ZPV-27968-74923
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Pfizer-BioNTech
-
2021-03-20
Registered in v-safe
- 2021-03-20
-
2021-03-26
Dose 2 — Pfizer-BioNTech
-
2021-03-26
Survey response — day 0, dose 2MedDRA: Respiratory tract congestion — Feeling: FairFree text: Congested.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Joint painsAdult check-in
- 2021-04-04
- 2021-04-09
- 2021-06-27
- 2021-09-24
-
2021-09-30
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-10-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Muscle or body achesAdult check-in
- 2021-10-03
- 2021-10-16
- 2021-11-13
- 2022-01-01
- 2022-03-31
-
2022-10-02
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous, Nasopharyngitis, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I've had some cold symptoms a few times and I had a miscarriage. · Healthcare visit (other): GPMedDRA releases: 2024-11 · check-in free text available
-
2022-10-02
Report sent to call center — 12 months, dose 3Be 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)
-
2022-10-04
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Pfizer-BioNTech | |
| 2 | 2021-03-26 | Pfizer-BioNTech | |
| 3 | 2021-09-30 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-02 | Successful 2022-10-04 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Congested.
Release 12 — 12 months, dose 3
Symptoms: I've had some cold symptoms a few times and I had a miscarriage.
Healthcare visit (other): GP
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 | Office visit | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release