XHH-13543-79878
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 974 / OR
- Registered
- 2021-04-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-04
Registered in v-safe
-
2021-04-04
Dose 1 — Pfizer-BioNTech
-
2021-04-04
Health check-in — day 0, dose 1Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, DiarrheaFree text: Dry mouth or cottonmouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-10
- 2021-04-11
-
2021-04-20
Survey response — day 14, dose 1MedDRA: Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a small fever end of last week, sore throat, congestion. May have been allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Dose 2 — Pfizer-BioNTech
- 2021-04-25
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-05-31
- 2021-06-06
- 2021-10-26
-
2022-04-25
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-26
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-04 | Pfizer-BioNTech | |
| 2 | 2021-04-25 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-25 | Successful 2022-04-26 |
Not applicable - Accidental Reporting |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dry mouth or cottonmouth
Release 7 — day 14, dose 1
Symptoms: Had a small fever end of last week, sore throat, congestion. May have been allergies.
Release 11 — 12 months, dose 2
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 | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release