XZH-14087-62722
3 vaccinations
3 coded responses
17 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 957 / CA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- N/A
Timeline
-
2020-12-21
Dose 1 — Pfizer-BioNTech
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 2 — Pfizer-BioNTech
-
2021-01-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-11
- 2021-01-18
- 2021-01-22
-
2021-01-26
Call successfulParticipant prefers to complete VAERS report online
- 2021-02-05
- 2021-02-14
- 2021-02-21
- 2021-04-09
- 2021-07-09
-
2021-09-26
Dose 3 — Pfizer-BioNTechCo-administered: yes
-
2021-09-28
Survey response — days 1–6 daily, dose 3MedDRA: Breast swelling — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swelling of accessory breast tissue near vaccine siteMedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Survey response — days 1–6 daily, dose 3MedDRA: Breast swelling — Feeling: FairFree text: Swollen accessory breast tissue in armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — days 1–6 daily, dose 3MedDRA: Emergency care, Headache, Nausea, SARS-CoV-2 test negative, Self-medication, Vomiting — Feeling: Fair · Headache · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Nausea and vomiting yesterday, unable to check in, went to ED · Healthcare visit (other): Headache, nausea, vomiting yesterday. Went to ED yesterday. Negative covid. Got toradol IM, zofran ODT, Tylenol PO.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-03
- 2021-10-04
- 2021-10-10
- 2021-12-28
- 2022-03-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Pfizer-BioNTech | |
| 2 | 2021-01-08 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | Yes |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Successful 2021-01-26 |
Participant prefers to complete VAERS report online |
| 2021-10-01 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling of accessory breast tissue near vaccine site
Systemic reaction (other): Swollen accessory breast tissue in armpit
Systemic reaction (other): Nausea and vomiting yesterday, unable to check in, went to ED
Healthcare visit (other): Headache, nausea, vomiting yesterday. Went to ED yesterday. Negative covid. Got toradol IM, zofran ODT, Tylenol PO.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Emergency care | · | · | ✓ |
| HCVO | Headache | · | · | ✓ |
| HCVO | Nausea | · | · | ✓ |
| HCVO | SARS-CoV-2 test negative | · | · | ✓ |
| HCVO | Self-medication | · | · | ✓ |
| HCVO | Vomiting | · | · | ✓ |
| SRO | Breast swelling | · | · | ✓ |
| SRO | Emergency care | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release