2YK-13989-99692
5 vaccinations
3 coded responses
44 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 983 / WA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Pfizer-BioNTech
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-14
Dose 2 — Pfizer-BioNTech
- 2021-01-14
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities1 call case(s)
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-04-17
- 2021-07-15
-
2021-09-26
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-09-28
- 2021-10-01
-
2021-10-03
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Fair · Headache, Muscle or body aches, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesFree text: I dont think these are related to the vaccine, I may have food poisoning.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-12
- 2021-10-17
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2022-03-29
-
2022-05-04
Dose 4 — Pfizer-BioNTech
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-05-06
- 2022-05-09
- 2022-05-10
-
2022-05-25
Survey response — day 21, dose 4MedDRA: Cough, Oropharyngeal pain, Pyrexia, Sinus congestion — Feeling: Good · Be unable to work or attend schoolFree text: Sinus congestion, fever, sore throat, coughMedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
- 2022-06-17
- 2022-08-03
-
2022-09-12
Dose 5 — ModernaCo-administered: Flu
- 2022-11-04
-
2022-12-12
Survey response — 3 months, dose 5MedDRA: Cough, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultationFree text: Fever, cough, sore throat, congestion, body achesMedDRA releases: 2024-11 · check-in free text available
-
2022-12-12
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Pfizer-BioNTech | |
| 2 | 2021-01-14 | Pfizer-BioNTech | |
| 3 | 2021-09-26 | Pfizer-BioNTech | Flu |
| 4 | 2022-05-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-15 | priority 2/3 | |
| 2022-12-12 | Successful 2022-12-13 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — day 7, dose 3
Systemic reaction (other): I dont think these are related to the vaccine, I may have food poisoning.
Release 11 — day 21, dose 4
Symptoms: Sinus congestion, fever, sore throat, cough
Release 12 — 3 months, dose 5
Symptoms: Fever, cough, sore throat, congestion, body aches
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 | Cough | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release