XWB-32864-67032
3 vaccinations
7 coded responses
37 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 080 / NJ
- Registered
- 2020-12-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
55W-24839-70825
Child or adolescent in my care · Male · 2021-11-30
PKX-39220-99264
Child or adolescent in my care · Male · 2022-12-11
Timeline
-
2020-12-18
Registered in v-safe
-
2020-12-18
Dose 1 — Pfizer-BioNTech
-
2020-12-18
Health check-in — 0 day, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2020-12-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2020-12-20
- 2020-12-21
- 2020-12-23
- 2020-12-24
- 2020-12-25
-
2021-01-01
Survey response — 14 day, dose 1MedDRA: Hypersensitivity — Feeling: FairMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-04
Dose 2 — Pfizer-BioNTech
- 2021-01-04
-
2021-01-06
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain in extremity, Pyrexia — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-04-05
- 2021-07-07
-
2021-09-29
Dose 3 — Pfizer-BioNTech
- 2021-09-29
-
2021-09-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
-
2021-10-02
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
-
2021-10-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-10-05
- 2021-10-06
- 2021-10-13
- 2021-10-22
- 2021-10-27
- 2021-11-03
- 2021-11-10
-
2021-12-31
Survey response — 3 month, dose 3MedDRA: Cough, Rhinorrhoea, Sinusitis, Sneezing — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2021-12-31
Report sent to call center — 3 month, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-06
-
2022-01-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-18 | Pfizer-BioNTech | |
| 2 | 2021-01-04 | Pfizer-BioNTech | |
| 3 | 2021-09-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-31 | Successful 2022-01-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1
Symptoms: Allergy symptoms
Systemic reaction (other): No symptoms today. However Yesterday I did not get a survey until 1130pm; I had low grade fever, bad headache, very sore arm yesterday 1/5 (1 day post vaccine dose #2)
Release 9
Systemic reaction (other): Swollen/sore lymph node in axilla- same side as vaccine
Systemic reaction (other): Swollen/sore lymph node in right axils- same side as shot
Systemic reaction (other): Swollen/sore lymph node right axilla- same side as shot
Release 10
Systemic reaction (other): Swollen lymph node- right axilla, same side as shot
Symptoms: Sinus infection, cough, runny nose, sneezing; neg. Pcr on 12/23
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ○ | ○ | ○ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release