3FW-54446-84437
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 125 / NY
- Registered
- 2021-09-03
- Relationship
- Child or adolescent in my care
- Guardian
- 3KU-32084-14469
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-08-13
Dose 1 — Pfizer-BioNTech
-
2021-09-03
Registered in v-safe
-
2021-09-03
Dose 2 — Pfizer-BioNTech
- 2021-09-03
-
2021-09-04
Health check-in — days 1–6 daily, dose 2, dependentFeeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-09-06
- 2021-09-07
-
2021-09-10
Health check-in — day 7, dose 2, dependentFeeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-09-19
- 2021-09-26
- 2021-10-03
- 2021-10-17
-
2021-12-05
Survey response — 3 months, dose 2, dependentMedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Report sent to call center — 3 months, dose 2, dependentBe unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-12-07
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-03
Survey response — 12 months, dose 2, dependentMedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVIDMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-13 | Pfizer-BioNTech | No |
| 2 | 2021-09-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-05 | Successful 2021-12-07 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — 3 months, dose 2, dependent
Symptoms: Upper respiratory infection
Release 12 — 12 months, dose 2, dependent
Symptoms: COVID
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 | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release