Y5F-17261-42143
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
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2021-03-15
Registered in v-safe
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2021-03-15
Dose 1 — Pfizer-BioNTech
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2021-03-15
Survey response — day 0, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to workFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-03-16
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Palpitations — Feeling: Poor · Fever · Headache, Fatigue or tirednessFree text: I had odd heart palpitations and a head rush feeling like I would faint. Ive never experienced this before in my life.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Fever · Chills, Fatigue or tiredness, DiarrheaFree text: Chest pain, shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: Good · Fever · Chills, Fatigue or tirednessFree text: Heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
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2021-04-06
Dose 2 — Pfizer-BioNTech
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2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-13
Health check-in — day 7, dose 2Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-04-15
Pregnancy registry surveyPregnant at time of vaccination · Yes, I would like someone to contact me
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2021-04-27
Survey response — day 21, dose 2MedDRA: Aphonia, Headache, Lacrimation increased, Malaise, Pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Poor · Be unable to workFree text: I have become sick. Horrible headache, severe congestion, sore throat, loss of voice so I can hardly talk, body aches, watery eyes. Tested negative for Covid/flu/rsv/strepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-13
- 2021-05-20
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2021-07-06
Survey response — 3 months, dose 2MedDRA: Aphonia, Cough, Fatigue, Nasopharyngitis, Office visit, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · 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: I have a strange cold that started about 14 days ago. It could be completely unrelated but symptoms started as just losing my voice and being fatigued. I then got a sore throat and lo grade fever. I was negative for Covid/flu/strep but contagious · Healthcare visit (other): I saw my primary physician during a routine prenatal appointment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Report sent to call center — 3 months, dose 2Be 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)
- 2021-07-08
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2021-10-05
Survey response — 6 months, dose 2MedDRA: Delivery — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I delivered a healthy baby boy a week ago.MedDRA releases: 2024-11 · check-in free text available
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2021-10-05
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prHospitalization · 1 call case(s)
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2021-10-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Pfizer-BioNTech | |
| 2 | 2021-04-06 | Pfizer-BioNTech |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-15 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-03-16 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-07-06 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-05 | Successful 2021-10-07 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Sore throat
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I had odd heart palpitations and a head rush feeling like I would faint. Ive never experienced this before in my life.
Systemic reaction (other): Chest pain, shortness of breath
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Heart palpitations
Release 8 — day 21, dose 2
Symptoms: I have become sick. Horrible headache, severe congestion, sore throat, loss of voice so I can hardly talk, body aches, watery eyes. Tested negative for Covid/flu/rsv/strep
Release 9 — 3 months, dose 2
Symptoms: I have a strange cold that started about 14 days ago. It could be completely unrelated but symptoms started as just losing my voice and being fatigued. I then got a sore throat and lo grade fever. I was negative for Covid/flu/strep but contagious cut off by CDC
Healthcare visit (other): I saw my primary physician during a routine prenatal appointment.
Release 10 — 6 months, dose 2
Symptoms: I delivered a healthy baby boy a week ago.
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 | Aphonia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Delivery | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release