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WAT-46703-61999

3 vaccinations 3 coded responses 11 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
26-30
ZIP prefix
191 / PA
Registered
2021-03-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-27
    Registered in v-safe
  2. 2021-03-27
    Dose 1 — Pfizer-BioNTech
  3. 2021-03-27
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenopathy — Feeling: Fair · Headache
    Free text: Swollen node on left clavicle (same side as injection)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-05
    Survey response — day 7, dose 1
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Swollen and tender Supraclavicular node and node near armpit on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-19
    Dose 2 — Pfizer-BioNTech
  11. 2021-04-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  13. 2021-12-15
    Dose 3 — Pfizer-BioNTech
  14. 2022-04-21
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Office visit, Ventricular extrasystoles — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I developed Premature Ventricular Contractions (PVC) a week after my booster shot in December. They lasted for 3.5 months. I also suffered a miscarriage after the booster. · Healthcare visit (other): Cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-04-21
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  16. 2022-04-22
  17. 2022-12-15
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-27Pfizer-BioNTech
22021-04-19Pfizer-BioNTech
32021-12-15Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2022-04-21 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): Swollen node on left clavicle (same side as injection)

Release 7 — day 7, dose 1

2021-04-05

Systemic reaction (other): Swollen and tender Supraclavicular node and node near armpit on side of injection

Release 11 — 12 months, dose 2

2022-04-21

Symptoms: I developed Premature Ventricular Contractions (PVC) a week after my booster shot in December. They lasted for 3.5 months. I also suffered a miscarriage after the booster.
Healthcare visit (other): Cardiologist

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
HCVOOffice visit · · ✓
SDAbortion spontaneous · · ✓
SDVentricular extrasystoles · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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