ZV6-13807-62693
3 vaccinations
3 coded responses
16 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 770 / TX
- Registered
- 2021-12-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Pfizer-BioNTech
-
2021-03-31
Dose 2 — Pfizer-BioNTech
-
2021-12-20
Registered in v-safe
-
2021-12-20
Dose 3 — Pfizer-BioNTech
-
2021-12-20
Survey response — day 0, dose 3MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: Light headedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingAdult check-in
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-12-23
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2021-12-29
- 2022-01-03
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-21
-
2022-06-20
Survey response — 6 months, dose 3MedDRA: Gastroenteritis, Respiratory syncytial virus infection, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Sinus infection, rsv, gastroenteritisMedDRA releases: 2024-11 · check-in free text available
-
2022-06-20
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-21
-
2022-06-21
Call successfulNot applicable - Accidental Reporting
-
2022-12-22
Survey response — 12 months, dose 3MedDRA: Constipation, Fatigue, Nasal congestion, Pregnancy — 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: Pregnancy, constipation, stuffy nose, fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 12 months, dose 3Be 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)
-
2022-12-23
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 | 2021-03-06 | Pfizer-BioNTech | No |
| 2 | 2021-03-31 | Pfizer-BioNTech | No |
| 3 | 2021-12-20 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-20 | Successful 2022-06-21 |
Not applicable - Accidental Reporting |
| 2022-12-22 | Successful 2022-12-23 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): Light headed
Release 12 — 6 months, dose 3
Symptoms: Sinus infection, rsv, gastroenteritis
Release 12 — 12 months, dose 3
Symptoms: Pregnancy, constipation, stuffy nose, fatigue.
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 | Constipation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release