X9S-20989-74992
3 vaccinations
3 coded responses
20 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 357 / AL
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Pfizer-BioNTech
-
2021-01-13
Registered in v-safe
- 2021-01-13
- 2021-01-18
- 2021-01-25
-
2021-01-26
Dose 2 — Pfizer-BioNTech
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
-
2021-02-16
Survey response — day 21, dose 2MedDRA: Headache, Musculoskeletal stiffness, Neck pain, Oropharyngeal pain — Feeling: FairFree text: Stiff/sore neck. Headache. Sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Heart rate increased, Palpitations, Supraventricular tachycardia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart palpitations, occasional fast heartbeat episodes (between 160-200bpm) for 3 minutes each. Diagnosed with supraventricular tachycardia (SVT).MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
-
2021-08-06
Call successfulParticipant prefers to complete VAERS report online
-
2021-11-20
Dose 3 — Pfizer-BioNTech
-
2022-02-19
Survey response — 3 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarriage - occurred one day after COVID booster in November 2021.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-19
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-22
- 2022-05-21
- 2022-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Pfizer-BioNTech | |
| 2 | 2021-01-26 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-27 | Successful 2021-08-06 |
Participant prefers to complete VAERS report online |
| 2022-02-19 | Unsuccessful |
Free text
Release 4 — day 21, dose 2
Symptoms: Stiff/sore neck. Headache. Sore throat.
Release 9 — 6 months, dose 2
Symptoms: Heart palpitations, occasional fast heartbeat episodes (between 160-200bpm) for 3 minutes each. Diagnosed with supraventricular tachycardia (SVT).
Release 11 — 3 months, dose 3
Symptoms: Miscarriage - occurred one day after COVID booster in November 2021.
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 | Abortion spontaneous | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Supraventricular tachycardia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release