573-15021-58614
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 031 / NH
- Registered
- 2021-12-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Pfizer-BioNTech
-
2021-04-23
Dose 2 — Pfizer-BioNTech
-
2021-12-18
Dose 3 — Moderna
-
2021-12-19
Registered in v-safe
-
2021-12-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-27
- 2022-01-01
- 2022-01-10
- 2022-01-15
-
2022-01-22
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Stuffed up and sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-01-22
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-26
- 2022-01-29
- 2022-03-19
- 2022-06-18
-
2022-12-19
Survey response — 12 months, dose 3MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sick this past weekend. Also fell pregnant. Lmp 11/6. Booster recd 11/30MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Pfizer-BioNTech | No |
| 2 | 2021-04-23 | Pfizer-BioNTech | No |
| 3 | 2021-12-18 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-22 | Unsuccessful |
Free text
Release 11 — day 35, dose 3
Symptoms: Stuffed up and sore throat
Release 12 — 12 months, dose 3
Symptoms: Sick this past weekend. Also fell pregnant. Lmp 11/6. Booster recd 11/30
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release