WZG-54207-33843
4 vaccinations
4 coded responses
9 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 841 / UT
- Registered
- 2021-05-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Pfizer-BioNTech
-
2021-05-07
Dose 2 — Pfizer-BioNTech
-
2021-05-31
Registered in v-safe
- 2021-05-31
- 2021-06-04
- 2021-06-13
- 2021-06-18
-
2021-08-06
Survey response — 3 months, dose 2MedDRA: Nasal congestion, Nasopharyngitis, Nephrolithiasis, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: GoodFree text: Kidney stonesCold with symptoms of sore throat and stuffy/runny nose/body achesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-05
Survey response — 6 months, dose 2MedDRA: Food poisoning, Premature separation of placenta — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Placental abruption and food poisoningMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-11-08
-
2021-11-17
Dose 3 — Moderna
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2022-05-07
Survey response — 12 months, dose 2MedDRA: Ankle fracture — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Ankle fractureMedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
-
2022-05-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-29
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-12-12
Survey response — day 42, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion, coughMedDRA releases: 2024-11 · check-in free text available
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Pfizer-BioNTech | |
| 2 | 2021-05-07 | Pfizer-BioNTech | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-10-29 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-05 | Successful 2022-05-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-07 | Successful 2022-05-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — 3 months, dose 2
Symptoms: Kidney stonesCold with symptoms of sore throat and stuffy/runny nose/body aches
Release 10 — 6 months, dose 2
Symptoms: Placental abruption and food poisoning
Release 11 — 12 months, dose 2
Symptoms: Ankle fracture
Release 12 — day 42, dose 4
Symptoms: Congestion, cough
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 | Ankle fracture | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Nephrolithiasis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Premature separation of placenta | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release