YXJ-13842-47072
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 958 / CA
- Registered
- 2021-08-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-04
Dose 1 — Pfizer-BioNTech
-
2021-08-23
Dose 2 — Pfizer-BioNTech
-
2021-08-24
Registered in v-safe
-
2021-08-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
-
2021-08-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Fair · HeadacheFree text: Arm bruised at injection siteMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-01
- 2021-09-08
- 2021-09-13
-
2021-09-20
Survey response — day 28, dose 2MedDRA: Abdominal pain — Feeling: FairFree text: Cramping in abdomenMedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-10-06
-
2021-11-22
Survey response — 3 months, dose 2MedDRA: Menstruation irregular, Migraine, Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Very hormonal and 2 weeks late for period. Also had a migraine for 4 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
-
2022-08-23
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Foetal vascular malperfusion — 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 · Outpatient clinic or urgent care clinic visitFree text: Placental blood clots that led to miscarriage at 17 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-08-23
Report sent to call center — 12 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-24
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-04 | Pfizer-BioNTech | No |
| 2 | 2021-08-23 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-23 | Successful 2022-08-24 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Arm bruised at injection site
Release 9 — day 28, dose 2
Symptoms: Cramping in abdomen
Release 10 — 3 months, dose 2
Symptoms: Very hormonal and 2 weeks late for period. Also had a migraine for 4 days
Release 12 — 12 months, dose 2
Symptoms: Placental blood clots that led to miscarriage at 17 weeks
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 | Abdominal pain | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Foetal vascular malperfusion | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Injection site bruising | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release