23H-49173-21809
4 vaccinations
6 coded responses
50 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Pfizer-BioNTech
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Pfizer-BioNTech
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-05-02
- 2021-06-18
- 2021-09-17
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-21
- 2021-11-26
- 2021-12-04
- 2021-12-17
-
2022-02-04
Survey response — 3 month, dose 3MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11 · check-in answers available
-
2022-02-04
Report sent to call center — 3 month, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-31
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-06
-
2022-08-01
Dose 4 — Moderna
- 2022-08-01
-
2022-08-02
Survey response — days 1–6 daily, dose 4MedDRA: Palpitations — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessMedDRA releases: 2024-11 · check-in answers available
- 2022-08-03
- 2022-08-04
-
2022-08-05
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-08-06
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-08-07
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
-
2022-08-08
Survey response — 7 day, dose 4MedDRA: Nasopharyngitis — Feeling: FairMedDRA releases: 2024-11 · check-in answers available
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-10-31
- 2023-01-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Pfizer-BioNTech | |
| 2 | 2021-03-19 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-08-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-04 | Successful 2022-03-31 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 11
Symptoms: Pregnancy related morning sickness
Release 12
Systemic reaction (other): Racing heart
Systemic reaction (other): I have a head cold
Systemic reaction (other): I have a head cold
Systemic reaction (other): I have a head cold
Systemic reaction (other): I have a head cold
Free-text releases are not linked to a specific 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 | Pregnancy | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release