ZB9-23954-91313
4 vaccinations
5 coded responses
49 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 633 / MO
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
A9A-16664-96515
Child or adolescent in my care · Male · 2022-06-22
F85-20705-35431
Child or adolescent in my care · Male · 2022-06-22
Timeline
-
2021-01-27
Dose 1 — Pfizer-BioNTech
-
2021-01-28
Registered in v-safe
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-16
Dose 2 — Pfizer-BioNTech
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-05-18
Survey response — 3 months, dose 2MedDRA: Oligomenorrhoea — Feeling: GoodFree text: Significant change from my standard menstrual cycle length to be much longer than normal for me, every cycle since my vaccine seriesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-17
-
2021-10-01
Dose 3 — Pfizer-BioNTech
- 2021-10-01
-
2021-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-10-03
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Swollen lymph nodes in the injection side armpitMedDRA releases: 2024-11 · check-in free text available
- 2021-10-05
- 2021-10-06
- 2021-10-07
- 2021-10-08
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
- 2021-11-12
-
2021-12-31
Survey response — 3 months, dose 3MedDRA: Bronchitis, Nasopharyngitis, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection and bronchitis secondary to a cold brought home by my toddlerMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-06
- 2022-04-01
-
2022-09-04
Dose 4 — ModernaCo-administered: Flu
- 2022-09-04
-
2022-09-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-06
- 2022-09-08
- 2022-09-09
- 2022-09-10
- 2022-09-11
- 2022-09-18
- 2022-09-25
- 2022-10-02
- 2022-10-09
- 2022-10-16
-
2022-12-04
Survey response — 3 months, dose 4MedDRA: Abnormal loss of weight, Arthralgia, Arthritis — Feeling: Fair · 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: Severe joint pain with some inflammation, and unexplained weight loss; awaiting evaluation with a specialistMedDRA releases: 2024-11 · check-in free text available
-
2022-12-04
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-05
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-05
Call successfulParticipant prefers to complete VAERS report online
-
2023-03-05
Survey response — 6 months, dose 4MedDRA: Ankylosing spondylitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-05
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Pfizer-BioNTech | |
| 2 | 2021-02-16 | Pfizer-BioNTech | |
| 3 | 2021-10-01 | Pfizer-BioNTech | No |
| 4 | 2022-09-04 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-31 | Successful 2022-12-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-04 | Successful 2022-12-05 |
Participant prefers to complete VAERS report online |
| 2023-03-05 | Unsuccessful |
Free text
Release 8 — 3 months, dose 2
Symptoms: Significant change from my standard menstrual cycle length to be much longer than normal for me, every cycle since my vaccine series
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in the injection side armpit
Release 10 — 3 months, dose 3
Symptoms: Sinus infection and bronchitis secondary to a cold brought home by my toddler
Release 12 — 3 months, dose 4
Symptoms: Severe joint pain with some inflammation, and unexplained weight loss; awaiting evaluation with a specialist
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 | Abnormal loss of weight | · | · | ✓ |
| SD | Ankylosing spondylitis | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release