XA5-85868-75854
1 vaccination
2 coded responses
6 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 483 / MI
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Pfizer-BioNTech
-
2020-12-31
Registered in v-safe
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-02
- 2021-01-13
-
2021-04-02
Survey response — 3 months, dose 1MedDRA: Dehydration, Malaise, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to workFree text: Cold or viral type Illness for about 5-8 days causing dehydration and requiring IV hydration. Covid test negative at this time. Recovered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-12-30
Survey response — 12 months, dose 1MedDRA: Abortion spontaneous — Feeling: GoodFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-31 | priority 2/3 |
Free text
Release 6 — 3 months, dose 1
Symptoms: Cold or viral type Illness for about 5-8 days causing dehydration and requiring IV hydration. Covid test negative at this time. Recovered.
Release 10 — 12 months, dose 1
Symptoms: Miscarriage
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 | Dehydration | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release