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W8F-22111-95614

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
551 / MN
Registered
2020-12-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-21
    Registered in v-safe
  2. 2020-12-21
    Dose 1 — Pfizer-BioNTech
  3. 2020-12-21
    Survey response — day 0, dose 1
    MedDRA: Muscle tightness — Feeling: Good
    Free text: Jaw tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2020-12-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-08
    Dose 2 — Pfizer-BioNTech
  13. 2021-01-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-01-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work
    Adult check-in
  15. 2021-01-09
  16. 2021-01-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-01-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-01-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-01-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-01-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-01-29
    Survey response — day 21, dose 2
    MedDRA: Body temperature increased, Oropharyngeal pain — Feeling: Poor
    Free text: Sore throat, elevated temperature without a fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-02-07
    Survey response — day 28, dose 2
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Congestion, store throat, cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-02-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-02-21
    Survey response — day 42, dose 2
    MedDRA: Cough, Medical counselling, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Cough, rhinorrhea · Healthcare visit (other): I work in a clinic so I just asked for tessalon perles and had her listen to my lungs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-02-21
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-04-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-06-02
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2021-07-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-01-08
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy, Vaginal haemorrhage — Feeling: Good
    Free text: Became pregnant. Suspect an episode of bleeding in the first trimester 36 hours after being boosted could be secondary to the immunization.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Pfizer-BioNTech
22021-01-08Pfizer-BioNTech

Call center

ReportedOutcomeVAERS-related outcome
2021-01-09 priority 2/3
2021-02-21 Successful
2021-06-02
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 1 — day 0, dose 1

2020-12-21

Systemic reaction (other): Jaw tightness

Release 3 — day 21, dose 2

2021-01-29

Symptoms: Sore throat, elevated temperature without a fever

Release 3 — day 28, dose 2

2021-02-07

Symptoms: Congestion, store throat, cough

Release 4 — day 42, dose 2

2021-02-21

Symptoms: Cough, rhinorrhea
Healthcare visit (other): I work in a clinic so I just asked for tessalon perles and had her listen to my lungs

Release 10 — 12 months, dose 2

2022-01-08

Symptoms: Became pregnant. Suspect an episode of bleeding in the first trimester 36 hours after being boosted could be secondary to the immunization.

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
SDBody temperature increased ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPregnancy · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDVaginal haemorrhage · · ✓
SROMuscle tightness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release