W4X-14014-87464
2 vaccinations
2 coded responses
19 check-ins
2 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2021-05-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-13
Registered in v-safe
-
2021-05-13
Dose 1 — Pfizer-BioNTech
- 2021-05-13
-
2021-05-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-19
- 2021-05-22
-
2021-06-10
Dose 2 — Pfizer-BioNTech
- 2021-06-10
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-15
- 2021-06-16
- 2021-06-24
- 2021-07-01
- 2021-07-08
-
2021-07-15
Survey response — day 35, dose 2MedDRA: Herpes zoster — 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 consultationFree text: I developed Shingles.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-15
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-22
- 2021-07-26
- 2021-12-09
-
2022-06-10
Survey response — 12 months, dose 2MedDRA: COVID-19, Delivery — 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 · Emergency room or emergency department visitFree text: I got COVID and had a baby.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-10
Report sent to call center — 12 months, dose 2Be 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 · 1 call case(s)
-
2022-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Pfizer-BioNTech | |
| 2 | 2021-06-10 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-15 | Successful 2022-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-10 | Successful 2022-06-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — day 35, dose 2
Symptoms: I developed Shingles.
Release 12 — 12 months, dose 2
Symptoms: I got COVID and had a baby.
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 | Delivery | · | · | ✓ |
| SD | Herpes zoster | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release