3X6-32112-48648
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 921 / CA
- Registered
- 2021-07-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2GP-23654-30307
Child or adolescent in my care · Male · 2022-01-08
Timeline
-
2021-06-25
Dose 1 — Pfizer-BioNTech
-
2021-07-16
Dose 2 — Pfizer-BioNTech
-
2021-07-18
Registered in v-safe
-
2021-07-18
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Sore ArmMedDRA releases: 2024-11 · check-in free text available
-
2021-07-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-07-20
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Muscle or body achesFree text: Coughing chest congestionMedDRA releases: 2024-11 · check-in free text available
-
2021-07-21
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion, Sneezing — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Chest congestion cough sneezingMedDRA releases: 2024-11 · check-in free text available
-
2021-07-22
Survey response — days 1–6 daily, dose 2MedDRA: Lower respiratory tract infection, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Muscle or body aches · Be unable to work or attend schoolFree text: Chest cold sore throat head congestionMedDRA releases: 2024-11 · check-in free text available
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2021-07-25
Survey response — day 7, dose 2MedDRA: Illness, Impaired work ability, Nasopharyngitis, Respiratory tract congestion, Sinus disorder — Feeling: Fair · Headache, Muscle or body aches · 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: Systemic reaction (other): Getting over chest and head congestion cold sinus · Healthcare visit (other): Excused from work for the week from illnessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-25
Report sent to call center — day 7, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-30
- 2021-08-03
- 2021-08-13
- 2021-08-27
- 2021-10-15
- 2022-01-16
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2022-07-16
Survey response — 12 months, dose 2MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Positive for COVID-19 on July 7, 2022.MedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Report sent to call center — 12 months, dose 2Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-07-18
- 2022-07-18
-
2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-25 | Pfizer-BioNTech | No |
| 2 | 2021-07-16 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-25 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-16 | Successful 2022-07-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore Arm
Systemic reaction (other): Coughing chest congestion
Systemic reaction (other): Chest congestion cough sneezing
Systemic reaction (other): Chest cold sore throat head congestion
Release 9 — day 7, dose 2
Systemic reaction (other): Getting over chest and head congestion cold sinus
Healthcare visit (other): Excused from work for the week from illness
Release 12 — 12 months, dose 2
Symptoms: Positive for COVID-19 on July 7, 2022.
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 | Illness | ✓ | · | ✓ |
| HCVO | Impaired work ability | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Lower respiratory tract infection | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | · | ✓ |
| SRO | Sinus disorder | ✓ | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release