4ED-12172-16560
4 vaccinations
3 coded responses
33 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 142 / NY
- Registered
- 2020-12-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-16
Dose 1 — Pfizer-BioNTech
-
2020-12-17
Registered in v-safe
- 2020-12-20
- 2020-12-22
- 2020-12-23
- 2020-12-31
-
2021-01-05
Dose 2 — Pfizer-BioNTech
- 2021-01-13
- 2021-01-20
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-04-06
-
2021-07-06
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Rhinovirus infection — Feeling: Good · 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: I had rhino-entero virus, a nasty cold!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-06
Report sent to call center — 6 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 pr1 call case(s)
- 2021-07-12
-
2021-09-27
Dose 3 — Pfizer-BioNTech
- 2021-09-28
- 2021-09-29
- 2021-09-30
- 2021-10-01
- 2021-10-02
- 2021-10-03
- 2021-10-04
- 2021-10-11
- 2021-10-20
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-12-30
- 2022-03-28
-
2022-03-30
Dose 4 — Pfizer-BioNTech
- 2022-04-15
- 2022-04-20
-
2022-04-27
Survey response — day 28, dose 4MedDRA: COVID-19, Chills, Nasopharyngitis, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID positive Fever/chills, cold-like symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-06-29
-
2022-09-30
Survey response — 6 months, dose 4MedDRA: Clavicle fracture, Cough, Fatigue, Injury, Limb injury, Nasopharyngitis, Respiratory tract congestion, Skin abrasion, Sneezing — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Injuries: Broke clavicle, separated shoulder, road rash Cold: Coughing/sneezing, tired, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
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 · Emergency room or emergency department visit · 1 call case(s)
-
2022-10-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-03
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 | 2020-12-16 | Pfizer-BioNTech | |
| 2 | 2021-01-05 | Pfizer-BioNTech | |
| 3 | 2021-09-27 | Pfizer-BioNTech | No |
| 4 | 2022-03-30 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-06 | Successful 2022-10-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-09-30 | Successful 2022-10-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — 6 months, dose 2
Symptoms: I had rhino-entero virus, a nasty cold!
Release 11 — day 28, dose 4
Symptoms: COVID positive Fever/chills, cold-like symptoms
Release 12 — 6 months, dose 4
Symptoms: Injuries: Broke clavicle, separated shoulder, road rash Cold: Coughing/sneezing, tired, congestion
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 | Chills | · | · | ✓ |
| SD | Clavicle fracture | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injury | · | · | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinovirus infection | ✓ | ✓ | ✓ |
| SD | Skin abrasion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release