4N3-20302-85716
4 vaccinations
1 coded response
9 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 852 / AZ
- Registered
- 2021-11-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FJS-37791-48184
Child or adolescent in my care · Male · 2022-10-05
Timeline
-
2021-03-07
Dose 1 — Pfizer-BioNTech
-
2021-03-21
Dose 2 — Pfizer-BioNTech
-
2021-10-11
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-19
Registered in v-safe
- 2021-11-19
- 2021-11-22
- 2022-01-10
- 2022-04-11
-
2022-09-21
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-05
- 2022-10-19
- 2022-10-28
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 4MedDRA: Nasopharyngitis, Sinusitis — Feeling: Good · 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: Cold/sinus infection from daycare!MedDRA releases: 2024-11 · check-in free text available
-
2022-12-21
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Pfizer-BioNTech | No |
| 2 | 2021-03-21 | Pfizer-BioNTech | No |
| 3 | 2021-10-11 | Pfizer-BioNTech | Flu |
| 4 | 2022-09-21 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-21 | Unsuccessful |
Free text
Release 12 — 3 months, dose 4
Symptoms: Cold/sinus infection from daycare!
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 | Nasopharyngitis | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release