VQF-28484-60862
4 vaccinations
5 coded responses
40 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 236 / VA
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
RSY-43011-16331
Child or adolescent in my care · Male · 2021-11-11
KXN-32641-67012
Child or adolescent in my care · Female · 2022-02-15
Timeline
-
2021-01-09
Dose 1 — Pfizer-BioNTech
-
2021-01-10
Registered in v-safe
- 2021-01-10
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: tiredness maybe related to 3 day insomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
-
2021-02-01
Dose 2 — Pfizer-BioNTech
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: left axilla tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
-
2021-02-15
Survey response — day 14, dose 2MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migraine headache for 3 days since Last ThursdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
-
2021-03-01
Survey response — day 28, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Right underarm swelling, Mild Symptoms onky lasted 3 days. Hot compress remedied it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-11-09
Dose 3 — Pfizer-BioNTech
- 2021-11-11
- 2021-11-12
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2022-02-08
-
2022-05-10
Survey response — 6 months, dose 3MedDRA: COVID-19 — 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: Got COVID infected last Apr 9, 2022 with moderate symptoms.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-10
Report sent to call center — 6 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)
-
2022-05-11
Call successfulParticipant prefers to complete VAERS report online
-
2022-10-04
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-09
- 2022-11-09
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Pfizer-BioNTech | |
| 2 | 2021-02-01 | Pfizer-BioNTech | |
| 3 | 2021-11-09 | Pfizer-BioNTech | No |
| 4 | 2022-10-04 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-10 | Successful 2022-05-11 |
Participant prefers to complete VAERS report online |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): tiredness maybe related to 3 day insomnia
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): left axilla tenderness
Release 4 — day 14, dose 2
Symptoms: Migraine headache for 3 days since Last Thursday
Release 4 — day 28, dose 2
Symptoms: Right underarm swelling, Mild Symptoms onky lasted 3 days. Hot compress remedied it.
Release 11 — 6 months, dose 3
Symptoms: Got COVID infected last Apr 9, 2022 with moderate symptoms.
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 | COVID-19 | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release