ZA3-20373-21443
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 391 / MS
- Registered
- 2021-07-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-29
Dose 1 — Pfizer-BioNTech
-
2021-07-30
Registered in v-safe
-
2021-07-30
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Poor · Site: Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Had the first asthma attack this morning since 2008MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Chest tightnessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-08-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-05
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-08-12
Survey response — day 14, dose 1MedDRA: COVID-19, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Diagnosed with covid 19 · Healthcare visit (other): Antibodies IV infusionMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
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2021-08-19
Survey response — day 21, dose 1MedDRA: COVID-19 — 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 · Emergency room or emergency department visitFree text: Covid 19MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — day 21, dose 1Be 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)
- 2021-08-19
- 2021-08-20
- 2021-08-26
-
2021-09-09
Survey response — day 42, dose 1MedDRA: Temporomandibular joint syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: TMJMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-12 | Unsuccessful | |
| 2021-08-19 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Had the first asthma attack this morning since 2008
Systemic reaction (other): Chest tightness
Release 9 — day 14, dose 1
Release 9 — day 21, dose 1
Symptoms: Covid 19
Release 9 — day 42, dose 1
Symptoms: TMJ
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 | Unevaluable event | ✓ | · | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Temporomandibular joint syndrome | · | · | ✓ |
| SRO | Asthma | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release