Z5P-27264-60692
3 vaccinations
1 coded response
23 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Pfizer-BioNTech
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-04
Dose 2 — Pfizer-BioNTech
- 2021-05-04
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to workAdult check-in
- 2021-05-06
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-20
- 2021-05-27
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
-
2021-11-19
Dose 3 — Moderna
-
2022-05-20
Survey response — 6 months, dose 3MedDRA: Heart rate increased, Infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Rapid heart rate, infected chest lymph node.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Report sent to call center — 6 months, 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)
-
2022-05-23
Call successfulNot applicable - Accidental Reporting
- 2022-11-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Pfizer-BioNTech | |
| 2 | 2021-05-04 | Pfizer-BioNTech | |
| 3 | 2021-11-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-20 | Successful 2022-05-23 |
Not applicable - Accidental Reporting |
Free text
Release 11 — 6 months, dose 3
Symptoms: Rapid heart rate, infected chest lymph node.
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 | Heart rate increased | · | · | ✓ |
| SD | Infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release