258-49232-51792
3 vaccinations
1 coded response
17 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 086 / NJ
- Registered
- 2021-05-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
CP4-15446-57563
Child or adolescent in my care · Female · 2022-06-28
Timeline
-
2021-05-06
Dose 1 — Pfizer-BioNTech
-
2021-05-27
Registered in v-safe
-
2021-05-27
Dose 2 — Pfizer-BioNTech
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-01
- 2021-06-02
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-07-08
- 2021-08-26
- 2021-11-25
-
2021-12-27
Dose 3 — Pfizer-BioNTech
- 2022-06-27
-
2022-12-27
Survey response — 12 months, dose 3MedDRA: 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 · Outpatient clinic or urgent care clinic visitFree text: Got covid 19 on Sept 22nd 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-12-27
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-06 | Pfizer-BioNTech | |
| 2 | 2021-05-27 | Pfizer-BioNTech | |
| 3 | 2021-12-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-27 | Unsuccessful |
Free text
Release 12 — 12 months, dose 3
Symptoms: Got covid 19 on Sept 22nd 2022
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 | COVID-19 | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release