XDB-20168-76303
3 vaccinations
5 coded responses
15 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 040 / ME
- Registered
- 2021-08-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Registered in v-safe
-
2021-08-19
Dose 1 — Pfizer-BioNTech
- 2021-08-19
-
2021-08-20
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Sore armMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-21
-
2021-08-22
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Rhinorrhoea — Feeling: GoodFree text: Runny nose most likely from allergiesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-23
Survey response — days 1–6 daily, dose 1MedDRA: Epistaxis — Feeling: FairFree text: Bloody noseMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-24
-
2021-08-26
Survey response — day 7, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny noseMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Survey response — day 14, dose 1MedDRA: Epistaxis, Nephrolithiasis — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: I had a very bad bloody nose. I also had kidney stones a week after shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-02
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-08
-
2021-09-09
Dose 2 — Pfizer-BioNTech
-
2021-09-09
Health check-in — day 0, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-09-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-09-13
- 2021-09-14
- 2021-09-18
- 2021-09-23
- 2021-10-21
-
2022-02-04
Dose 3 — Pfizer-BioNTech
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Pfizer-BioNTech | No |
| 2 | 2021-09-09 | Pfizer-BioNTech | No |
| 3 | 2022-02-04 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-02 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Sore arm
Systemic reaction (other): Runny nose most likely from allergies
Systemic reaction (other): Bloody nose
Release 9 — day 7, dose 1
Systemic reaction (other): Runny nose
Release 9 — day 14, dose 1
Symptoms: I had a very bad bloody nose. I also had kidney stones a week after shot.
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 | Epistaxis | ✓ | · | ✓ |
| SD | Nephrolithiasis | ✓ | · | ✓ |
| SRO | Epistaxis | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Rhinorrhoea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release