XX6-21934-58697
4 vaccinations
8 coded responses
35 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 980 / WA
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Pfizer-BioNTech
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-04-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
-
2021-05-08
Dose 2 — Pfizer-BioNTech
- 2021-05-08
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Depressed mood, Vaccine positive rechallenge — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
-
2021-06-12
Survey response — 35 day, dose 2MedDRA: Fatigue, Nasal congestion, Nasopharyngitis, Pain — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-06-19
Survey response — 42 day, dose 2MedDRA: Nasal congestion, Rhinorrhoea, Sinus congestion — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-08-07
Survey response — 3 month, dose 2MedDRA: Eye laser surgery, Retinal tear — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2021-09,2024-11 · check-in answers available
-
2021-08-07
Report sent to call center — 3 month, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-06
- 2021-12-01
-
2021-12-03
Dose 3 — Moderna
-
2022-05-03
Dose 4 — Moderna
- 2022-05-09
-
2022-05-09
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2022-05-09
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-10
- 2022-05-12
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-08-02
-
2022-11-01
Survey response — 6 month, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2023-05-03
Survey response — 12 month, dose 4MedDRA: Dry eye, Rosacea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11 · check-in answers available
-
2023-05-03
Report sent to call center — 12 month, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-04
- 2023-05-04
- 2023-05-10
- 2023-05-10
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Pfizer-BioNTech | |
| 2 | 2021-05-08 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-07 | Unsuccessful | |
| 2022-05-09 | Unsuccessful | |
| 2023-05-03 | Unsuccessful |
Free text
Release 7
Systemic reaction (other): Thanks to yesterdays fatigue symptom I slept very well last night!
Release 8
Systemic reaction (other): A bit down in spirit; this happened for a couple days after first shot too.
Release 9
Symptoms: Had a mild cold for a few days this week. Stuffy nose and mild fatigue and achiness.
Symptoms: Had stuffy/runny nose better now. Still a bit of sinus congestion. But energy is good.
Symptoms: Torn retina for which I had laser eye surgery to hem in the tear.
Release 11
Healthcare visit (other): Note: Rash on neck started day before booster.
Release 12
Symptoms: I had covid in early October 2022.
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 | Pre-existing disease | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dry eye | · | · | ✓ |
| SD | Eye laser surgery | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Retinal tear | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Rosacea | · | · | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release