21
Survey response — day 42, dose 3MedDRA: COVID-19, Influenza — Feeling: PoorFree text: I either have the flu or covidMedDRA releases: 2024-11 · check-in free text available
- 2022-02-08
- 2022-05-10
-
2022-11-11
Survey response — 12 months, dose 3MedDRA: Intervertebral disc protrusion, Migraine — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Building disc in my neck and migraines which I have never hadMedDRA releases: 2024-11 · check-in free text available
-
2022-11-11
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-14
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-11-14
Call successfulNot applicable - Accidental Reporting
- 2022-12-08
-
2022-12-12
Survey response — day 28, dose 4MedDRA: COVID-19, Cough, Headache, Muscle spasms, Oropharyngeal pain, Pain, Respiratory tract congestion, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have covid, 1st day of symptoms today. In pain, cramping and bones, headache, chest congestion, cough, and sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-12-19
Survey response — day 35, dose 4MedDRA: COVID-19, Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Still have covid and the headache and fatigue are terrible.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-28
- 2023-02-13
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-11-14 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-11 | Successful 2022-11-14 |
Not applicable - Accidental Reporting |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): twitching in the muscle where I received the injection.
Systemic reaction (other): Memory issues
Release 10 — day 42, dose 3
Symptoms: I either have the flu or covid
Release 12 — 12 months, dose 3
Symptoms: Building disc in my neck and migraines which I have never had
Release 12 — day 28, dose 4
Symptoms: I have covid, 1st day of symptoms today. In pain, cramping and bones, headache, chest congestion, cough, and sore throat
Release 12 — day 35, dose 4
Symptoms: Still have covid and the headache and fatigue are terrible.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Memory impairment | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release