Y73-28184-27902
4 vaccinations
4 coded responses
46 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 088 / NJ
- Registered
- 2021-07-28
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-07-28
Registered in v-safe
-
2021-07-28
Dose 1 — Pfizer-BioNTech
- 2021-07-28
-
2021-07-29
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Metallic taste in mouthMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-30
- 2021-07-31
- 2021-08-01
- 2021-08-02
- 2021-08-03
- 2021-08-04
- 2021-08-11
- 2021-08-18
-
2021-08-24
Dose 2 — Pfizer-BioNTech
-
2021-08-25
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Site: PainFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-26
- 2021-08-27
- 2021-08-28
- 2021-08-29
- 2021-08-30
- 2021-08-31
- 2021-09-07
-
2021-09-14
Survey response — day 21, dose 2MedDRA: Foetal death — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pregnancy with miscarriage of one twinMedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-16
-
2021-09-21
Survey response — day 28, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
-
2021-09-21
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
- 2021-09-28
- 2021-10-05
- 2021-11-23
-
2022-01-28
Dose 3 — Moderna
- 2022-01-28
- 2022-01-29
- 2022-01-30
- 2022-01-31
- 2022-02-01
- 2022-02-02
- 2022-02-03
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-03-04
- 2022-03-11
- 2022-05-01
- 2022-07-29
-
2022-09-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-08
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-28 | Pfizer-BioNTech | No |
| 2 | 2021-08-24 | Pfizer-BioNTech | No |
| 3 | 2022-01-28 | Moderna | No |
| 4 | 2022-09-28 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-14 | Unsuccessful | |
| 2021-09-21 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Metallic taste in mouth
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Release 9 — day 21, dose 2
Symptoms: Pregnancy with miscarriage of one twin
Release 9 — day 28, dose 2
Symptoms: Miscarriage
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 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Foetal death | · | · | ✓ |
| SRO | Dysgeusia | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release