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
-
2020-12-21
Registered in v-safe
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2020-12-21
Survey response — day 0, dose 1MedDRA: Muscle tightness — Feeling: GoodFree text: Jaw tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-22
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2021-01-05
-
2021-01-08
Dose 2 — Pfizer-BioNTech
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to workAdult check-in
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
-
2021-01-29
Survey response — day 21, dose 2MedDRA: Body temperature increased, Oropharyngeal pain — Feeling: PoorFree text: Sore throat, elevated temperature without a feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — day 28, dose 2MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Congestion, store throat, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
-
2021-02-21
Survey response — day 42, dose 2MedDRA: Cough, Medical counselling, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professionalFree 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 lungsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-09
-
2021-06-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-09
-
2022-01-08
Survey response — 12 months, dose 2MedDRA: Pregnancy, Vaginal haemorrhage — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-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
Systemic reaction (other): Jaw tightness
Release 3 — day 21, dose 2
Symptoms: Sore throat, elevated temperature without a fever
Release 3 — day 28, dose 2
Symptoms: Congestion, store throat, cough
Release 4 — day 42, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release