X4Y-27778-60603
4 vaccinations
4 coded responses
42 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 200 / DC
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Pfizer-BioNTech
-
2020-12-24
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-09
-
2021-01-11
Dose 2 — Pfizer-BioNTech
- 2021-01-14
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-25
Survey response — day 14, dose 2MedDRA: Pain, Pyrexia — Feeling: GoodFree text: One day of feeling achy and subjectively feverish, but no temperatureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-04-13
Survey response — 3 months, dose 2MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hypothyroidism with concurrent fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-12
-
2021-10-01
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-01
Survey response — day 0, dose 3MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-31
- 2021-11-05
- 2021-11-12
-
2021-12-31
Survey response — 3 months, dose 3MedDRA: Abortion induced, Foetal disorder, Pregnancy, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I was pregnant at the time of my booster and was diagnosed with fetal anomalies 12/21 requiring pregnancy termination. · Healthcare visit (other): ORMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
-
2022-01-04
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-01
-
2022-09-09
Dose 4 — ModernaCo-administered: Flu
- 2022-10-01
- 2022-10-01
- 2022-10-09
- 2022-10-14
- 2022-10-23
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Pfizer-BioNTech | |
| 2 | 2021-01-11 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-09 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-13 | Successful | Does not wish to fill out VAERS report |
| 2021-12-31 | Successful 2022-01-04 |
Participant prefers to complete VAERS report online |
Free text
Release 2 — day 14, dose 2
Symptoms: One day of feeling achy and subjectively feverish, but no temperature
Release 7 — 3 months, dose 2
Symptoms: Hypothyroidism with concurrent fatigue
Release 9 — day 0, dose 3
Systemic reaction (other): Pregnancy
Release 10 — 3 months, dose 3
Symptoms: I was pregnant at the time of my booster and was diagnosed with fetal anomalies 12/21 requiring pregnancy termination.
Healthcare visit (other): OR
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 | Unevaluable event | · | · | ✓ |
| SD | Abortion induced | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Foetal disorder | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release