4P3-29632-09660
3 vaccinations
2 coded responses
21 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 130 / NY
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
VZM-25624-88043
Child or adolescent in my care · Male · 2021-11-17
Timeline
-
2021-01-08
Dose 1 — Pfizer-BioNTech
-
2021-01-11
Registered in v-safe
- 2021-01-13
- 2021-01-15
- 2021-01-23
-
2021-01-28
Dose 2 — Pfizer-BioNTech
-
2021-02-12
Survey response — day 14, dose 2MedDRA: Headache, Muscle tightness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches Muscle tension(This could be unrelated to vaccine)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-05-01
- 2021-07-31
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-14
- 2021-11-26
- 2021-12-17
- 2022-02-06
-
2022-11-05
Survey response — 12 months, dose 3MedDRA: Cough, Dyspnoea, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lingering cough, short breath 3 months post covid infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-07
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Pfizer-BioNTech | |
| 2 | 2021-01-28 | Pfizer-BioNTech | |
| 3 | 2021-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-05 | Successful 2022-11-07 |
Not applicable - Accidental Reporting |
Free text
Release 4 — day 14, dose 2
Symptoms: Headaches Muscle tension(This could be unrelated to vaccine)
Release 12 — 12 months, dose 3
Symptoms: Lingering cough, short breath 3 months post covid 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 | Dyspnoea | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release