XVD-27776-04610
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 913 / CA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Dose 1 — Pfizer-BioNTech
-
2021-04-04
Dose 2 — Pfizer-BioNTech
-
2021-04-05
Registered in v-safe
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Good · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-07-04
-
2021-10-03
Survey response — 6 month, dose 2MedDRA: Heavy menstrual bleeding, Menstruation delayed — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2021-10-03
Report sent to call center — 6 month, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-19
-
2022-02-11
Dose 3 — Pfizer-BioNTech
-
2022-02-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-02-25
- 2022-03-13
-
2022-03-26
Survey response — 42 day, dose 3MedDRA: Mobility decreased, Pain in extremity, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-03-26
Report sent to call center — 42 day, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-29
Call successfulParticipant prefers to complete VAERS report online
- 2022-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Pfizer-BioNTech | |
| 2 | 2021-04-04 | Pfizer-BioNTech | |
| 3 | 2022-02-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-03 | Successful | Participant prefers to complete VAERS report online |
| 2022-03-26 | Successful 2022-03-29 |
Participant prefers to complete VAERS report online |
Free text
Release 7
Systemic reaction (other): On my first shot on 3/14 I did experience pretty moderate palpitations for 3 days after my first shot
Release 9
Symptoms: After my 2nd dose, I didnt get my period for 4 months. Its back now but the first month it was back I had a lot of bleeding. I wonder if this can affect fertility? Ive had lots of vaccines in my lifetime but never had my period stop. Its
Release 11
Symptoms: It's not from my booster but from my first shot. The right arm still hurts and I can't even lift milk out of the fridge or raise my arm up to take off my shirt.
Healthcare visit (other): I am scheduled to see a doctor and expect I'll get an mri to see what is going on.
Free-text releases are not linked to a specific 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 | Unevaluable event | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release