3KA-80133-92787
4 vaccinations
4 coded responses
25 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Pfizer-BioNTech
-
2021-03-28
Registered in v-safe
- 2021-03-28
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-12
-
2021-04-17
Dose 2 — Pfizer-BioNTech
-
2021-04-17
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: GoodFree text: Flush in the cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Fair · Site: Pain · FeverFree text: Flushed cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-16
- 2021-05-22
- 2021-05-29
- 2021-07-19
- 2021-10-17
-
2021-11-20
Dose 3 — Moderna
- 2022-04-17
-
2022-09-12
Dose 4 — ModernaCo-administered: Flu
- 2022-09-25
- 2022-10-03
-
2022-10-10
Survey response — day 28, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain in fingersMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
-
2023-03-15
Survey response — 6 months, dose 4MedDRA: Fatigue, Sinusitis — 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 visitMedDRA releases: 2024-11
-
2023-03-15
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)
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Pfizer-BioNTech | |
| 2 | 2021-04-17 | Pfizer-BioNTech | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-09-12 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-15 | Unsuccessful |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): Flush in the cheeks
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Flushed cheeks
Release 12 — day 28, dose 4
Symptoms: Joint pain in fingers
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 | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release