4GF-18134-67085
3 vaccinations
5 coded responses
19 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 236 / VA
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Pfizer-BioNTech
-
2021-05-01
Dose 2 — Pfizer-BioNTech
-
2021-05-08
Registered in v-safe
-
2021-05-08
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
-
2021-06-12
Survey response — day 42, dose 2MedDRA: Respiratory disorder — 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 · Outpatient clinic or urgent care clinic visitFree text: Upper respiratory illnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-12
Report sent to call center — day 42, 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)
-
2021-06-24
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-31
-
2021-12-03
Dose 3 — Pfizer-BioNTech
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Throat irritation — Feeling: Fair · Site: PainFree text: Little itchy throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Throat irritation — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Icy or Burning throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
- 2021-12-08
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-12
- 2021-12-17
- 2021-12-31
- 2022-01-07
- 2022-01-14
-
2022-03-06
Survey response — 3 months, dose 3MedDRA: Cough, Throat irritation, Unevaluable event — Feeling: Good · 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: Very bad scratchy throat, severe cough, and severe sinusesMedDRA releases: 2024-11 · check-in free text available
-
2022-03-06
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-08
Call successfulParticipant prefers to complete VAERS report online
-
2022-12-04
Survey response — 12 months, dose 3MedDRA: Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-04
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-05
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 | 2021-04-10 | Pfizer-BioNTech | |
| 2 | 2021-05-01 | Pfizer-BioNTech | |
| 3 | 2021-12-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-12 | Successful 2021-06-24 |
Participant prefers to complete VAERS report online |
| 2022-03-06 | Successful 2022-03-08 |
Participant prefers to complete VAERS report online |
| 2022-12-04 | Successful 2022-12-05 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 9 — day 42, dose 2
Symptoms: Upper respiratory illness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Little itchy throat
Systemic reaction (other): Icy or Burning throat
Release 11 — 3 months, dose 3
Symptoms: Very bad scratchy throat, severe cough, and severe sinuses
Release 12 — 12 months, dose 3
Symptoms: Upper respiratory infection
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 | Cough | · | · | ✓ |
| SD | Respiratory disorder | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release