XDC-19131-70243
3 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 221 / VA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Pfizer-BioNTech
-
2021-01-19
Registered in v-safe
- 2021-01-19
- 2021-01-27
-
2021-01-30
Dose 2 — Pfizer-BioNTech
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia, Testicular swelling — Feeling: GoodFree text: I had a lot of pain, swelling, headache, chills, mild fever, fatigue 1/31 and 2/1.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-01
-
2021-10-09
Dose 3 — Pfizer-BioNTech
-
2021-10-10
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I am 36 weeks pregnantMedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care — Feeling: Fair · Site: Pain · Joint pains · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Yesterday I went to the ER for a fetal non stress test.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-10-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-10-14
- 2021-10-15
- 2021-10-18
- 2021-10-24
- 2021-10-30
- 2021-11-07
- 2021-11-15
- 2021-11-22
- 2022-01-08
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Pfizer-BioNTech | |
| 2 | 2021-01-30 | Pfizer-BioNTech | |
| 3 | 2021-10-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-11 | Successful 2021-10-12 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had a lot of pain, swelling, headache, chills, mild fever, fatigue 1/31 and 2/1.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am 36 weeks pregnant
Healthcare visit (other): Yesterday I went to the ER for a fetal non stress test.
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 | Emergency care | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Testicular swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release