W6M-28911-53402
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 931 / CA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
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2021-03-31
Dose 1 — Pfizer-BioNTech
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-06
- 2021-04-07
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2021-04-14
Survey response — day 14, dose 1MedDRA: Back pain, Muscle spasms, Pregnancy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Cramping and back pain and partial dilation at 29 weeks pregnantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-22
Dose 2 — Pfizer-BioNTech
- 2021-04-22
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-25
- 2021-04-26
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Nasal congestion, Oropharyngeal pain — Feeling: Good · HeadacheFree text: I feel like I have a slight cold -stuffy nose; sore throat and ear ache but very mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Congested, sneezing, coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 7, dose 2MedDRA: Nasal congestion, Oropharyngeal pain, Productive cough, Sneezing — Feeling: FairFree text: Stuffy nose, sneezing, sore throat, lots of phlegmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Pfizer-BioNTech | |
| 2 | 2021-04-22 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-14 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Cramping and back pain and partial dilation at 29 weeks pregnant
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I feel like I have a slight cold -stuffy nose; sore throat and ear ache but very mild
Systemic reaction (other): Congested, sneezing, coughing
Release 8 — day 7, dose 2
Systemic reaction (other): Stuffy nose, sneezing, sore throat, lots of phlegm
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release