2JP-21812-41117
4 vaccinations
2 coded responses
32 check-ins
1 free-text entry
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Pfizer-BioNTech
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-16
-
2021-01-22
Dose 2 — Pfizer-BioNTech
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-04-23
- 2021-07-23
-
2021-12-01
Dose 3 — Pfizer-BioNTech
- 2022-01-22
-
2022-05-09
Dose 4 — Pfizer-BioNTech
- 2022-05-17
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-08-08
-
2022-11-07
Survey response — 6 months, dose 4MedDRA: Influenza A virus test positive — Feeling: Poor · 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: Influenza A PositiveMedDRA releases: 2024-11 · check-in free text available
-
2022-11-07
Report sent to call center — 6 months, dose 4Be 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)
-
2022-11-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-09
Survey response — 12 months, dose 4MedDRA: Delivery, Office visit, Pre-existing disease, Sciatica — Feeling: Poor · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-09
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Pfizer-BioNTech | |
| 2 | 2021-01-22 | Pfizer-BioNTech | |
| 3 | 2021-12-01 | Pfizer-BioNTech | No |
| 4 | 2022-05-09 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-07 | Successful 2022-11-08 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-05-09 | Unsuccessful |
Free text
Release 12 — 6 months, dose 4
Symptoms: Influenza A Positive
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 | Delivery | · | · | ✓ |
| SD | Influenza A virus test positive | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release