4Q5-10577-50517
2 vaccinations
4 coded responses
23 check-ins
0 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 370 / TN
- Registered
- 2021-10-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Registered dependents
L9N-25428-58029
Adult relative or friend · Male · 2021-10-08
Timeline
-
2021-10-06
Dose 1 — Pfizer-BioNTech
-
2021-10-08
Registered in v-safe
-
2021-10-08
Survey response — days 1–6 daily, dose 1MedDRA: Pregnancy — Feeling: Good · Site: PainMedDRA releases: 2024-11
- 2021-10-09
- 2021-10-10
- 2021-10-11
- 2021-10-12
- 2021-10-13
- 2021-10-20
-
2021-10-27
Dose 2 — Pfizer-BioNTech
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
-
2021-11-17
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Chills, Diarrhoea, Malaise, Nasal congestion, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2021-11-25
-
2021-12-01
Survey response — day 35, dose 2MedDRA: Fatigue, Hunger, Office visit, Pollakiuria, Thirst — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2021-12-01
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-03
- 2021-12-08
- 2021-12-09
-
2022-01-28
Survey response — 3 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2022-04-27
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-06 | Pfizer-BioNTech | No |
| 2 | 2021-10-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-01 | Unsuccessful |
Free text
None.
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 | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hunger | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pollakiuria | · | · | ✓ |
| SD | Thirst | · | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release