3EV-94047-35702
5 vaccinations
6 coded responses
34 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-11-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Pfizer-BioNTech
-
2021-03-12
Dose 2 — Pfizer-BioNTech
-
2021-11-05
Registered in v-safe
-
2021-11-05
Dose 3 — Pfizer-BioNTech
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2021-12-10
Survey response — day 35, dose 3MedDRA: Coccydynia, Pain — Feeling: FairFree text: May not be related but my trunk feels a bit sore and tail bone hurts since yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-17
- 2022-02-04
-
2022-04-29
Dose 4 — Pfizer-BioNTech
- 2022-05-06
- 2022-05-08
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-10-29
-
2022-11-06
Dose 5 — Pfizer-BioNTech
- 2022-11-07
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-13
-
2022-12-02
Survey response — day 21, dose 5MedDRA: Cough, Increased upper airway secretion, Nasal congestion, Self-medication — Feeling: GoodFree text: Nasal congestion and heavy drainage into my throat. Unproductive coughing. Symptoms respond to Claritin and Azelastine. A big seems to be the cause since other people have worse symptoms than mine.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-04
Survey response — day 28, dose 5MedDRA: Exposure to SARS-CoV-2, Nasal congestion, Paranasal sinus hypersecretion, SARS-CoV-2 test positive, Secretion discharge — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Positive COVID test on 12/3/2022. Mild Nasal congestion and mucus. Sinus drainage. I tested with home kit because a friend notified me he tested positive on 12/3/22MedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
-
2022-12-18
Survey response — day 42, dose 5MedDRA: Dizziness — Feeling: GoodFree text: Occasionally light headed.MedDRA releases: 2024-11 · check-in free text available
-
2023-02-05
Survey response — 3 months, dose 5MedDRA: Nasal congestion, Office visit, Secretion discharge — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-05
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-06
-
2023-02-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-07
Survey response — 6 months, dose 5MedDRA: Catarrh, Cough, Nasal congestion, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-07
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-05-08
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Pfizer-BioNTech | No |
| 2 | 2021-03-12 | Pfizer-BioNTech | No |
| 3 | 2021-11-05 | Pfizer-BioNTech | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
| 5 | 2022-11-06 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — day 35, dose 3
Symptoms: May not be related but my trunk feels a bit sore and tail bone hurts since yesterday.
Release 12 — day 21, dose 5
Symptoms: Nasal congestion and heavy drainage into my throat. Unproductive coughing. Symptoms respond to Claritin and Azelastine. A big seems to be the cause since other people have worse symptoms than mine.
Release 12 — day 28, dose 5
Symptoms: Positive COVID test on 12/3/2022. Mild Nasal congestion and mucus. Sinus drainage. I tested with home kit because a friend notified me he tested positive on 12/3/22
Release 12 — day 42, dose 5
Symptoms: Occasionally light headed.
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Catarrh | · | · | ✓ |
| SD | Coccydynia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release