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WA7-11465-11539

3 vaccinations 4 coded responses 15 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
641 / MO
Registered
2021-09-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-16
    Dose 1 — Pfizer-BioNTech
  2. 2021-01-06
    Dose 2 — Pfizer-BioNTech
  3. 2021-09-25
    Registered in v-safe
  4. 2021-09-25
    Dose 3 — Pfizer-BioNTech
  5. 2021-09-25
    Health check-in — day 0, dose 3
    Feeling: Fair · None
    Adult check-in
  6. 2021-09-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-09-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-09-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  9. 2021-09-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  10. 2021-09-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Unevaluable event — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Had spinal anesthesia9/29
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-09-30
    Report sent to call center — days 1–6 daily, dose 3
    Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  12. 2021-10-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-10-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  14. 2021-10-09
    Survey response — day 14, dose 3
    MedDRA: Coccydynia, Sacral pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sacral coccyx pain
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-10-16
    Survey response — day 21, dose 3
    MedDRA: Back pain, Emergency care, Pelvic pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Low back and pelvic pain · Healthcare visit (other): Went to labor and delivery triage
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-16
    Report sent to call center — day 21, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-10-21
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  18. 2021-10-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-01
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  20. 2021-11-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-27
    Survey response — 3 months, dose 3
    MedDRA: Delivery — Feeling: Fair
    Free text: Gave birth to full term infant
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-09-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-16Pfizer-BioNTech No
22021-01-06Pfizer-BioNTech No
32021-09-25Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-09-30 Successful
2021-10-01
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2021-10-16 Successful
2021-10-21
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 9 — days 1–6 daily, dose 3

2021-09-30

Systemic reaction (other): Had spinal anesthesia9/29

Release 10 — day 14, dose 3

2021-10-09

Symptoms: Sacral coccyx pain

Release 10 — day 21, dose 3

2021-10-16

Symptoms: Low back and pelvic pain
Healthcare visit (other): Went to labor and delivery triage

Release 10 — 3 months, dose 3

2021-12-27

Symptoms: Gave birth to full term infant

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
HCVOEmergency care · · ✓
SDBack pain · · ✓
SDCoccydynia · · ✓
SDDelivery · · ✓
SDPelvic pain · · ✓
SDSacral pain · · ✓
SROUnevaluable event · · ✓

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