Y4V-13943-10083
3 vaccinations
4 coded responses
7 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 852 / AZ
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-31
Dose 1 — Pfizer-BioNTech
-
2021-02-24
Dose 2 — Pfizer-BioNTech
-
2021-04-07
Registered in v-safe
-
2021-04-07
Survey response — day 42, dose 2MedDRA: Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have severe pain in the arm where vaccine was administered. · Healthcare visit (other): Have scheduled appt for June with PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-26
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Gastroenteritis viral — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stomach virusMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-01-21
Dose 3 — Pfizer-BioNTech
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: COVID-19, Fatigue, Headache, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive Covid on 1/13/2022. Fatigue, headache, body aches, congestion.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-29
-
2022-04-22
Survey response — 3 months, dose 3MedDRA: Office visit, Sialoadenitis — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Acute sialadenitis · Healthcare visit (other): Primary care doctor officeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-04-26
- 2022-07-22
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Pfizer-BioNTech | |
| 2 | 2021-02-24 | Pfizer-BioNTech | |
| 3 | 2022-01-21 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-07 | Unsuccessful | |
| 2022-04-22 | Unsuccessful |
Free text
Release 7 — day 42, dose 2
Symptoms: I have severe pain in the arm where vaccine was administered.
Healthcare visit (other): Have scheduled appt for June with PCP
Release 9 — 6 months, dose 2
Symptoms: Stomach virus
Release 11 — 12 months, dose 2
Symptoms: Positive Covid on 1/13/2022. Fatigue, headache, body aches, congestion.
Release 11 — 3 months, dose 3
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 | Office visit | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sialoadenitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release