XWH-13472-72123
5 vaccinations
8 coded responses
59 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 763 / TX
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Pfizer-BioNTech
- 2021-03-19
- 2021-04-02
-
2021-04-09
Dose 2 — Pfizer-BioNTech
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Vaccine positive rechallenge — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Pain, SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Pain, SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Site: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-16
Survey response — 7 day, dose 2MedDRA: Contusion — Feeling: Good · Site: SwellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — 28 day, dose 2MedDRA: Asthenia, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-05-07
Report sent to call center — 28 day, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
- 2021-05-21
- 2021-07-11
- 2021-10-10
-
2021-10-16
Dose 3 — Pfizer-BioNTech
- 2021-10-16
-
2021-10-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-10-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-20
- 2021-10-21
- 2021-10-22
- 2021-10-23
- 2021-10-30
- 2021-11-08
- 2021-11-13
- 2021-11-20
- 2021-11-29
- 2022-01-17
- 2022-04-16
-
2022-05-02
Dose 4 — Pfizer-BioNTechCo-administered: Pneumonia
- 2022-05-02
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-05-04
-
2022-05-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
-
2022-05-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-05-07
- 2022-05-09
-
2022-05-16
Survey response — 14 day, dose 4MedDRA: Headache — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-08-01
- 2022-10-31
-
2022-11-02
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-02
-
2022-11-03
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-11-04
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-11-05
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-11-06
- 2022-11-07
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2023-02-03
- 2023-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Pfizer-BioNTech | |
| 2 | 2021-04-09 | Pfizer-BioNTech | |
| 3 | 2021-10-16 | Pfizer-BioNTech | No |
| 4 | 2022-05-02 | Pfizer-BioNTech | Pneumonia |
| 5 | 2022-11-02 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-07 | Successful 2022-05-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7
Systemic reaction (other): Some bruising where I received the shot both times
Systemic reaction (other): The only other thing is I bruised on my arm pretty good with both shots
Systemic reaction (other): Still some bruising
Systemic reaction (other): Just that my arm has a bruise on it still
Systemic reaction (other): Just brushing where I took the shot but its getting better
Systemic reaction (other): Just brushing on my arm where my shot was given
Release 8
Symptoms: Was extremely tired and felt like I had no energy last Saturday and Sunday then on Monday it started getting better, I still dont feel 100% but I am better
Release 11
Symptoms: Headache
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release