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XQQ-33116-53865

4 vaccinations 5 coded responses 13 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
660 / KS
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Pfizer-BioNTech
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Dose 2 — Pfizer-BioNTech
  4. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache
    Adult check-in
  6. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache
    Adult check-in
  7. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-05-07
    Survey response — day 21, dose 2
    MedDRA: Streptococcal infection — Feeling: Fair · Be unable to work
    Free text: Strep went through my family.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-07-15
    Survey response — 3 months, dose 2
    MedDRA: Mastitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Mastitis. I'm weaning my toddler.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2021-07-15
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-07-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  13. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Influenza — Feeling: Fair
    Free text: Got the flu
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-08
    Dose 3 — Moderna
  15. 2022-04-15
    Survey response — 12 months, dose 2
    MedDRA: Abortion spontaneous, Depressed mood, Exposure to SARS-CoV-2, Suspected COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Hospitalization
    Free text: Had miscarriage after contracting what probably Covid. I was too depressed from losing the baby to get test but my coworkers tested positive at the same time.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-15
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
  17. 2022-04-20
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  18. 2022-09-17
    Dose 4 — Pfizer-BioNTech
    Co-administered: Flu
  19. 2022-10-18
    Health check-in — day 28, dose 4
    Feeling: Fair
    Adult check-in
  20. 2022-10-24
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  21. 2022-10-31
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  22. 2022-12-17
    Survey response — 3 months, dose 4
    MedDRA: Abortion spontaneous, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Had an early miscarriage. · Healthcare visit (other): Obgyn care takes forever. Appointment is 12/30.
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-12-17
    Report sent to call center — 3 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  24. 2022-12-19
  25. 2022-12-19
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Pfizer-BioNTech
22021-04-15Pfizer-BioNTech
32022-01-08Moderna No
42022-09-17Pfizer-BioNTech Flu

Call center

ReportedOutcomeVAERS-related outcome
2021-07-15 Successful
2021-07-26
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-15 Successful
2022-04-20
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2022-12-17 Successful
2022-12-19
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Strep went through my family.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Mastitis. I'm weaning my toddler.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: Got the flu

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Had miscarriage after contracting what probably Covid. I was too depressed from losing the baby to get test but my coworkers tested positive at the same time.

Release 12 — 3 months, dose 4

2022-12-17

Symptoms: Had an early miscarriage.
Healthcare visit (other): Obgyn care takes forever. Appointment is 12/30.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAbortion spontaneous · · ✓
SDDepressed mood · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDInfluenza · · ✓
SDMastitis ✓ · ✓
SDStreptococcal infection ✓ ✓ ✓
SDSuspected COVID-19 · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release